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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

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


2. in treating venous thromboembolism, which direct oral anticoagulant would be BEST for maintenance treatment in a 78-yeaf-oia adult who has a creatinine clearance of 23mL/min and weighs less than 60Kg?

A) Dabigatran I50mg PO b.i.d.
B) Apixaban 5mg PO b.i.d.
C) EdoxaDan 30mg PO daily
D) Rivaroxaban 20mg FO daily


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) Golimumab
B) Leflunomide
C) Etanercept
D) Tofacitinib


4. Which statement is MOST accurate regarding MTM sessions that are facilitated by a call center and face-to- face sessions in a community pharmacy?

A) Face-to-face sessions are more effective than sessions facilitated at call centers.
B) Medicare prefers face-to-face sessions over sessions facilitated at call centers.
C) Sessions facilitated at call centers are completed more quickly than face-to-face sessions.
D) Both types of sessions meet the Medicare Part D criteria of being interactive.


5. A well-Known patient at the MTM clinic has been recently diagnosed with Parkinson's disease, andthe patient's current medication listnow includes:
* carbidopa/;levodopa 25mg/100mg t.i.d
* ropinirole 0.25mg LLd.
- rerrous suirate 325mg daily
* lisinopril 10mg daily
Based on this medication list, which counseling point would be most appropriate for me patient?

A) A diet highin proteinwin enhance the effectiveness of carbidopa/levodopa
B) Ferrous sulfate should he separated from carbidopa/levodopa doses by at least 2 hours
C) Loperamide should be used to treat diarrhea caused by carbidopa/levodopa
D) Blood pressure should be monitored closely due to risk of hypertension with ropinirole.


Solutions:

Question # 1
Answer: B
Question # 2
Answer: B
Question # 3
Answer: A
Question # 4
Answer: D
Question # 5
Answer: D

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