Polypharmacy & Medication Reconciliation Flashcards
7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Polypharmacy & Medication Reconciliation flashcards as text
A 78-year-old patient is admitted with confusion. Her medication list includes an anticholinergic, a benzodiazepine, and an opioid. Which tool is most appropriate to assess her anticholinergic burden?
Answer: Anticholinergic Cognitive Burden (ACB) scale
The Anticholinergic Cognitive Burden (ACB) scale specifically quantifies cumulative anticholinergic drug effects linked to cognitive impairment.
During medication reconciliation at hospital discharge, a discrepancy is found between the patient's home medication list and the discharge prescription. What is the FIRST action the care coordinator should take?
Answer: Contact the prescribing physician to clarify the discrepancy
Unexplained discrepancies must be resolved with the prescribing provider before the patient leaves to prevent medication errors.
Which of the following medication combinations most commonly causes a clinically significant drug-drug interaction leading to bleeding risk?
Answer: Warfarin and NSAIDs
NSAIDs combined with warfarin increase bleeding risk through both antiplatelet effects and GI mucosal damage.
A care manager reviews a patient on 12 medications. Which outcome is MOST directly associated with polypharmacy in older adults?
Answer: Increased fall risk
Polypharmacy in older adults significantly increases fall risk due to sedative, hypotensive, and anticholinergic drug effects.
A patient taking metformin is prescribed contrast dye for a CT scan. What medication management step is required?
Answer: Hold metformin before and 48 hours after contrast administration
Metformin must be held around contrast use to prevent lactic acidosis if contrast-induced nephropathy occurs.
In medication reconciliation, which setting presents the HIGHEST risk for medication discrepancies due to incomplete information transfer?
Answer: Care transitions between hospital and skilled nursing facility
Care transitions between facilities carry the highest discrepancy risk because medication lists must be transferred across different healthcare systems.
Which class of medications is most commonly identified as potentially inappropriate in older adults according to the Beers Criteria?
Answer: Benzodiazepines
Benzodiazepines are prominently listed on the Beers Criteria due to cognitive impairment, delirium, falls, and fracture risk in older adults.