Clinical Patient Management & Counseling Flashcards
7 cards from real CSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Patient Management & Counseling flashcards as text
Which of these is a boxed warning for tofacitinib?
Answer: Thrombosis, including pulmonary embolism
JAK inhibitors such as tofacitinib carry boxed warnings for serious infections, mortality, malignancy, MACE, and thrombosis.
What contraception counseling is required for patients of either sex taking ribavirin?
Answer: Two reliable forms of contraception during therapy and for 6 months after
Ribavirin is teratogenic, so both female patients and female partners of male patients must use two forms of contraception during therapy and for 6 months after.
A patient on dupilumab for atopic dermatitis reports red, itchy eyes. This is most consistent with which known adverse effect?
Answer: Conjunctivitis
Conjunctivitis and keratitis are common, well-described adverse effects of dupilumab, especially in atopic dermatitis.
Which counseling point is most important for a patient starting omalizumab?
Answer: Recognize anaphylaxis symptoms, which can occur even after several doses
Omalizumab has a boxed warning for anaphylaxis, which can happen after any dose, including late in therapy.
A Medicare Part D patient cannot afford the coinsurance for a specialty oral oncolytic. Which assistance option is legally appropriate?
Answer: Independent charitable foundation assistance
Federal anti-kickback rules bar manufacturer copay cards for Medicare beneficiaries, but independent charitable foundations can help.
A patient on erlotinib develops an acneiform rash on the face and chest. Which counseling statement is most accurate?
Answer: The rash is an expected EGFR-inhibitor effect and can be managed with moisturizers, sunscreen, and topical or oral antibiotics
EGFR-inhibitor rash is not true acne; it is managed with emollients, sun protection, and topical steroids or antibiotics, and it may be linked to treatment response.
In a motivational interviewing session, which pharmacist statement is an example of reflective listening?
Answer: It sounds like you're worried the injections will interfere with your work schedule.
Reflective listening restates the patient's feelings or concerns, which builds engagement without judgment.