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NBMTM BCMTMS Exam Syllabus Topics:

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient who presents at the MTM clinic is 7-weeKs pregnant The patients past medical history includes hypertension, hypothyroidism, asthma, and GERD. and her medication profile includes:
* lisinopril 10mg daily
* levothyroxine 75ncg daily
* famotidine 20mg daily
* budesonide nebulizer 0 25mg b id
Which counseling point is most appropriate to address with the patient during this MTM session?

A) Discontinue levothyroxine and change to methimazole.
B) Ensure Tdap. influenza, andMMR vaccinations are current
C) Discontinue lisinopril and change to nifedipine.
D) Discontinue famotidine and change to pantoprazole

2. A patient takes lisinopril 20mg once daily. Which question would BEST evaluate the efficacy of Lisinopril for this patient?

A) "Do you feel like the drug is working?"
B) ''How have your recent wood pressure readings been?"
C) "Have your symptoms started improving after starting lisinopril?"
D) "Is your blood pressure under control with lisinopril?"

3. A patient who is experiencing incontinence also takes dilitiazem. when starting pharmacologic therapy.Which medication would be the SAFEST to initiate?

A) Trospium
B) Toiterodine
C) Solifenacin
D) Fesoterodine

4. A patient presents at the pharmacy to request monthly refills. During the conversation with the pharmacist, the patient does not mention the names or indications of the medications being refilled; however, the patient could describe the color and shape of each. Past interactions with the patientinclude several missed appointments for an annual influenza vaccine, an outburst when asked to fill out an influenza vaccination questionnaire, and continual refusals when offered medication guides. Based on this information, which approach should the pharmacy staff use to communicate with the patient going forward?
when asked to nil out an influenza vaccination questionnaire, and continual refusals when offered medication guides Based on this information, which approach should the pharmacystaff use to communicate with the patient going forward?

A) Offer to help the patient complete forms and questionnaires and speak using non-medical terms
B) Have the pharmacy staff make a record book of Incidents relating to interactions with the patient
C) Ask the pharmacy manager to witness all communications andtransactions with the patient
D) Require that pharmacy staff place medication guides in the patient's medication bags following transactions.

5. A patient well-Known to ire MTM clinic was recently diagnosed with recurrent hepatic encephalopathy.
Which treatment would De MOST appropriate to recommend for the patterns

A) Rifaximin 550mg bid plus lactulose titrated to 2-3 son stools per day
B) Ciprofloxacin 500mg bid plus lactulose titrated to 2-3 soft stools per day
C) Metronidazole 500mg t.i.d.
D) Disulfiram 500mg on=e daily plus lactulose titrated to 2-3 soft stools per day

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