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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. 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) "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'?"
B) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take 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?"

2. While performing a medication review for a patient who was diagnosed with asthma last year, the pharmacist notes current use of an albuterol inhaler, as needed, which is typically 2 to 4 times per week when the patient's symptoms Hare up. The patient is not Inking any other medicatians for asthma Based on this information, which therapy should the pharmacist recommend to the patient's provider?

A) Change the albuterol inhaler to a formoterol as monotherapy.
B) Change the albuterol Inhaler to a prednisone burst p.r.n
C) Add a budesonide Inhaler b.i.d
D) Add monteiukast QMS.

3. 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) Tofacitinib
B) Golimumab
C) Leflunomide
D) Etanercept

4. A 67-year-oiapatient with a history of type 2 diabetes and hypertension presents to the pharmacy and asks to receive the recombinant zoster (shingles) vaccine (RZV) the patient reports receiving the zoster vaccine live (ZVL) at a doctors office 10 weeks ago because the recombinant vaccine was out of stock Which response to the patient's immunization request would be MOST appropriate?

A) "You can receive a dose or RZV today, followed by a second dose in 2 to 6 weeks."
B) "You have to wait 12 weeks from your ZVL to get an initial dose of RZV. so you should come back in
2 weeks."
C) "You cannot get the RZV since you already received the ZVL. andthere is no need to get it since you are already immunized."
D) "You can receive a dose of the RZV today followed by the second dose in 2 to 6 months "

5. A patient who is experiencing incontinence also takes dilitiazem. when starting pharmacologic therapy.Which medication would be the SAFEST to initiate?

A) Toiterodine
B) Fesoterodine
C) Trospium
D) Solifenacin

Solutions: