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

2. Which medication is a first-line biologic for the treatment of psoriasis?

A) Bavituximab
B) Adalimumab
C) Cetuximab
D) Trastuzumab

3. 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) Losartan
B) Bactrim DS
C) Glipizide
D) Methotrexate

4. A 71-year-ow patient who was recently diagnosed withheart failurepresents for a comprehensive medication review. The pharmacist notes that a I of the patient's medications are up to date except eplerenone,which shows as 98 days past due for a refill When the pharmacist inquires about this, the patient responds by saying.
"My insurance does not cover this medication and i cannot afford the cash price " The pharmacist tens the patient spironolactone would be a cheaper option andhas shown to be just as effectivefor heart failure as eplerenone.The patient responds by saying. "Well, can you tell that to my doctor?" Which style of communication shouldthe pharmacist use while calling the patient's prescriber?

A) Passive
B) Passive-aggressive
C) Assertive
D) Aggressive

5. 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 can receive a dose of the RZV today followed by the second dose in 2 to 6 months "
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 have to wait 12 weeks from your ZVL to get an initial dose of RZV. so you should come back in
2 weeks."

Solutions: