MTM & DSHEA Flashcards
MTM stands for:
Medication Management Therapy
What is the objective of MTM?
Optimize/improve drug therapy/patient therapeutic outcomes.
MTM is an integral part of:
a) FDA
b) DEA
c) CMS
d) MMA
d) MMA
CMR stands for:
Comprehensive Medical Review
What is the objective of CMR?
Collect patient info
Pass med therapies
Create a plan to resolve med-related problems.
How often is a CMR conducted?
Once per year
What are Targeted Interventions?
Specific patient therapy of an individual.
Targeted interventions identified by MTM service provider most likely have to do with:
a) Immunization needs
b) Gaps in care
c) High Risk Medications
d) Cost savings/non-adherence issues
b) Gaps in care
c) High Risk Medications
d) Cost savings/non-adherence issues
Targeted interventions identified by the pharmacist can cover situations such as:
a) Drug interactions/drug allergies
b) Improper dosing and drug selection
c) Immunization needs
d) Cost savings/non-adherence issues
a) Drug interactions/drug allergies
b) Improper dosing and drug selection
c) Immunization needs
What is the system the CMS established to help compare the quality of different Medicare Advantage plans for consumers?
Five Star Quality Rating System
The Five Star Quality Rating System is based on how well a plan performs in the following areas:
Member health.
Management of chronic conditions.
Customer service.
Service problems/complaints.
Name the reasons an insurance company cares so much about it’s star rating.
Effects compensation and marketing advantages.
Consumers select higher rated plans.
Patients can’t enroll in low-performing plans.
Name the 2 categories of MTM that have an impact on pharmacy ratings.
Medication adherence.
Intervention addressing care concerns.
Which MTM category includes medication adherence to diabetic medication, statin therapies, and hypertension drugs?
a) Intervention to address concerns in care
b) Improving medication adherence
b) Improving medication adherence
Which MTM category includes the Beers’ List drugs?
a) Intervention to address concerns in care
b) Improving medication adherence
a) Intervention to address concerns in care
The 2012 Beers’ creates tables that describes inappropriate meds for elderly patient due to:
a) their high risk of adverse effects
b) the existence of certain disease/disorder a patient has
c) meds that should be used with great caution if it’s the only med available for that patient’s condition
d) all of the above
d) all of the above
Payment for MTM services can come in which of the following ways:
a) patient/third party pay
b) Med Part A/Medicaid plan
c) Med Part D/Medicaid plans
d) only a and c
d) only a and c
MTM therapy is most critical for patients who (select all that apply):
a) Have complex drug therapies
b) Are taking medication for 1 or more chronic illness
c) Are taking multiple medications
d) Are being treated for a targeted disease state
a) Have complex drug therapies
b) Are taking medication for 1 or more chronic illness
c) Are taking multiple medications
d) Are being treated for a targeted disease state
True or False
A manufacturer can market a dietary supplement with little or no proof that is is either safe or effective.
True
Dietary supplement name, quantity, and ingredients must be included on all packaging. What else must be included?
Disclaimer Facts Serving/dose size Ingredients without value Name/address of manufacturer
Which company requires evidence of safety and effectiveness of dietary supplements before a manufacturer receives certification?
a) NSF International
b) ConsumerLab.com
c) US Pharmacopoeia
d) Good Housekeeping
d) Good Housekeeping
True or False
An independent organization is responsible for supplying the studies to prove safety and effectiveness
False
The manufacturer is responsible.
Name 3 risks of natural products.
Allergic reactions
Drug interactions
Side effects.
_______ and _______ are compounds that are required by the body for the normal metabolism process, but are not produced in the body itself.
Vitamins and minerals
Vitamins and minerals play an important role in maintaining:
Good health
Growth
Body process regulation
There are currently __ universally accepted vitamins.
14
Which of the following is the most accurate value for the minimum requirements of vitamins and is broken down by age and gender?
a) Multivitamin
b) DV
c) Antioxidants
d) RDA
d) RDA
Which of the following is a vitamin preparation containing a variety of different vitamins?
a) Minerals
b) Complex
c) Multivitamin
d) Antioxidants
c) Multivitamin
Which of the following was developed by the FDA as an approximate value for each vitamin?
a) DV
b) RDA
c) Antioxidants
d) Complex
a) DV
Which of the following is a vitamin preparation containing variety of a single type of vitamin?
a) Minerals
b) Complex
c) Multivitamin
d) Antioxidants
b) Complex
Which of the following is a certain vitamin helpful in neutralizing unstable and reactive compounds in the body?
a) Minerals
b) Antioxidants
c) Complex
d) Multivitamins
b) Antioxidants
The state of vitamin deficiency is known as
Hypovitaminosis
Name 2 classes of Vitamins.
fat soluble and non-fat soluble
Name the 4 fat soluble vitamins you should know.
A, D, E, K
The state of fat soluble vitamins building to unsafe levels in the body is known as
Hypervitaminosis
Increased risk of bleeding (Vitamin E), decreased appetite (Vitamin D), liver damage (Vitamin A). These symptoms are all examples of:
a) Hypovitaminosis
b) Hypervitaminosis
b) Hypervitaminosis
Night blindness (Vitamin A), rickets (Vitamin D), scurvy (Vitamin C). These symptoms are all examples of:
a) Hypovitaminosis
b) Hypervitaminosis
a) Hypovitaminosis
What is a better word for dietary minerals?
Dietary elements