NBMTM Board Certified Medication Therapy Management Specialist : BCMTMS Exam Questions

  • Exam Code: BCMTMS
  • Exam Name: Board Certified Medication Therapy Management Specialist
  • Updated: Sep 18, 2026
  • Q&As: 103 Questions and Answers

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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pharmacotherapy62%- Disease state management and evidence-based treatment guidelines
- Drug selection, dosing, monitoring, and adverse effect prevention
- Patient-specific pharmacotherapy optimization
- Medication safety, drug interactions, and therapeutic alternatives
Topic 2: Fundamentals of Pharmacogenomics5%- Application of pharmacogenomic data in clinical decision-making
- Impact of genetic variations on drug response and metabolism
- Basic principles of pharmacogenomics
Topic 3: Documentation and Billing7%- Compliance and regulatory requirements
- Required documentation standards for MTM services
- Coding, billing, and reimbursement rules
Topic 4: Patient Care Advocacy13%- Health literacy and cultural competence
- Care coordination and collaboration with providers
- Patient education and communication strategies
- Adherence support and barrier resolution
Topic 5: Defining Medication Therapy Management and Translating MTM into Practice13%- Core concepts and definitions of MTM
- Models and frameworks for delivering MTM services
- Integration of MTM within healthcare systems and practice settings

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

Question #1

A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?

  • A. Bactrim DS
  • B. Methotrexate
  • C. Glipizide
  • D. Losartan
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #2

When a patient presents with signs and symptoms of diabetic peripheral neuropathy, which lab should be checked prior to starting a patient on pregabalin?

  • A. Serum creatinine
  • B. Alanine transaminase
  • C. A1C
  • D. Triiodothyronine
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #3

Which laboratory indicator to diagnose viral hepatitis is considered MOST appropriate?

  • A. Decreased sodium level
  • B. Elevated liver enzymes
  • C. Elevated white blood cell count
  • D. Presence of hepatitis antibody and antigens
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Question #4

Medicare Advantage plans are evaluated across which five domains under Medicare's 5-star rating system to provide information on plan quality and performance?

  • A. Staying Healthy CMR Completion Rate Member Experience Member Appeals and Health Plan Customer Service
  • B. Staying Healthy. Management of Chronic Conditions. Member Experience. Member Complaints, and Health Plan Customer Service
  • C. Staying Healthy. coordination or Care, CMR Completion Rate. Member Experience, and Health Plan customer service
  • D. Staying Healthy. Accuracy of Drug Pricing, Member Experience. Member Appeals, and Health Plan Customer Service
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #5

A 65-year-otd male patient who has a past medical history or hyperlipidemia. hypertension. diabetes. and obesity arrives at the pharmacy for a comprehensive medication review During the discussion with the pharmacist, the patient explains having to discontinue exercise due to increased dyspnea upon exertion In addition, lite patient complains or a persistent cough and orthopnea when retiring to sleep. Which diagnostic test would be MOST userful for runner assessment or the patient's symptoms?

  • A. Echocardiogram
  • B. B-type natriuretic peptide lab test
  • C. Electrocardiogram
  • D. C-reactive protein tab test
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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