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 care manager notices a patient with chronic kidney disease (CKD stage 4) is prescribed metformin. What is the primary concern?
Answer: Lactic acidosis from drug accumulation
Metformin is contraindicated in severe CKD because impaired renal excretion causes drug accumulation, risking potentially fatal lactic acidosis.
Which of the following best describes the goal of deprescribing in the context of chronic care management?
Answer: Stopping or reducing medications where harms outweigh benefits
Deprescribing is the planned, supervised process of stopping or reducing medications where the potential harms outweigh the benefits for an individual patient.
A patient with COPD and hypertension is prescribed a non-selective beta-blocker. Which drug-disease interaction is the primary concern?
Answer: Beta-blockers cause bronchospasm worsening COPD
Non-selective beta-blockers block β2 receptors in the lungs, potentially causing bronchospasm and worsening COPD symptoms.
A 75-year-old patient on amlodipine, metoprolol, and furosemide reports dizziness when standing. Which medication management strategy should be prioritized?
Answer: Review medications contributing to orthostatic hypotension
Orthostatic dizziness in an older adult on multiple cardiovascular medications warrants a systematic review of agents contributing to blood pressure drops on standing.
According to STOPP/START criteria, which of the following represents a START criterion (a medication that SHOULD be initiated)?
Answer: Antiplatelet therapy after an ischemic stroke
START criteria identify evidence-based medications that are often omitted; antiplatelet therapy post-ischemic stroke is a clear secondary prevention indication.
A care manager reviews a patient who takes a proton pump inhibitor (PPI), a statin, a beta-blocker, metformin, and lisinopril. The PPI has been prescribed for 5 years without documented indication. Which action is MOST appropriate?
Answer: Raise the concern with the prescriber and recommend re-evaluation of the PPI indication
Long-term PPI use without documented indication should prompt a provider-level review, as PPIs carry risks including C. difficile, hypomagnesemia, and bone loss.
Which of the following is an example of an intentional medication discrepancy during care transitions?
Answer: A medication was intentionally held pending specialist review and documented accordingly
Intentional discrepancies are deliberate clinical decisions (e.g., holding a medication) that are properly documented and communicated to the care team.