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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?

A) "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"
B) "Is your physician aware that you're not taking your medications'?"
C) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"
D) "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"

2. A pharmacist who practices as an independent MTM contractor wants to conduct an MTM review witha 74- year-oid patient, me patient is in a nursing none and is hard of hearing with mild dementia.The patient does not have a power of attorney on tile or details or family members on file Which or me following outreach techniques; would be the BEST way to conduct the review and reduce the chances or MTM outcome failures?

A) Via phone
B) At their local pharmacy
C) Face-to-face
D) Patients representative

3. A patient presents to his scheduled appointment Tor face-to-face MTM with a pharmacist. The patient has a list of personal medications and bottles of over-the counter herbal supplements Upon review ol the entire medication checklist the pharmacist wants to educate the patient on managing the drug interaction that was found between warfarin and SI John's won supplement What would be the BEST approach to guide the patient in managing the drug interaction?

A) St. John's wort will increase the INR
B) St Jonns wort has to be replaced with gingKo blloba.
C) St John's wort should be OK as long as the physician is aware
D) St John's wort will decrease the INR

4. A well-Known patient at an MTM clinic has been newly diagnosed with psoriasis. The patients PCP cans the pharmacy and asks for a recommendation to start therapy until the patient is able to consult a dermatologist in a few weeks. Which recommendation would beMOST appropriate for the pharmacist to make'

A) Betamethasone valerate ointment 0.1% daily
B) Pimecrolimus cream 1% daily
C) Tazarotene cream rj.05% daily
D) Calcipotriene ointment 0.001% daily

5. During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?

A) TPMT
B) CFTR
C) G6PO
D) FCER2

Solutions: