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1. You ask a pharmacy technician to contact Dr. Wallace's office to clarify information about the date when a particular antithrombotic medication was prescribed, in preparation for your meeting with the patient in one week. Is Dr. Wallace required to comply with this request?

A. Yes, Dr. Wallace must comply with the request, by law. B. No, Dr. Wallace may refuse, citing patient privacy issues under the Health Insurance Portability and Accountability Act (HIPAA). C. Yes, but it is best if a signed HIPAA form is on file by both parties. D. No. Dr. Wallace's office needs to ask the patient's permission, even if the pharmacy has a HIPAA release form signed by the patient.

2. You are able to reach Mr. Roberts by phone to remind him about his MTM appointment with you this Tuesday. He says he has made a written list of all the medications he takes. You respond:

A. “Thank you, but we won't need it. I have a list of your current medications right here.” B. “That's great. A written list is the most efficient way to work.” C. “That's great. If you think of it, please bring in the containers as well.” D. “That will be a big help. Would you also bring along the pill bottles themselves, any vitamins or supplements, OTC medications, ointments or patches, and lab reports you may have? I can send you a checklist if you'd like.”

3. Principals of motivational interviewing that can be helpful in MTM include:

A. speaking loudly and slowly to the patient, using short sentences B. using open-ended questions C. laying out all the information and asking the patient to respond “yes” or “no” to each question D. making sure the patient knows that you are an authority on medications

4. In the SOAP model of patient interviewing, an example of subjective information might be:

A. what does the patient feel he or she is getting out of a particular medication? B. what diagnosis did the physician list when prescribing the medication? C. what are the dosage and administration instructions? D. do you plan to change the way this patient administers the drug?

Evaluation Questions

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

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

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

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

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

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

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

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

9. 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

10. Rate the quality of the faculty:

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

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

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

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

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

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

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

14. 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

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

A. Yes B. No

16. Are you committed to making these changes?

A. Yes B. No

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

A. Yes B. No

18. 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

19. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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