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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Practice and Communication25%- Adhere to legal, regulatory, and ethical standards
- Maintain continuing education and competency
- Apply reimbursement principles for MTM services
- Utilize technology and documentation systems
- Communicate effectively with healthcare team members
Topic 2: Patient Education and Follow-up20%- Provide patient-centered counseling on medications
- Schedule and conduct follow-up assessments
- Modify care plans based on patient response
- Promote adherence and self-management strategies
Topic 3: Medication Therapy Management (MTM) Care Plan Development30%- Address polypharmacy and medication optimization
- Establish therapeutic goals with measurable outcomes
- Recommend evidence-based pharmacotherapy
- Develop individualized medication therapy care plans
Topic 4: Patient Assessment and Documentation25%- Gather patient-specific information (medical history, current medications, lab results)
- Review and interpret patient data for MTM eligibility
- Identify drug therapy problems
- Document patient encounters appropriately

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. Which medication is a first-line biologic for the treatment of psoriasis?

A) Cetuximab
B) Bavituximab
C) Trastuzumab
D) Adalimumab


2. A 67-year-oiapatient with a history of type 2 diabetes and hypertension presents to the pharmacy and asks to receive the recombinant zoster (shingles) vaccine (RZV) the patient reports receiving the zoster vaccine live (ZVL) at a doctors office 10 weeks ago because the recombinant vaccine was out of stock Which response to the patient's immunization request would be MOST appropriate?

A) "You can receive a dose of the RZV today followed by the second dose in 2 to 6 months "
B) "You can receive a dose or RZV today, followed by a second dose in 2 to 6 weeks."
C) "You have to wait 12 weeks from your ZVL to get an initial dose of RZV. so you should come back in
2 weeks."
D) "You cannot get the RZV since you already received the ZVL. andthere is no need to get it since you are already immunized."


3. A 45-year-old patient with a history of dyslipidemia, HIV, hypertension, and arthritis presents to the ambulatory care clinic for an MTM session. The patient reports being discharged from the hospital one month ago due to a non-ST-elevation myocardial infarction, for which the patient was recently started on atenolol
25mg and nitroglycerin sublingual tablets, indefinitely. The patient's current medication list now includes:
Lisinopril 40mg PO daily
Simvastatin 40mg PO daily
Dolutegravir 50mg/rilpivirine 25mg PO daily with meal
Ibuprofen 200mg 1 tablet every 8 hours p.r.n.
Atenolol 25mg PO daily
Nitroglycerin tablets p.r.n.
According to current guidelines from the American Heart Association, simvastatin 40mg should be switched to which medication?

A) Pravastatin 80mg
B) Atorvastatin 20mg
C) Rosuvastatin 20mg
D) Lovastatin 80mg


4. Which statement is MOST accurate regarding MTM sessions that are facilitated by a call center and face-to- face sessions in a community pharmacy?

A) Sessions facilitated at call centers are completed more quickly than face-to-face sessions.
B) Face-to-face sessions are more effective than sessions facilitated at call centers.
C) Medicare prefers face-to-face sessions over sessions facilitated at call centers.
D) Both types of sessions meet the Medicare Part D criteria of being interactive.


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


Solutions:

Question # 1
Answer: A
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: D

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