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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. The physician or a 73-year-oid patient recommended mat the patient begin taking an iron supplement. The patients current medication list includes:
* omeprazole 40mg daily
* warfarin 4mg daily
* metformin 500mg b.i.d
* simvastatin 40mc q.p.m
* llsinopril 10mg daily
Which of the patient's rredications is MOST likely to interfere with absorption of any iron supplement?

A) Simvastatin
B) Warfarin
C) Lisinoprll
D) Omeprazole


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


3. A patient presents at the pharmacy to request monthly refills. During the conversation with the pharmacist, the patient does not mention the names or indications of the medications being refilled; however, the patient could describe the color and shape of each. Past interactions with the patientinclude several missed appointments for an annual influenza vaccine, an outburst when asked to fill out an influenza vaccination questionnaire, and continual refusals when offered medication guides. Based on this information, which approach should the pharmacy staff use to communicate with the patient going forward?
when asked to nil out an influenza vaccination questionnaire, and continual refusals when offered medication guides Based on this information, which approach should the pharmacystaff use to communicate with the patient going forward?

A) Offer to help the patient complete forms and questionnaires and speak using non-medical terms
B) Require that pharmacy staff place medication guides in the patient's medication bags following transactions.
C) Have the pharmacy staff make a record book of Incidents relating to interactions with the patient
D) Ask the pharmacy manager to witness all communications andtransactions with the patient


4. The OutcomesMTM compensation model for medication therapy management (MTM) is BEST described as which type of model?

A) Fee-for-service
B) Capitation
C) Value-based
D) Hybrid of fee-for-service and value-based


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


Solutions:

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

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