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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 71-year-ow patient who was recently diagnosed withheart failurepresents for a comprehensive medication review. The pharmacist notes that a I of the patient's medications are up to date except eplerenone,which shows as 98 days past due for a refill When the pharmacist inquires about this, the patient responds by saying.
"My insurance does not cover this medication and i cannot afford the cash price " The pharmacist tens the patient spironolactone would be a cheaper option andhas shown to be just as effectivefor heart failure as eplerenone.The patient responds by saying. "Well, can you tell that to my doctor?" Which style of communication shouldthe pharmacist use while calling the patient's prescriber?

A) Aggressive
B) Passive-aggressive
C) Passive
D) Assertive

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

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

3. A physician calls an MTM clinic and asks a pharmacist for a recommendation for empiric antibiotic therapy to treat a patient who is routinely seen at the clinic. The patient's urinalysis and culture nave confirmed greater than 100.000CFU/mL of a gram-negative rod (sensitivity pending) and it is the first urinary tract infection the patient has been treated for in over 10 years. The pharmacist reviews the patient's profile and notes that the patient has an allergy to penicillin (severe hives) and a current medication list trial includes:
* lisinopril 10mg daily
* warfarin 5mg daily
* digoxin 0 125mg daily
* rosuvastatin 5mg daily
Which antibiotic recommendation would be MOST appropriate for this patient?

A) Cephalexin 500mgtid.
B) Ciprofloxacin 250mg b.l.d.
C) Nitrofurantoin 100rng bid
D) Trimethoprim/sulfamethoxazole DS b.i.d.

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

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) Rifaximin 550mg bid plus lactulose titrated to 2-3 son stools per day
B) Ciprofloxacin 500mg bid plus lactulose titrated to 2-3 soft stools per day
C) Metronidazole 500mg t.i.d.
D) Disulfiram 500mg on=e daily plus lactulose titrated to 2-3 soft stools per day

Solutions: