NBMTM BCMTMS Exam : Board Certified Medication Therapy Management Specialist

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NBMTM BCMTMS Exam Syllabus Topics:

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 65-year-otd male patient who has a past medical history or hyperlipidemia. hypertension. diabetes. and obesity arrives at the pharmacy for a comprehensive medication review During the discussion with the pharmacist, the patient explains having to discontinue exercise due to increased dyspnea upon exertion In addition, lite patient complains or a persistent cough and orthopnea when retiring to sleep. Which diagnostic test would be MOST userful for runner assessment or the patient's symptoms?

A) C-reactive protein tab test
B) Electrocardiogram
C) B-type natriuretic peptide lab test
D) Echocardiogram

2. in premature infants, which factor affecting medication absorption needs to be considered?

A) Gastric pH
B) Kidney size
C) Saliva enzymes
D) Stomach size

3. A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?

A) Irbesartan
B) Amiodipine
C) Hydrochlorothiazide
D) Atenolol

4. A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?

A) Have the pharmacy technician verify the DUR with the patient.
B) Override the rejection claim and counsel patient to take daily.
C) Call the prescriber and verify the directions of the prescription and diagnosis code.
D) Ask the patient how they are supposed to take the medication

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

Solutions: