A physician has diagnosed a patient with Addison's disease but believes the condition may be medication induced, if contained on the patient's current medication list, which of the following would MOST likely be the offending drug responsible for the diagnosis of this condition?

• A. Sitagtiptin/metaformin
• B. indomethacin
• C. Metoprololsuccinate
• D. Prednisone

An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?

• A. "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"
• B. "Is your physician aware that you're not taking your medications'?"
• C. "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"
• D. "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"

A patient is participating in an MTM session snares that they are taking hydrocodone/acetaminopen iomg
/325mg four times daily for the last year due to chronic back pain The patient complains of constipation even after taking senna/docusate supplements for the last month and describes bloating, cramps, and an Inability to have a bowel movement for the pant five days Which reaction by the pharmacist to the patients concern would be BEST?

• A. Recommend the patient try a psyllium laxative.
• B. Advise the patient 10 try the senna/docusate supplement for a few more weeks.
• C. Refer the patient to a physician to rule out a bowel obstruction
• D. Advise the patient to eat more fiber and stay hydrated

Which laboratory indicator to diagnose viral hepatitis is considered MOST appropriate?

• A. Elevated liver enzymes
• B. Decreased sodium level
• C. Elevated white blood cell count
• D. Presence of hepatitis antibody and antigens

When establishing an MTM program with a physician's practice, which benefit to the collaboration should the pharmacist highlight to the medical director?

• A. MTMs allow patients to be reminded of upcoming appointments.
• B. An MTM provides patients with a person to talk to about concerns.
• C. An MTM may be the only source of accurate pharmacotherapy information for physicians.
• D. An MTM has the ability to assist in identifying gaps in care.