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NEW QUESTION # 23
A regular patient of the pharmacy presents to pick up the monthly medication refills. During the course or conversation. the patient mentions that the insurance company had requested to set up a review session to go over all current medications, and that a pharmacist at a call center will undertake the review. Which type of MTM service modelIt MOST likely being provided to the patient?
- A. Hybrid MTM disease management
- B. Telephonic
- C. Pharmacy-based disease monitoring
- D. Care teams
Answer: A
NEW QUESTION # 24
What are the genes involved in the metabolism pathway or warfarin?
- A. CYP2D6, VKORC1
- B. CYP2C9, VKORC1
- C. CYP2C19, VKORC1
- D. CYP3A4, VKORC1
Answer: C
NEW QUESTION # 25
Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?
- A. Use a backup birth control method until the ring has been in place for 3 days
- B. Use a backup birth control method until the ring has been in place for 7 days.
- C. Directions were property followed and continue using the ring as directed.
- D. Continue using the ring as directed and use a backup birth control during future intercourse
Answer: A
NEW QUESTION # 26
A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?
- A. Bactrim DS
- B. Losartan
- C. Methotrexate
- D. Glipizide
Answer: C
NEW QUESTION # 27
A patient who is experiencing incontinence also takes dilitiazem. when starting pharmacologic therapy.Which medication would be the SAFEST to initiate?
- A. Toiterodine
- B. Fesoterodine
- C. Trospium
- D. Solifenacin
Answer: D
NEW QUESTION # 28
When conducting a comprenensive medication review. whichquestion would De MOST appropriate for a pharmacistto ask to assess the patient's healthliteracy associated with reading instructions, pamphlets. and other written material from a physician?
- A. "How do you assess your health literacy?"
- B. "Do you always understand what you are reading?"
- C. "How often do you need to have someone help you?"
- D. "Is it hard for you to comprehend what you read?"
Answer: C
NEW QUESTION # 29
A60-year-old female patent who is postmenopausal and underwent a hysterectomy 10 years ago is unable to tolerate vasomotor symptoms and vaginitis due to menopause, and the patient would like to go on hormone replacement therapy Which medication therapy would be most appropriate FIRST step for this patient?
- A. Conjugated estrogens/medroxyprogesterone oral tablet
- B. Estradiol transdermal paten
- C. Estradiol/levonorgestrel transdermal patch
- D. Estradiol/progesterone oral capsule
Answer: A
NEW QUESTION # 30
Which class of medications is typically first line in treating eating disorders?
- A. Selective serotonin reuptake inhibitors
- B. Mood stabilizers
- C. Serotonin and norepinephrine reuptake inhibitors
- D. Tricyclic antidepressants
Answer: A
NEW QUESTION # 31
A pharmacist who practices as an independent MTM contractor wants to conduct an MTM review witha 74- year-oid patient, me patient is in a nursing none and is hard of hearing with mild dementia.The patient does not have a power of attorney on tile or details or family members on file Which or me following outreach techniques; would be the BEST way to conduct the review and reduce the chances or MTM outcome failures?
- A. Face-to-face
- B. At their local pharmacy
- C. Via phone
- D. Patients representative
Answer: A
NEW QUESTION # 32
For a patient who has pulmonary arterial hypertension and acute vasoreactivity, which medication is the preferred treatment?
- A. Hydrochlorothiazide
- B. Amlodipine
- C. Verapamil
- D. Metoprolol
Answer: B
NEW QUESTION # 33
Which intervention is MOST important for the prevention and treatment or COPD?
- A. Pharmacologic treatment
- B. Smoking cessation
- C. Regular physical exercise
- D. Pulmonary rehabilitation
Answer: B
NEW QUESTION # 34
Which counseling point is MOST appropriate to provide to a patient picking up a prescription of insulin degiudec injection 20OU/mi_ (Tresiba FlexTouch U-200)?
- A. "Do not leave the needle In the skin for more than 3 seconds."
- B. "Use this injection only m the abdominal region.''
- C. "You do not need to prime the pen before every injection."
- D. "Make sure you use pens within 56 days "
Answer: D
NEW QUESTION # 35
A 49-year-ow male patient who has moderate rheumatoid arthritis has experienced an inadequate response to methotrexate treatment Switching to which non-biologic disease-modifying anti-rheumatic drug could increase the patients risk of a gastro intestinal perforation?
- A. Golimumab
- B. Etanercept
- C. Leflunomide
- D. Tofacitinib
Answer: A
NEW QUESTION # 36
Which laboratory indicator to diagnose viral hepatitis is considered MOST appropriate?
- A. Presence of hepatitis antibody and antigens
- B. Decreased sodium level
- C. Elevated liver enzymes
- D. Elevated white blood cell count
Answer: A
NEW QUESTION # 37
A patient is currently taking cyciosporine as a propnyiaxis for organ rejection following a kidney transplant.
Combination use of which medication could increase cyciosporine concentration and increase the risk of toxicity to the patient1?
- A. Diltiazem
- B. Losartan
- C. Metoprotol
- D. Lisinopril
Answer: D
NEW QUESTION # 38
Which activity is performed by a pharmacist during the medication therapy review process?
- A. Interpret, monitor, and assess a patient's laboratory results.
- B. Create action steps for a patient to follow.
- C. Collaborate with a patient's physician.
- D. Make a formal, comprehensive medication record for a patient.
Answer: C
NEW QUESTION # 39
During a follow-up MTM visit with a patient, the patientasks the pharmacist about possible adverse effects related to a current medication that is a relatively new drug Which resource would provide any post-marketing surveillance adverse effect information reported by the public and/or other health professionals?
- A. Randomized controlled trial
- B. Case report study
- C. MedWatch Safety information and Adverse Event Reporting Program
- D. Risk Evaluation and Mitigation strategy
Answer: C
NEW QUESTION # 40
A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?
- A. Drowsiness. insomnia
- B. Suicidal ideation
- C. Osteoporosis
- D. Stevens-Johnson syndrome (SJS). TEN
Answer: D
NEW QUESTION # 41
Which reverse-transcriptase inhibitor used in the treatment of hepatitis B virus MUST be taken on an empty stomach (i.e.. more than 2 hours before or after a meal?
- A. Adefovir
- B. Lamivudine
- C. Telbivudine
- D. Entecavir
Answer: D
NEW QUESTION # 42
A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?
- A. "How are you taking your insulin'"
- B. "Where else are you getting your insulin?"
- C. "Do you have concerns about the cost-effectiveness of diabetic medications?"
- D. "Do you remember to take your insulin?"
Answer: A
NEW QUESTION # 43
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