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NBMTM BCMTMS Exam Syllabus Topics:

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient who is taking cannabidiol for seizures associated with Lennox-Gastaut syndrome should have specific lab values tracked closely during therapy to monitor for which potential effect?

A) Intoxication syndrome
B) Hepatotoxicity
C) Pancreatitis
D) Nephrotoxicity

2. A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?

A) Override the rejection claim and counsel patient to take daily.
B) Call the prescriber and verify the directions of the prescription and diagnosis code.
C) Have the pharmacy technician verify the DUR with the patient.
D) Ask the patient how they are supposed to take the medication

3. A 45-year-old patient with a history of dyslipidemia, HIV, hypertension, and arthritis presents to the ambulatory care clinic for an MTM session. The patient reports being discharged from the hospital one month ago due to a non-ST-elevation myocardial infarction, for which the patient was recently started on atenolol
25mg and nitroglycerin sublingual tablets, indefinitely. The patient's current medication list now includes:
Lisinopril 40mg PO daily
Simvastatin 40mg PO daily
Dolutegravir 50mg/rilpivirine 25mg PO daily with meal
Ibuprofen 200mg 1 tablet every 8 hours p.r.n.
Atenolol 25mg PO daily
Nitroglycerin tablets p.r.n.
According to current guidelines from the American Heart Association, simvastatin 40mg should be switched to which medication?

A) Pravastatin 80mg
B) Rosuvastatin 20mg
C) Lovastatin 80mg
D) Atorvastatin 20mg

4. A 49-year-ow male patient who has moderate rheumatoid arthritis has experienced an inadequate response to methotrexate treatment Switching to which non-biologic disease-modifying anti-rheumatic drug could increase the patients risk of a gastro intestinal perforation?

A) Leflunomide
B) Golimumab
C) Etanercept
D) Tofacitinib

5. During a follow-up MTM visit with a patient, the patientasks the pharmacist about possible adverse effects related to a current medication that is a relatively new drug Which resource would provide any post-marketing surveillance adverse effect information reported by the public and/or other health professionals?

A) Randomized controlled trial
B) MedWatch Safety information and Adverse Event Reporting Program
C) Risk Evaluation and Mitigation strategy
D) Case report study

Solutions: