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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A pharmacist is conducting a medication review for a 56-year-old female patient who has been diagnosed with rheumatoid arthritis. The patient states that she takes methotrexate once each week and that it seems to be helping her symptoms. The patient has also been prescribed folic acid daily but mentions often forgetting to take the medication. Based on this interaction, which recommendation would be BEST for the pharmacist to include in the patient's medication-related action plan (MAP)?

A) Switch the methotrexate weekly to hydroxychloroquine daily.
B) Discontinue the folic acid.
C) Take the folic acid during a daily activity, such as teeth brushing.
D) Change the folic acid dosing to a weekly dosing that aligns with methotrexate.

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

3. During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?

A) G6PO
B) TPMT
C) FCER2
D) CFTR

4. Gastrointestinal side effects are the MOST common adverse effects associated with which gout therapy?

A) Colchicine
B) Probenecid
C) Celecoxib
D) Allopurinol

5. A 79-year-old patient presents to the pharmacy and complains of dry cough which started last week. The patient has a current medication list that includes: levothyroxine, metoprolol, sertraline, and lisinopril. The patient should be notified that the cough may be a side effect of taking which medication?

A) Sertraline
B) Lisinopril
C) Levothyroxine
D) Metoprolol

Solutions: