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NBMTM BCMTMS Exam Syllabus Topics:

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 28-year-oict patient is pregnant and has a past medical history of depression, hypertension, and newly diagnosed acid reflux. The patient's current medications include:
* sertraline 50mg daily
* labetalol 20Omg b.i.d.
* lansoprazole DR 30mg daily (newly initiated)
The patient has been crushing sertraline and labetalol due to nausea and associated vomiting episodes. How should the patient be counseled to administer lansoprazole?

A) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take at same time as the other crushed medications
B) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole
30 minutes prior to eating breakfast.
C) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole at same time as the other crushed medications
D) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take 30 minutes prior to eating breakfast

2. A patient suffering from jpain decides to self-treat with over-the-counter ibuprofen. leading to fluctuating bloodpressure At the next appointment with the PCP. the patient is treated with HCTZ. which causes increasedurinary frequency, leading to a urologist visit Misdiagnosis leads the patient to receive oxybutynin, which causes urinary retention treated with terazosin The terazosin causes orthostatic hypotension, leading to a fail that results in a fracture.
The above example reflects which aspect of prescribing iatrogenesis?

A) Gaps in care coordination
B) Polypharmacy
C) Prescribing cascade
D) Gaps in care

3. When comparing demographics and other patient characteristics, which group of patients would typically show the LOWE ST rates of medication adherence to statin therapy?

A) Younger otherwise healthy patients when compared to older patients
B) Patients with a previous history of congenital heart disease when compared to those without it
C) Higher-income patients when compared to Medicaid patients
D) Non-smokers when compared to patients that smoke

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

5. Whichdescription or the role of a prescription drug monitoring program (PDMP) is best1

A) An electronic database of information collected about controlled substances and 'drugs of concern' mat are dispensed within the state
B) An electronic database used to track variation across states and provide information about the frequency and format of reporting
C) Agencies that monitor PDMP have same guidelines for all the slates
D) The electronic data is only helpful for the pharmacist

Solutions: