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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. During a follow-up MTM visit with a patient, the patientasks the pharmacist about possible adverse effects related to a current medication that is a relatively new drug Which resource would provide any post-marketing surveillance adverse effect information reported by the public and/or other health professionals?

A) Case report study
B) Risk Evaluation and Mitigation strategy
C) MedWatch Safety information and Adverse Event Reporting Program
D) Randomized controlled trial

2. A60-year-old female patent who is postmenopausal and underwent a hysterectomy 10 years ago is unable to tolerate vasomotor symptoms and vaginitis due to menopause, and the patient would like to go on hormone replacement therapy Which medication therapy would be most appropriate FIRST step for this patient?

A) Estradiol/levonorgestrel transdermal patch
B) Estradiol/progesterone oral capsule
C) Estradiol transdermal paten
D) Conjugated estrogens/medroxyprogesterone oral tablet

3. A patient well-Known to ire MTM clinic was recently diagnosed with recurrent hepatic encephalopathy.
Which treatment would De MOST appropriate to recommend for the patterns

A) Ciprofloxacin 500mg bid plus lactulose titrated to 2-3 soft stools per day
B) Disulfiram 500mg on=e daily plus lactulose titrated to 2-3 soft stools per day
C) Metronidazole 500mg t.i.d.
D) Rifaximin 550mg bid plus lactulose titrated to 2-3 son stools per day

4. A patient presents to his scheduled appointment Tor face-to-face MTM with a pharmacist. The patient has a list of personal medications and bottles of over-the counter herbal supplements Upon review ol the entire medication checklist the pharmacist wants to educate the patient on managing the drug interaction that was found between warfarin and SI John's won supplement What would be the BEST approach to guide the patient in managing the drug interaction?

A) St. John's wort will increase the INR
B) St Jonns wort has to be replaced with gingKo blloba.
C) St John's wort should be OK as long as the physician is aware
D) St John's wort will decrease the INR

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) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole
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) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take 30 minutes prior to eating breakfast

Solutions: