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1. Polypharmacy refers to a situation in which:

A. A person takes different dosage forms (e.g. oral and injectable medications) B. A person takes 5 or more medications C. A person takes a combination of prescription and over-the-counter medications D. A person takes multiple medications

2. The “prescribing cascade” refers to:

A. The practice of using two medications to treat a particular disease when one would work just as well B. The practice of treating drug side effects with the use of another drug C. When physicians are not aware of which drugs have been prescribed and add other prescriptions that may have unsafe interactions D. The practice of prescribing more medications based on a patient's demand or expectation

3. Mrs. R has been evaluated by the pharmacist during an MTM session. She has diabetes and cardiovascular disease, and has suffered a previous heart attack. The pharmacist notes that her case is a clear example of polypharmacy. This means:

A. The patient is taking too many medications and probably needs to discontinue some of them B. The patient requires all of these medications for her condition and probably can't have any changes C. The patient is taking too many medications that interact or interfere with one another D. The patient's medications may be medically necessary, but it is worth taking a closer look at what she is taking and how she is taking them

4. The effects of a drug on the body's cells and organs:

A. Pharmacodynamics B. Pharmacokinetics C. Pharmacogenomics

5. Genetic differences in drug response

A. Pharmacodynamics B. Pharmacokinetics C. Pharmacogenomics

6. The speed at which a drug moves through the body

A. Pharmacodynamics B. Pharmacokinetics C. Pharmacogenomics

7. At the conclusion of John R.'s first MTM session, the pharmacist is unable to develop an accurate Personal Medication List (PML) because of many areas of discrepancy. A possible course of action might be:

A. Call the physician to verify which medications are current and should continue B. Ask the patient to keep a diary of what he is taking and when C. Follow up with other pharmacies to determine whether prescriptions are active D. All of the above

Evaluation Questions

8. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

9. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

10. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

11. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

16. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

17. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

18. Will the information presented cause you to change your practice?

A. Yes B. No

19. Are you committed to making these changes?

A. Yes B. No

20. As a result of this activity, did you learn something new?

A. Yes B. No

21. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

22. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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