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Quizzes > Quizzes for Business > Healthcare

Take the Long-Term Care Pharmacy Training Quiz

Test Your Long-Term Care Pharmacy Skills Today

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting a trivia quiz on Long-Term Care Pharmacy Training

Ready to challenge your expertise in long-term care pharmacy training? This engaging LTC pharmacy quiz is perfect for pharmacy technicians, students, and educators looking to assess their knowledge and boost confidence in patient care. Participants will explore dosing nuances, regulatory protocols, and compounding best practices in a series of multiple-choice questions - and it's fully editable in our intuitive editor. Users can also check the Pharmacy Knowledge Assessment Quiz or sharpen skills with the Pharmacy Math Practice Test for targeted review. Don't forget to browse all quizzes to continue mastering essential pharmacy topics.

Which federal regulation requires monthly medication regimen reviews by a pharmacist in long-term care facilities?
Omnibus Budget Reconciliation Act of 1990 (OBRA '90)
Federal Food, Drug, and Cosmetic Act (FDCA)
Health Insurance Portability and Accountability Act (HIPAA)
Medicare Part D regulations
OBRA '90 mandates that pharmacists perform monthly drug regimen reviews for residents of nursing facilities. This regulation was implemented to improve medication safety and appropriateness in long-term care.
Which dosage form is most appropriate for elderly patients with dysphagia?
Oral suspension
Capsule
Chewable tablet
Transdermal patch
Oral suspensions are easier to swallow for patients with dysphagia compared to solid dosage forms. They also allow for flexible dosing adjustments.
What key component must be documented in the master formula record for non-sterile compounding?
Patient's consent form
Beyond-use date only
Material Safety Data Sheets
Ingredient names, quantities, and compounding procedures
The master formula record must include detailed information on ingredient names, exact quantities, and step-by-step compounding procedures. This ensures consistency and compliance with USP <795> standards.
Which lab parameter should be monitored weekly in elderly patients receiving warfarin therapy?
Serum creatinine
Thyroid-stimulating hormone (TSH)
International normalized ratio (INR)
Alanine aminotransferase (ALT)
INR monitoring is essential to ensure therapeutic anticoagulation and to avoid bleeding risks. Weekly checks are standard for dose adjustments in long-term care settings.
When counseling an elderly patient starting furosemide, which point is most important?
Take the medication with dairy products
Avoid grapefruit juice
Monitor daily body weight
Crush the tablet before swallowing
Monitoring daily weight helps detect fluid retention or excessive diuresis early. Rapid weight changes can indicate volume depletion or heart failure exacerbation.
What is the appropriate enoxaparin dose adjustment for a long-term care resident with creatinine clearance of 25 mL/min?
80 mg subcutaneously once daily
40 mg subcutaneously once daily
30 mg subcutaneously once daily
1 mg/kg subcutaneously every 12 hours
For patients with CrCl < 30 mL/min, enoxaparin should be reduced to 30 mg once daily. This adjustment reduces bleeding risk while maintaining efficacy.
What is the beyond-use date for a non-sterile aqueous oral suspension stored in a refrigerator?
180 days
30 days
48 hours
14 days
USP <795> specifies a 14-day refrigerated beyond-use date for non-sterile aqueous preparations. This limit helps prevent microbial growth.
Which personal protective equipment (PPE) is required when compounding non-sterile hazardous drugs in long-term care pharmacies?
Gown and chemotherapy-rated gloves
Face shield and hair net
Surgical mask only
Safety goggles and apron
USP <800> mandates the use of a protective gown and chemotherapy-rated gloves when handling hazardous drugs to minimize exposure risk. These items protect skin and clothing.
Which of the following antihistamines is listed on the Beers Criteria as potentially inappropriate for elderly patients?
Cetirizine
Diphenhydramine
Fexofenadine
Loratadine
Diphenhydramine has strong anticholinergic effects and sedation, making it inappropriate for most elderly patients. The Beers Criteria discourage its use due to increased delirium and fall risk.
Which system helps reduce medication administration errors by providing real-time access to patient profiles and drug information?
Automated IV pumps
Standard pillboxes
Unit-dose packaging
Barcode medication administration (BCMA)
Barcode medication administration systems scan both patient ID and medication barcodes to verify correct dosing. This technology significantly reduces administration errors.
Which step in medication reconciliation at care transitions most directly prevents omissions?
Completing a general health assessment
Dispensing all new orders immediately
Verifying the patient's current medication list
Filing previous medical records
Verifying the current medication list with the patient or caregiver ensures that no necessary medications are omitted during transitions. Accurate lists are the foundation of safe reconciliation.
Which documentation is essential when repackaging bulk medications into unit-dose packages?
Pharmacist continuing education certificates
Insurance claim forms
Repackaging record log
Patient medical history
A repackaging record log tracks lot numbers, quantities, dates, and pharmacist initials. This documentation ensures traceability and regulatory compliance.
Overuse of proton pump inhibitors in long-term care residents is associated with an increased risk of which infection?
Streptococcal pharyngitis
Clostridioides difficile infection
Influenza
Methicillin-resistant Staphylococcus aureus (MRSA)
Long-term acid suppression can alter gut flora and increase susceptibility to C. difficile. Monitoring PPI use and deprescribing when appropriate reduces this risk.
Which monitoring parameter is most appropriate for a patient on phenytoin therapy in a nursing home?
Serum phenytoin levels
Pulmonary function tests
Lipid panel
Blood glucose
Phenytoin has a narrow therapeutic index and variable pharmacokinetics. Measuring serum levels helps maintain efficacy while avoiding toxicity.
How often should vaccine refrigerator temperatures be recorded to comply with best practices?
Hourly
Weekly
Monthly
Daily
Recording vaccine refrigerator temperatures at least once daily ensures that stored vaccines remain within the recommended range. This practice prevents spoilage and maintains potency.
Which antipsychotic carries a black box warning for increased mortality when used for behavioral symptoms in dementia patients?
Lorazepam
Risperidone
Haloperidol
Buspirone
Risperidone is one of the atypical antipsychotics with a black box warning due to increased risk of death in elderly patients with dementia-related psychosis. Its use should be carefully justified.
Calculate the creatinine clearance for a 75-year-old female weighing 60 kg with serum creatinine of 1.2 mg/dL using the Cockcroft-Gault equation.
Approximately 70 mL/min
Approximately 55 mL/min
Approximately 38 mL/min
Approximately 20 mL/min
Using Cockcroft-Gault: [(140âˆ'75)à - 60]/(72à - 1.2)à - 0.85≈38 mL/min. This calculation adjusts dosing for renal function in elderly female patients.
According to USP <795>, what is the maximum beyond-use date for non-aqueous formulations compounded in long-term care pharmacies?
30 days
1 year
6 months
14 days
USP <795> specifies a 6-month beyond-use date for non-aqueous formulations, provided the preparation remains stable and is stored properly. This limit ensures product integrity.
Concurrent use of phenytoin and warfarin is most likely to result in which effect on INR?
Decreased INR
Unpredictable spike in INR
Increased INR
No change in INR
Phenytoin induces hepatic enzymes that metabolize warfarin, leading to reduced anticoagulant effect and a lower INR. Monitoring frequency should be increased when these drugs are combined.
When counseling a patient starting levodopa/carbidopa therapy, which advice is most important to optimize absorption?
Avoid dairy products
Take on an empty stomach
Take with a high-protein meal
Crush the tablets before taking
Levodopa competes with dietary amino acids, so taking it on an empty stomach improves absorption. High-protein meals can reduce its uptake and efficacy.
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Learning Outcomes

  1. Analyse long-term care pharmacy protocols and regulations
  2. Identify common medications and dosage considerations for elderly patients
  3. Evaluate medication management strategies in long-term care settings
  4. Apply best practices for safe compounding and dispensing
  5. Demonstrate knowledge of pharmacotherapy monitoring and documentation
  6. Summarize key patient counseling points in long-term care pharmacy

Cheat Sheet

  1. Understand Long-Term Care Pharmacy Regulations - Dive into the CMS requirements for monthly drug regimen reviews and discover why pharmacists must play detective with residents' medical charts to keep everyone safe and compliant. Mastering these rules means you'll spot red flags before they become problems and ensure every dose counts. pmc.ncbi.nlm.nih.gov
  2. Identify Common Medications for Elderly Patients - Learn about medications frequently prescribed to older adults - think antihypertensives, anticoagulants, and more - and understand their unique dosage quirks to dodge nasty side effects. A little knowledge here can make a huge difference in patient comfort and outcomes. pharmacytimes.com
  3. Evaluate Medication Management Strategies - Explore protocols like the ARMOR framework (Assess, Review, Minimize, Optimize, Reassess) to tackle polypharmacy head-on and boost patient wellness in long-term care. Following a clear blueprint helps you cut clutter and highlight the drugs that truly matter. pmc.ncbi.nlm.nih.gov
  4. Apply Best Practices for Safe Compounding and Dispensing - Stick to established guidelines for preparing and distributing medications to slash the risk of errors and contamination. A crisp, clean process is your best friend when mixing and matching doses for seniors with delicate health needs. forumpharmacy.com
  5. Demonstrate Knowledge of Pharmacotherapy Monitoring - Set up regular check-ins to review how treatments are going and tweak therapies based on real patient responses. Spotting trends early means safer, more effective care that evolves with each resident's journey. pharmacytimes.com
  6. Summarize Key Patient Counseling Points - Craft clear, friendly explanations on medication regimens, side-effect roadmaps, and why sticking to the plan is a game-changer. Good counseling can turn confusion into confidence and keep everyone on track. pharmacytimes.com
  7. Recognize the Impact of Polypharmacy - Understand how juggling multiple meds ups the risk of adverse events and learn strategies to trim unnecessary prescriptions. Reducing the pill burden can unlock better quality of life and fewer interactions. pmc.ncbi.nlm.nih.gov
  8. Implement Medication Reconciliation Processes - Ensure smooth handoffs by double-checking medication lists during every care transition to prevent omissions and duplications. A tight reconciliation routine is your secret weapon for error-free patient journeys. forumpharmacy.com
  9. Understand the Role of Interdisciplinary Teams - Team up with nurses, doctors, therapists, and caregivers to fine-tune medication plans and elevate patient outcomes. Collaboration sparks insights you might miss solo and keeps the whole crew on the same page. pmc.ncbi.nlm.nih.gov
  10. Stay Informed on Antimicrobial Stewardship Programs - Jump into initiatives that champion smart antibiotic use to fight resistance and boost long-term care facility health. Well-targeted stewardship means fewer superbugs and happier, healthier residents. pmc.ncbi.nlm.nih.gov
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