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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. 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) Rosuvastatin 20mg
B) Lovastatin 80mg
C) Pravastatin 80mg
D) Atorvastatin 20mg

2. Which counseling point is MO ST appropriate Tor a pharmacist to provide to a female patient who is just starting levothyroxine therapy?

A) "Consistently take this medication with either breakfast or dinner."
B) "Check your thyroid Hormone levels 4 to 6 weeks after starting this medication "
C) "immediately discontinue this medication if you become pregnant.''
D) "Be sure that you are taking an antacid 30 minutes prior to taking this medication."

3. A patient suffering from jpain decides to self-treat with over-the-counter ibuprofen. leading to fluctuating bloodpressure At the next appointment with the PCP. the patient is treated with HCTZ. which causes increasedurinary frequency, leading to a urologist visit Misdiagnosis leads the patient to receive oxybutynin, which causes urinary retention treated with terazosin The terazosin causes orthostatic hypotension, leading to a fail that results in a fracture.
The above example reflects which aspect of prescribing iatrogenesis?

A) Gaps in care
B) Gaps in care coordination
C) Prescribing cascade
D) Polypharmacy

4. A regular patient of the pharmacy presents to pick up the monthly medication refills. During the course or conversation. the patient mentions that the insurance company had requested to set up a review session to go over all current medications, and that a pharmacist at a call center will undertake the review. Which type of MTM service modelIt MOST likely being provided to the patient?

A) Pharmacy-based disease monitoring
B) Hybrid MTM disease management
C) Care teams
D) Telephonic

5. A 75-year-oK3 patient received a dose of methotrexate which was intended for another patient. The pharmacist discovered that two patient charts had been contused due to "a very busy and chaotic morning " Which reaction to this error by the hospital would he BEST?

A) Inform the patient that the correct medication will De scheduled and be free of charge.
B) Conduct a systemic analysis of how the failure took place and update resultant procedures hospital wide
C) Terminate the pharmacist to prevent the patient from taxing legal action against the hospital
D) Suspend the nurse due to the negligence

Solutions: