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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. When a patient presents with signs and symptoms of diabetic peripheral neuropathy, which lab should be checked prior to starting a patient on pregabalin?

A) A1C
B) Triiodothyronine
C) Alanine transaminase
D) Serum creatinine

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

3. A pharmacist may utilize which technique to optimize time allocated to MTM services?

A) Have support personnel print off a patient's medication lists from claims data for review prior to a comprehensive medication review
B) Utilize pharmacy interns to finalize a comprehensive medication review in the OutcomesMTM platform.
C) Have a pharmacy technician or other support personnel perform the medication therapy review process
D) Streamline the SOAP process oy restricting documentation to valid positive test results.

4. 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) "Where else are you getting your insulin?"
C) "Do you have concerns about the cost-effectiveness of diabetic medications?"
D) "Do you remember to take your insulin?"

5. A 28-year-oict patient is pregnant and has a past medical history of depression, hypertension, and newly diagnosed acid reflux. The patient's current medications include:
* sertraline 50mg daily
* labetalol 20Omg b.i.d.
* lansoprazole DR 30mg daily (newly initiated)
The patient has been crushing sertraline and labetalol due to nausea and associated vomiting episodes. How should the patient be counseled to administer lansoprazole?

A) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole
30 minutes prior to eating breakfast.
B) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take 30 minutes prior to eating breakfast
C) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take at same time as the other crushed medications
D) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole at same time as the other crushed medications

Solutions: