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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient presents at the pharmacy with concerns about one of their current asthma medications. The pharmacist on shift recommends that the patient reach out to the health insurance company and request a comprehensive medication review from one of its medication therapy management (MTM) pharmacists over the phone. Which benefit is MOST likely recognized by conducting a telephonic MTM review?

A) The patient can end the MTM session at any time
B) The session will be much shorter than if it was conducted face-to-face
C) The session can be scheduled at the patient's convenience and without regard to location.
D) The patient can have someone else attend the MTM session and relay the information

2. A 60-year-ow female patient has sleep-onset insomnia, if the patients provider would like to start her on a formulation with Zolpidem in combination which non pharmacologic therapies, which Zolpidem dosing would be most appropriate?

A) 12.5mg extended release oral tablet
B) 5mg Immediate release oral tablet
C) 10mg immediate release sublingual tablet
D) 1.75ing immediate release sublingual tablet

3. 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) Aggressive
B) Passive-aggressive
C) Assertive
D) Passive

4. For a patient who has uncomplicated major depressive disorder and no contraindications, which class of antidepressants would TYPICALLY be recommended as first-line therapy?

A) Tricyclic antidepressants
B) Serotonin-norepinephrine reuptake inhibitors
C) Norepinephrine and dopamine reuptake inhibitors
D) Selective serotonin reuptake inhibitors

5. A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?

A) Drowsiness. insomnia
B) Suicidal ideation
C) Stevens-Johnson syndrome (SJS). TEN
D) Osteoporosis

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