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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. When conducting a comprenensive medication review. whichquestion would De MOST appropriate for a pharmacistto ask to assess the patient's healthliteracy associated with reading instructions, pamphlets. and other written material from a physician?

A) "Do you always understand what you are reading?"
B) "Is it hard for you to comprehend what you read?"
C) "How often do you need to have someone help you?"
D) "How do you assess your health literacy?"

2. A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?

A) Stevens-Johnson syndrome (SJS). TEN
B) Drowsiness. insomnia
C) Suicidal ideation
D) Osteoporosis

3. A 45-year-oid patient with a medical history or hypertension. hypercholesterolemia, chronic pain from cancer, and obesity is taking
* phentermine 37 5mg daily
* losartan-HCTZ 50/25 daily
* rosuvastatin 20mg daily
*oxycodone 30mg one tablet dally every 6 hours p.r.n. (#120)
The patient presents to the pharmacy with a prescription of oxycodone 30mg hut two tablets every 6 hours prn tor pain (#240); The pharmacist notices an increase in the dosage of the medication with360MME on this prescription. The patient states that the old dosage was not helping their pain, so the doctor increased the dose.
taking more as needed Tor pain relief. Which of the following recommendations would be best for the pharmacist to present to the patient's prescriber?

A) increase oxycodone quantity and recommend a laxative
B) Decrease their oxycodone quantity and recommend an extended release with naloxone spray
C) increase their oxycodone quantity and recommend naloxone spray.
D) Decrease oxycodone quantity and recommend naloxone spray.

4. 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) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"
B) "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'?"
C) "Is your physician aware that you're not taking your medications'?"
D) "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"

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: