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NBMTM BCMTMS Exam Syllabus Topics:

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

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

2. A patient is participating in an MTM session snares that they are taking hydrocodone/acetaminopen iomg
/325mg four times daily for the last year due to chronic back pain The patient complains of constipation even after taking senna/docusate supplements for the last month and describes bloating, cramps, and an Inability to have a bowel movement for the pant five days Which reaction by the pharmacist to the patients concern would be BEST?

A) Advise the patient 10 try the senna/docusate supplement for a few more weeks.
B) Refer the patient to a physician to rule out a bowel obstruction
C) Recommend the patient try a psyllium laxative.
D) Advise the patient to eat more fiber and stay hydrated

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

4. A patient presents to his scheduled appointment Tor face-to-face MTM with a pharmacist. The patient has a list of personal medications and bottles of over-the counter herbal supplements Upon review ol the entire medication checklist the pharmacist wants to educate the patient on managing the drug interaction that was found between warfarin and SI John's won supplement What would be the BEST approach to guide the patient in managing the drug interaction?

A) St. John's wort will increase the INR
B) St John's wort should be OK as long as the physician is aware
C) St John's wort will decrease the INR
D) St Jonns wort has to be replaced with gingKo blloba.

5. 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) Tofacitinib
D) Etanercept

Solutions: