NBMTM BCMTMS

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NBMTM BCMTMS Exam Syllabus Topics:

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

Question #1
A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?

A. Ask the patient how they are supposed to take the medication
B. Override the rejection claim and counsel patient to take daily.
C. Have the pharmacy technician verify the DUR with the patient.
D. Call the prescriber and verify the directions of the prescription and diagnosis code.

Question #2
A patient with a history of hypertension and Design prostatic hyperplasia presents with complaints of nasal congestion. Which medication would be most appropriate to recommend?

A. Acetaminophen
B. Fluticasone nasal spray
C. Pseudoephedrine
D. Cetirizine

Question #3
During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?

A. FCER2
B. CFTR
C. TPMT
D. G6PO

Question #4
A 49-year-ow male patient who has moderate rheumatoid arthritis has experienced an inadequate response to methotrexate treatment Switching to which non-biologic disease-modifying anti-rheumatic drug could increase the patients risk of a gastro intestinal perforation?

A. Etanercept
B. Leflunomide
C. Tofacitinib
D. Golimumab

Question #5
A well-Known patient at an MTM clinic has been newly diagnosed with psoriasis. The patients PCP cans the pharmacy and asks for a recommendation to start therapy until the patient is able to consult a dermatologist in a few weeks. Which recommendation would beMOST appropriate for the pharmacist to make'

A. Tazarotene cream rj.05% daily
B. Betamethasone valerate ointment 0.1% daily
C. Pimecrolimus cream 1% daily
D. Calcipotriene ointment 0.001% daily

Solutions: