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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

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

2. Black-box warnings are based mostly on evidence from which type of research?

A) Case-control studied
B) Prospective cohort studies
C) Randomized controlled trials
D) Observational studies

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

4. A patient takes lisinopril 20mg once daily. Which question would BEST evaluate the efficacy of Lisinopril for this patient?

A) ''How have your recent wood pressure readings been?"
B) "Have your symptoms started improving after starting lisinopril?"
C) "Do you feel like the drug is working?"
D) "Is your blood pressure under control with lisinopril?"

5. An MTM pharmacist representing a national insurance company calls a patient to provide an annual comprehensive medication review Using the leach hack method, which question would be MOST appropriate for the pharmacist to ask during the session to ensure the patient's understanding?

A) "What side effects should you watch out for while on the medications?"
B) "Do you take your medications in the morning?"
C) "What Is the best time for the call center to contact you?"
D) "Do you know when your next doctors appointment is scheduled for?

Solutions: