CCP Medication Regimen Review Questions and Answers

Question 1

A consultant pharmacist is performing a monthly Medication Regimen Review (MRR) for an 82-year-old resident of a long-term care facility.
The resident was recently treated for a UTI and now complains of new-onset dizziness and confusion.
The pharmacist notes a new prescription for oxybutynin for urinary incontinence.
Which of the following medication-related problems is the MOST likely cause of the resident's new symptoms?

Accepted Answer

Prescribing cascade

Answer

Drug use without indication

Answer

Subtherapeutic dosage

Answer

Untreated condition

Question 2

According to CMS regulations for long-term care facilities, which of the following actions is required by the consultant pharmacist after identifying a clinically significant irregularity during a Medication Regimen Review?

Accepted Answer

Report the finding in a separate, written report to the attending physician, medical director, and director of nursing.

Answer

Discontinue the medication immediately and document the action.

Answer

Contact the resident's family to discuss the finding.

Answer

Adjust the medication dosage and monitor the resident for 48 hours.

Question 3

Which of the following BEST defines the primary goal of deprescribing within the Medication Regimen Review process?

Accepted Answer

Systematically withdrawing medications when the potential for harm outweighs the potential for benefit.

Answer

Reducing the total number of medications to decrease pharmacy costs.

Answer

Stopping all medications identified by the Beers Criteria.

Answer

Replacing brand-name drugs with generic alternatives whenever possible.

Question 4

A consultant pharmacist reviews the regimen of a 75-year-old patient with type 2 diabetes, hypertension, and osteoarthritis. The patient takes 12 different medications. Which category of medication-related problems, as defined by Hepler and Strand, would apply if the pharmacist discovers the patient is taking a medication for which there is no valid medical reason?

Accepted Answer

Drug use without indication

Answer

Adverse drug reaction

Answer

Improper drug selection

Answer

Overdosage

Question 5

During an admission MRR for a patient transferring from a hospital to a skilled nursing facility, the consultant pharmacist's MOST critical first step is to:

Accepted Answer

Perform a thorough medication reconciliation.

Answer

Screen for appropriate immunizations.

Answer

Develop a deprescribing plan.

Answer

Assess the patient's health literacy.

Question 6

When evaluating the medication regimen of a patient in a long-term care facility, which of the following tools is specifically designed to identify both potentially inappropriate medications to stop and potentially beneficial medications to initiate in older adults?

Accepted Answer

The STOPP/START criteria

Answer

The Beers Criteria

Answer

The Medication Appropriateness Index (MAI)

Answer

The Drug Burden Index (DBI)