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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?

A) "Where else are you getting your insulin?"
B) "Do you remember to take your insulin?"
C) "How are you taking your insulin'"
D) "Do you have concerns about the cost-effectiveness of diabetic medications?"

2. A patientis newly diagnosed with ADHD andmuscular dystropny. The patient's physician wants to ado atomoxetine to the patent's treatment regimen Testing mat reveals inepatient is a poor metaholizer ofwhich enzyme would indicate that the medication Should beAVOIDED'?

A) CYP2DG
B) CYP3A4
C) CYP2B6
D) CYP450

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) Atorvastatin 20mg
D) Lovastatin 80mg

4. A patient w a past medical history significant for schizopnrenia is being evaluated forlong-acting injectable (LAI) therapy. The patient is taking 3mg of paliperidone daily and has no concerns tor theuse of LAls After completing the initial titration schedule, which maintenance dose of the intramuscular formulation of paliperidone would be BEST for the patient every 4 weeks?

A) 78mg
B) 234mg
C) 156mg
D) 117mg

5. 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

Solutions: