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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?

A) "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"
B) "Is your physician aware that you're not taking your medications'?"
C) "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"
D) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"

2. 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. coordination or Care, CMR Completion Rate. Member Experience, and Health Plan customer service
B) Staying Healthy. Management of Chronic Conditions. Member Experience. Member Complaints, and Health Plan Customer Service
C) Staying Healthy. Accuracy of Drug Pricing, Member Experience. Member Appeals, and Health Plan Customer Service
D) Staying Healthy CMR Completion Rate Member Experience Member Appeals and Health Plan Customer Service

3. During a follow-up MTM visit with a patient, the patientasks the pharmacist about possible adverse effects related to a current medication that is a relatively new drug Which resource would provide any post-marketing surveillance adverse effect information reported by the public and/or other health professionals?

A) Randomized controlled trial
B) MedWatch Safety information and Adverse Event Reporting Program
C) Case report study
D) Risk Evaluation and Mitigation strategy

4. A 45-year-oid patient with a medical history or hypertension. hypercholesterolemia, chronic pain from cancer, and obesity is taking
* phentermine 37 5mg daily
* losartan-HCTZ 50/25 daily
* rosuvastatin 20mg daily
*oxycodone 30mg one tablet dally every 6 hours p.r.n. (#120)
The patient presents to the pharmacy with a prescription of oxycodone 30mg hut two tablets every 6 hours prn tor pain (#240); The pharmacist notices an increase in the dosage of the medication with360MME on this prescription. The patient states that the old dosage was not helping their pain, so the doctor increased the dose.
taking more as needed Tor pain relief. Which of the following recommendations would be best for the pharmacist to present to the patient's prescriber?

A) increase oxycodone quantity and recommend a laxative
B) Decrease their oxycodone quantity and recommend an extended release with naloxone spray
C) Decrease oxycodone quantity and recommend naloxone spray.
D) increase their oxycodone quantity and recommend naloxone spray.

5. A patient who is taking cannabidiol for seizures associated with Lennox-Gastaut syndrome should have specific lab values tracked closely during therapy to monitor for which potential effect?

A) Nephrotoxicity
B) Hepatotoxicity
C) Intoxication syndrome
D) Pancreatitis

Solutions: