MTM Flashcards
Choose the best answer below to describe medication therapy management (MTM):
A. MTM is a service provided exclusively by pharmacists.
B. MTM involves collaboration between healthcare professionals and patients.
C. MTM involves Communicaton exclusively between prescribers and pharmacies.
D. MTM primarily exists to help reduce drug costs for Medicare patients
B
MTM services are most appropriate:
A. When a patient comes to the pharmacy to fill a prescription for a new medical conditoon
B. For long-standing patients of the pharmacy, when prescription records are complete
C. Whenever a patient asks for a help with a specific medication
D. For patients with chronic diseases and/or during care transitions
D
The benefits of MTM for patients:
A. Include improved healthcare outcomes in several chronic disease states
B. Are mainly related to patient quality of life
C. Are to help patients understand their disease, but there is no impact on effectiveness of
medications
D. Are yet to be proven, but will likely be established as MTM becomes more mainstream
A
The pharmacy manager in your place of employment has assigned you to support a new
MTM service. Which of the following is most suitable for the skills of a pharmacy
technician?
A. Determine which medication options would have the most side effects in a given patient
B. Gather data needed for MTM, such as medical records, prescription records from other
pharmacies, and lab results
C. Explain to prescribers why certain medications are contraindicated for the patient
D. Counsel patients in the benefits of smoking cessation
B
Which of the following best describes how MTM differs from other types of patient
counseling?
A. MTM is patient-centered, rather than product-centered
B. MTM is always conducted in an in-person meeting with the patient C. MTM focuses on
correcting what the patient is doing wrong D. MTM requires a physician’s order or
referral
A
Key documents generated through MTM (in most settings) include:
A. Standard paper or electronic medical record
B. Templates mandated by the Centers for Medicare & Medicaid Services (CMS)
C. Personal Medication List and Action Plan
D. Drug information handouts generated by drug manufacturers
C
Pharmacy technicians’ roles in generating and completing MTM documents:
A. may not involve direct patient contact
B. should not involve changing or modifying MTM templates
C. are related mainly to filing and organizing documents generated by the pharmacist
D. are critical to supporting the MTM process
D
At the start of an MTM consultation with Mr. P., you show him a template for a Personal
Medication List and say that you’ll be helping the pharmacist to fill it in. He responds, “Oh, I
already got one of those when I left the hospital.” Which of the following responses would
be most consistent with MTM principles?
A. “Okay, great! Be sure that you use that and update it regularly.”
B. “The pharmacist noticed you had other medicines that you were taking before you were
hospitalized. We’d like to create just one list and try to make it easier for you to
use.”
C. “The hospital lists are almost never right. Let’s use the one we have.”
D. “So I guess you will have two—one for the medicines you got in the hospital, and this
one for the new medicines.”
B
The Personal Medication List (PML) and the Therapeutic Action Plan:
A. are not necessary unless the patient is on multiple medications
B. are key documents generated from an MTM patient encounter
C. are given to different people: the PML to the patient and the Therapeutic Action Plan to
the doctor
D. are obsolete in MTM because of new electronic medical record (EMR) systems
B
You are asked by a pharmacist to contact Dr. Wallace’s office to clarify the date when a
particular antithrombotic medication was originally prescribed. Dr. Wallace _________:
A. must comply with the request immediately
B. does not need to provide this information
C. may comply as long as the patient has a HIPAA form on file allowing for sharing of patient
information
D. will need to call the patient to ask permission in order to give you that information
C
You are able to reach Mr. Roberts by phone to remind him about his MTM appointment with
the pharmacist this Tuesday. He says he has made a written list of all the medications he
takes. You respond:
A. “Thank you, but we won’t need it. We have a list of your current medications right
here.”
B. “That’s great. A written list is the most efficient way to work.”
C. “That’s great. If you think of it, please bring in the containers as well.”
D. “Thank you. Would you also bring along the pill bottles and pill organizers, any vitamins
or supplements, OTC medications, ointments or patches, and lab reports? I can send or
email you a checklist if you like.
D
When preparing records for an MTM session with Ms. L., you see that two of the
medications she was prescribed after a recent discharge from the hospital were never filled
by your pharmacy. You assume that she filled the prescription somewhere else. This would
be an example of:
A. omission error
B. commission error
C. medical records error
D. pharmacist’s error
A
In the above example, what questions could the technician research to provide valuable
information for the MTM session?
A. Did the patient refill these prescriptions at a different pharmacy?
B. Was the medication intended to be taken long-term after her discharge? For how long?
C. Does the primary physician have a record of this prescription?
D. all of the above
D
A patient is asked if he has any allergies to medications. He replies “No.” He later has an
anaphylactic reaction to an antibiotic and seeks care in the emergency department. Upon review of
the chart, there was no evidence of any allergies previously noted. Is this considered a medication
error?
A. Yes, since the allergic reaction could have caused harm to the patient
B. Yes, the patient’s reporting that he had no medication allergies is considered an error
C. No, because the reaction could not have been foreseen.
D. No, because the reaction did not cause lasting harm to the patient
C
For an MTM session, a patient has brought a number of oral medications that are expired and
are no longer being used. You advise this patient:
A. to leave the medications at the pharmacy for proper disposal
B. to take the medications home and dispose of them in the trash
C. to bring the medications to a local hazardous waste disposal center
D. about proper disposal based on the type of drugs and your pharmacy’s internal
policies
D
MTM is an excellent way to identify and prevent medication errors because:
A. steps can be built into MTM to detect potential errors
B. the goals of MTM are directly compatible with the goals of medication error prevention
C. pharmacists are trained in patient communication and error prevention steps
D. all of the above
D
Following MTM sessions with two different patients, the pharmacy technician accidentally
mixed up some of the medication history information in the MTM paperwork (Drugs for
patient A were recorded in Patient B’s paperwork). What course of action is most
conducive to an atmosphere of error prevention?
A. The technician corrects the information later, assuming that no one else has had access
to the paperwork.
B. The technician explains that he was trying to do too many things at once, and suggests
that a bigger block of time be scheduled between each MTM session.
C. The technician mentions the error to the pharmacist, who pulls the technician off MTM
duties and makes a note in the employee record.
D. The technician mentions the error to the pharmacist and pharmacy manager, who plan
a meeting to determine if system changes should be made to avoid mix-ups.
D
The Medicare Advantage Plan is:
A. an “all-in-one” alternative to Medicare that combines Medicare drug coverage and a
comprehensive health plan
B. a premium program from Medicare that provides better access to physicians and services
C. a government-sponsored program providing assistance to help patients pay Part D monthly
premiums and deductibles
D. a new name for the branch of Medicare that provides drug coverage benefits
A
Mr. Jones has just had an MTM meeting with the pharmacist and would like know if he qualifies
for a Medicare low-income subsidy or “Extra Help Program.” To determine eligibility for this
program, Medicare looks at:
A. annual income only
B. total assets and annual income
C. total assets and next year’s earning potential
D. how much money the person spent on medications this year
B
To help a patient determine how and when the Medicare coverage gap might affect them, the
best resource to check would be:
A. FDA Patient Network at www.FDA.gov
B. the benefits coordinator at the patient’s employer
C. Medicare PlanFinder at www.Medicare.gov
D. the patient’s MediGap provider
C
Josephine D. has no health insurance, but she has recently been prescribed a high-cost
disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis. Her options are:
A. determine whether she can take a less-expensive DMARD
B. investigate whether the manufacturer’s patient assistance program (PAP) will cover the cost
of the drug for a limited time
C. determine whether she is eligible for Medicaid or another government-sponsored program
D. all of the above
D
