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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?

A) Losartan
B) Methotrexate
C) Glipizide
D) Bactrim DS

2. A 28-year-oict patient is pregnant and has a past medical history of depression, hypertension, and newly diagnosed acid reflux. The patient's current medications include:
* sertraline 50mg daily
* labetalol 20Omg b.i.d.
* lansoprazole DR 30mg daily (newly initiated)
The patient has been crushing sertraline and labetalol due to nausea and associated vomiting episodes. How should the patient be counseled to administer lansoprazole?

A) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole
30 minutes prior to eating breakfast.
B) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take at same time as the other crushed medications
C) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole at same time as the other crushed medications
D) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take 30 minutes prior to eating breakfast

3. A 45-year-old male patient who has diabetic peripheral neuropathy is picking up a prescription for pregabalin.
During pick up. the patient reveals working a jobthat requires constant walking the patientexperiences suboptimal reliet of diabetic neuropathy and inquires about over the counter (OTC) pain relief options Which response by thepharmacist would be MOST appropriate?

A) Do not use OTC treatments when taking pregabalin.
B) Use a topical lidocaine
C) Use a capsaicin cream.
D) Use a triple antibiotic ointment

4. A60-year-old female patent who is postmenopausal and underwent a hysterectomy 10 years ago is unable to tolerate vasomotor symptoms and vaginitis due to menopause, and the patient would like to go on hormone replacement therapy Which medication therapy would be most appropriate FIRST step for this patient?

A) Estradiol/levonorgestrel transdermal patch
B) Conjugated estrogens/medroxyprogesterone oral tablet
C) Estradiol/progesterone oral capsule
D) Estradiol transdermal paten

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

Solutions: