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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?

A) "How are you taking your insulin'"
B) "Do you have concerns about the cost-effectiveness of diabetic medications?"
C) "Do you remember to take your insulin?"
D) "Where else are you getting your insulin?"

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

3. Which guideline BE ST describes a daily nutrient goal for a patient who is following the DASH diet?

A) Protein intake should De at least 55% of total daily calories.
B) Sodium intake should be no more than 2300mg daily
C) Saturated fat intake should be no more than 17% of total daily calories
D) Fiberintake should be between Gg and 10g daily

4. A pharmacist places the following note in the Plan section or a patients soap note:
'Recommend patient increase ibuprofen 200mg to q.I.d scheduled dose Patient agrees.
Which description of an error with this note is most accurate?

A) it should have been placed in the Objective section.
B) It introduces new Information that should be included in the Subjective section
C) it is missing a follow-up and monitoring plan
D) it includes irrelevant information mat should have been excluded.

5. A patient who has asthma iscurrently uncontrolled on low-dose inhaled corticosteroid (ICS) and an albuteroi HFAinhaler as needed Which adjustment to me patient's therapy is preferred?

A) Adding montelukastand prednisone combination
B) Switching from low-dose ICS to low-dose iCS/long-acting oeta2-agonist
C) Switching from low-dose ICS to medium-dose ICS
D) Adding theophylline SR

Solutions: