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

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

__ prescription drugs

__ over the counter drugs

__ vitamins

__ herbal remedies

__ nutritional supplements

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

__ duplicate drugs

__ ineffective drug therapy

__ improper storage of drugs

__ significant drug interactions

__ noncompliance with drug therapy

__ patient’s knowledge of purpose of each drug

__ significant side effects

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

4. Match generic and brand names below:

A. Lasix ___ insulin glargine

B. Coumadin ___ morphine

C. Lantus ___ rofecoxib

D. MS Contin ___ furosemide

E. Vioxx ___ warfarin

5. Match the drug with its category:

A. furosemide ___ Non-narcotic analgesic

B. Ultram ___ Beta blocker

C. captopril ___ NSAID

D. Lopressor ___ ACE inhibitor

E. glyburide ___ Diuretic

F. Aleve ___ Oral hypoglycemic

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

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

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

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

10. What types of tablets should not be crushed?

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

Clinician name: ______________________ Date: _____________

Validated by: ______________________