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

2. A pharmacist is completing a comprehensive medication review for a new patient wno has started menopause at the MTM clinic. The patient asks for a recommendation because sne is suffering from vaginal dryness.
Cuming, and irritation, and over-the-counter vaginal moisturizers have not relieved the issues Which recommendation would be MOST appropriate for the patient?

A) Conjugated estrogen 0.625mg PO daily and progesterone 200mg PO QHS for A weeks
B) Progesterone 200mg PO QHS for A weeks
C) Estrogen vaginal cream 0 5g vaginally for 2 weeks, then reassess
D) Conjugated estrogen 0.625mg PO dally indefinitely

3. What are the genes involved in the metabolism pathway or warfarin?

A) CYP2C19, VKORC1
B) CYP2C9, VKORC1
C) CYP3A4, VKORC1
D) CYP2D6, VKORC1

4. A pharmacist is providing a race-to-face MTM session to a patient that the pharmacist has not seen for 5 years. The session lasts for 45 minutes which group of CPT codes should the pharmacist submit for billing?

A) 99605, 99606, 99606
B) 99606, 99607, 99607
C) 99605, 99607, 99607
D) 99605, 99606, 99607

5. A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?

A) Bactrim DS
B) Methotrexate
C) Glipizide
D) Losartan

Solutions: