Updated: Aug 08, 2026
No. of Questions: 103 Questions & Answers with Testing Engine
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| Certification Vendor: | National Board of Medication Therapy Management (NBMTM) |
| Exam Name: | Board Certified Medication Therapy Management Specialist Examination |
| Exam Number: | BCMTMS |
| Exam Price: | USD 450 (US applicants), USD 530 (International applicants) |
| Available Languages: | English |
| Real Exam Qty: | 200 |
| Passing Score: | Scaled score (cut score determined via Angoff method; not a fixed percentage) |
| Certificate Validity Period: | 5 years |
| Exam Format: | Multiple-choice, Proctored, Closed-book, Computer-based |
| Exam Duration: | 240 minutes |
| Recommended Training: | NBMTM Candidate Handbook and Exam Content Outline |
| Exam Registration: | NBMTM Official Certification Portal |
| Sample Questions: | NBMTM BCMTMS Sample Questions |
| Exam Way: | Computer-based proctored exam (in-person testing centers or remote proctoring via Meazure Learning) |
| Pre Condition: | Pharmacy degree (PharmD or equivalent), unrestricted pharmacist license, and either 2 years of MTM experience post-licensure or completion of an NBMTM-approved MTM training program |
| Official Syllabus URL: | https://www.nbmtm.org/bcmtms-exam-overview/ |
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacotherapy | 62% | |
| Topic 2: Medication Therapy Management Foundations | 13% | - Definition and Practice Translation |
| Topic 3: Fundamentals of Pharmacogenomics | 5% | |
| Topic 4: Patient Care Advocacy | 13% | |
| Topic 5: Documentation and Billing | 7% |
1. Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?
A) Use a backup birth control method until the ring has been in place for 7 days.
B) Directions were property followed and continue using the ring as directed.
C) Continue using the ring as directed and use a backup birth control during future intercourse
D) Use a backup birth control method until the ring has been in place for 3 days
2. The physician or a 73-year-oid patient recommended mat the patient begin taking an iron supplement. The patients current medication list includes:
* omeprazole 40mg daily
* warfarin 4mg daily
* metformin 500mg b.i.d
* simvastatin 40mc q.p.m
* llsinopril 10mg daily
Which of the patient's rredications is MOST likely to interfere with absorption of any iron supplement?
A) Warfarin
B) Omeprazole
C) Lisinoprll
D) Simvastatin
3. A patientis newly diagnosed with ADHD andmuscular dystropny. The patient's physician wants to ado atomoxetine to the patent's treatment regimen Testing mat reveals inepatient is a poor metaholizer ofwhich enzyme would indicate that the medication Should beAVOIDED'?
A) CYP450
B) CYP2B6
C) CYP3A4
D) CYP2DG
4. Which class of medications is typically first line in treating eating disorders?
A) Mood stabilizers
B) Selective serotonin reuptake inhibitors
C) Tricyclic antidepressants
D) Serotonin and norepinephrine reuptake inhibitors
5. A well-Known patient at the MTM clinic has been recently diagnosed with Parkinson's disease, andthe patient's current medication listnow includes:
* carbidopa/;levodopa 25mg/100mg t.i.d
* ropinirole 0.25mg LLd.
- rerrous suirate 325mg daily
* lisinopril 10mg daily
Based on this medication list, which counseling point would be most appropriate for me patient?
A) Loperamide should be used to treat diarrhea caused by carbidopa/levodopa
B) A diet highin proteinwin enhance the effectiveness of carbidopa/levodopa
C) Ferrous sulfate should he separated from carbidopa/levodopa doses by at least 2 hours
D) Blood pressure should be monitored closely due to risk of hypertension with ropinirole.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: D |
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