Quiz

Multiple choice questions

1. Which ONE of the following is a common reason a patient may have a missed or delayed medicine dose?

1. Confidence in the benefit of treatment
2. Forgetting and low motivation
3. Belief that the medicine is helpful
4. Motivation to increase medicine effectiveness

2. Which ONE of the following medicines is MOST likely to be associated with a negative outcome when a dose is missed or delayed?

1. Anticoagulants
2. Multivitamins
3. Antihistamines
4. Laxatives

3. In which ONE of the following circumstances is a missed medicine or delayed dose MORE likely?

1. When the patient has a simple dosing regimen
2. When the condition being treated causes severe symptoms
3. When the patient experiences side effects from the medicine
4. When the patient uses a medicine reminder system such as an alarm

4. A 54-year-old female patient has been taking 5 mg methotrexate once-weekly each Sunday but has inadvertently missed her dose. It is now Wednesday, and the patient calls for advice as she recalls you have provided counselling on missed or delayed dose management previously and have given some useful tips to prevent these. You recall that there is specific information for methotrexate and refer to the relevant resources. Which ONE of the following is the best advice to give?

1. Tell the patient to take the dose today and report any concerns to her doctor. A dose administration aid should be considered.
2. Tell the patient to skip the dose and tell them to be more careful in the future. You provide the patient a CMI for the medicine.
3. Advise the patient to skip the dose and take the next dose as scheduled on the usual day. Suggest she sets an alarm reminder weekly to avoid missed doses in the future.
4. Tell her to double her next dose and monitor for any adverse effects. The patient should be reviewed by her doctor for consideration of increasing the complexity of the regime.