Note: References or resources may be used in answering these questions.

1. The patient’s medication list includes (check all that apply):

_x_ prescription drugs

_x_ over the counter drugs

_x_ vitamins

_x_ herbal remedies

__ nutritional supplements

2. Components of the CMS drug regimen review include (check all that apply):

_x_ duplicate drug therapy

_x_ ineffective drug therapy

__ improper storage of drugs

_x_ significant drug interactions

_x_ noncompliance with drug therapy

__ patient’s knowledge of purpose of each drug

_x_ significant side effects

3 .List at least three resources for assistance in completing the drug regimen review:

PDR, drug handbooks, computer programs, Internet, nurses, pharmacists

4. Match generic and brand names below:

A. Lasix __C_ insulin glargine

B. Coumadin __D_ morphine

C. Lantus __E_ rofecoxib

D. MS Contin __A_ furosemide

E. Vioxx __B_ warfarin

5. Match the drug with its category:

A. furosemide __B_ Non-narcotic analgesic

B. Ultram __D_ Beta blocker

C. captopril __F_ NSAID

D. Lopressor __C_ ACE inhibitor

E. glyburide __A_ Diuretic

F. Aleve __E_ Oral hypoglycemic

6. List a common drug-drug interaction involving Coumadin.

Coumadin interacts with NSAIDs.

7. List a common drug-food interaction involving Coumadin.

Foods high in vitamin K interact with Coumadin.

8. What does the suffix "cet" and "APAP" mean?

Acetaminophen is an ingredient of the drug.

9. What would you do if your post-op joint replacement patient complains of constipation related to narcotics?

Encourage adequate fluids, fiber in diet, laxatives if needed.

10. What types of tablets should not be crushed?

Sustained-release tablets should not be crushed (SR, DR, CR).

11. Name a drug that is commonly prescribed for anginal chest pain.

Nitroglycerin

Clinician name: ______________________ Date: _____________

Validated by: ______________________