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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient is participating in an MTM session snares that they are taking hydrocodone/acetaminopen iomg
/325mg four times daily for the last year due to chronic back pain The patient complains of constipation even after taking senna/docusate supplements for the last month and describes bloating, cramps, and an Inability to have a bowel movement for the pant five days Which reaction by the pharmacist to the patients concern would be BEST?

A) Refer the patient to a physician to rule out a bowel obstruction
B) Recommend the patient try a psyllium laxative.
C) Advise the patient to eat more fiber and stay hydrated
D) Advise the patient 10 try the senna/docusate supplement for a few more weeks.


2. A patient is currently taking cyciosporine as a propnyiaxis for organ rejection following a kidney transplant.
Combination use of which medication could increase cyciosporine concentration and increase the risk of toxicity to the patient1?

A) Metoprotol
B) Diltiazem
C) Lisinopril
D) Losartan


3. Which reverse-transcriptase inhibitor used in the treatment of hepatitis B virus MUST be taken on an empty stomach (i.e.. more than 2 hours before or after a meal?

A) Telbivudine
B) Adefovir
C) Entecavir
D) Lamivudine


4. A 67-year-oiapatient with a history of type 2 diabetes and hypertension presents to the pharmacy and asks to receive the recombinant zoster (shingles) vaccine (RZV) the patient reports receiving the zoster vaccine live (ZVL) at a doctors office 10 weeks ago because the recombinant vaccine was out of stock Which response to the patient's immunization request would be MOST appropriate?

A) "You can receive a dose or RZV today, followed by a second dose in 2 to 6 weeks."
B) "You have to wait 12 weeks from your ZVL to get an initial dose of RZV. so you should come back in
2 weeks."
C) "You cannot get the RZV since you already received the ZVL. andthere is no need to get it since you are already immunized."
D) "You can receive a dose of the RZV today followed by the second dose in 2 to 6 months "


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


Solutions:

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

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