Final Assessment Questions

Question 1

1. Which of the type of aero account for approximately 75% of our potential harmful medication discrepancy in admission and discharge

a .Incorrect route administration.
b. Formulary substitution arrow.
c. Incorrect frequency.
d. Errors in medication histories

Answer 1

Answer: d. Error in medication history.

Question 2

2 . Which of the following is an example of “patien-level” intervention in a MARQUIS2 study?

a. Having pharmacy technician without medication, taking training to a best possible medication history from admitted patient in the emergency department.
b. Clarifying. Rolls and responsibilities for different types of providers.
c. Having train personnel take a best possible medication history from admitted patient in the emergency department.
d. improving assess to pre-admission medication sources

Answer 2

Correct answer is C
Having train personnel, take a best possible medication history from admin in the emergency department


Question 3

11. You are interviewing a 54 years old patient with Caesars disorder, allergy, rhinitis, chronic pain, and steroid induced osteoporosis to obtain her medication history. She does not have a medication list with her and cannot remember the name of her medication. She is new to your healthcare system, and there is no medication list for her in electronic medical record.

a. It is a first or second generation antihistamine?
b. It is a nasal spray?
c. It is a Flonase?
d. There is no useful question to her.

Answer 3

The correct answer is : C
is a nasal spray?

Question 4

50. Becky is a student Pharmacist who interviews CH, and 89 years old resident of an assisted living facility (ALF). Becky asked CH if he is responsible for taking his medication on his own or if the ALF stop administer his medication to him. States that he is not very familiar with the name of his medication because the people who work at the ALF gives his medication to him. Becky cost the ALF and requested a list of medication “ for CH. DALF fax Becky, a list of CH medication orders most recently signed by a medical provider about five months ago. The order include digestion 0.25 mg PO daily. Becky creates the pre-admission medication list (PAML) from the orders fax to her, but does not document when they received his recently doses prior for being admitted to hospital. Becky moves to the next patient. The physician orders the medication at his list on the PA ML, including Jackson to begin on the day of admission. On Hospital day 3C heart rate drops 245 BPM it was 80 BPM on day of admission. His digoxin level was drawn and was found to be about therapeutic range the clinical pharmacist assigned to CH medical team contact CHALF for more information about his medication and discovers that his most recent digoxin was 0.125 mg and that he had received a dose of o.125mg on the day of admission to the hospital.
    The case above is an example of which type of error?
    a. medication history error.
    b. Medication reconciliation error.
    c. Potential adverse drug reaction.
    d. Route of administration error

Answer 4

The correct answer is c
Potential Abverse drug reaction

Question 5

Elurying

Answer 5

Brand Nuvaring
Pregnancy protection
Keeping in vaginally in for three weeks and free one week

Question 6

Black, tarry , blood in stool

Answer 6

Melena

Question 7

Blood in feces or red blood passing through rectum

Answer 7

Hematochezia

Question 8

Blood in mucus cough off cough up with blood

Answer 8

Hemoptysis

Question 9

Hyperkalemia

Answer 9

Hi, potassium level

Question 10

Diarrhea with blood

Answer 10

Dysentery

Question 11

Vomiting of blood, red or appearing similar to coffee grounds

Answer 11

Hematemesis

Question 12

Medication reconciliation for step

Answer 12

1 - verify
2-obtain.
3 reconcile.
4 communicate

Question 13

To confirm accuracy of medication‘s used at least two reliable shorts

Answer 13

Verify

Question 14

Complete accurate and comprehensive of patient’s medication example string release form that is XLTRCD etc. concentration route, frequency and indication

Answer 14

Obtain

Question 15

Review current medication and decide which to continue, change, and or discontinue.
Compare the list with new medicine that has been ordered to identify and resolve discrepancy

Answer 15

Reconcile

Question 16

Relay the complete list of medication to their provider to complete this medication to patient when they leave the organization

Answer 16

Communicate

Question 17

3 this scenario reflects which of the following barriers to accurate medication history- taking ?

a. fragmented healthcare system
b. Low health literacy.
c. Many transitions of cares.
d. Lack of social support

Question 18

You also asked this patient about multiple prescriber of her various medications and contact them to obtain information about patient medication. Prescriber works in a different medical system with a different electronic medical record. It looks as though this patient is receiving two different beta blockers, metoprolol (prescribed by her primary care physician) and by law) prescribed by her cardiologist). This scenario reflects which of the following various to accurate medication history taking.?
a. Lack of communication among providers.
b. lack of social support.
c. Patient who are not engaged in their care.
d. Many transitions of care.

Question 19

5-what are the first two steps in the medication reconciliation process?
A reconciliation and communicate
B obtain and verify.
C. obtain and reconcile
D. Verify and reconcile.

Question 20

6-which of the following questions is expressed in appropriate patient friendly language to obtain inside into MR’s medication taking behavior?
A “ do you use the inhaler” Q-I-D?
B. what exacerbates your bronchi spasms “?
C. Do you use two the 90 mcg inhalations four times a day?
4-how do you use the albuterol that you call a puffer?

Question 21

8. What would be an appropriate fall of question?
   Hey, is the medication you are taking ending -statin, like atorvastatin?
   B does the medication you take that makes you pee a lot ending in “-ide”?
   C. Do you have a baby aspirin  for her health?
   D. What medication do you take for arthritis?

Question 22

10

Question 23

Source of information are in accurate, out of date, unavailable.
Type one medication discrepancy

Lack of time to access available available short of information.
Example do not know the patient was up on aspirin so do not documented or order during hospitalization 

Answer 23

Medication discrepancies 

-Medication history error

Question 24

Example, new patient was taking aspirin at home, held it on admission, but forgot to restore at discharge.
Lack of access to pre-admission, medication list, clerical, error,
Problem, more common at discharge

Answer 24

Medication discrepancy.
Medication reconciliation errors

Question 25

A preventable event that may cause are lead to inappropriate medication use or patient home

Answer 25

Medication errors

Question 26

If medication error comes home then it is

Answer 26

ADE

Question 27

If the medication error does not cause harm, but has potential to do so then it is a

Answer 27

Potential ADE