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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 28-year-old, Caucasian male patient who is positive for HIV presents to clinic to initiate antiretrovirals. The physician instructs the patient to get blood drawn for labs, prescribes the following medications, and asks him to return to the clinic prior to starting medications:
abacavir/lamivudine 600/300mg PO daily
darunavir 400mg 2 tablets PO daily
ritonavir 100mg PO daily
For which reason is pharmacogenomic testing for the HLA-B*5701 gene variant indicated for this patient prior to initiation of therapy?

A) To avoid an anaphylaxis reaction secondary to ritonavir
B) To avoid a hypersensitivity reaction secondary to abacavir
C) To avoid Stevens-Johnson syndrome secondary to darunavir
D) To avoid an acute exacerbation of hepatitis secondary to lamivudine

2. 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) Rosuvastatin 20mg
B) Lovastatin 80mg
C) Atorvastatin 20mg
D) Pravastatin 80mg

3. Medicare Advantage plans are evaluated across which five domains under Medicare's 5-star rating system to provide information on plan quality and performance?

A) Staying Healthy. Management of Chronic Conditions. Member Experience. Member Complaints, and Health Plan Customer Service
B) Staying Healthy CMR Completion Rate Member Experience Member Appeals and Health Plan Customer Service
C) Staying Healthy. coordination or Care, CMR Completion Rate. Member Experience, and Health Plan customer service
D) Staying Healthy. Accuracy of Drug Pricing, Member Experience. Member Appeals, and Health Plan Customer Service

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

5. A 45-year-oid patient with a medical history or hypertension. hypercholesterolemia, chronic pain from cancer, and obesity is taking
* phentermine 37 5mg daily
* losartan-HCTZ 50/25 daily
* rosuvastatin 20mg daily
*oxycodone 30mg one tablet dally every 6 hours p.r.n. (#120)
The patient presents to the pharmacy with a prescription of oxycodone 30mg hut two tablets every 6 hours prn tor pain (#240); The pharmacist notices an increase in the dosage of the medication with360MME on this prescription. The patient states that the old dosage was not helping their pain, so the doctor increased the dose.
taking more as needed Tor pain relief. Which of the following recommendations would be best for the pharmacist to present to the patient's prescriber?

A) increase their oxycodone quantity and recommend naloxone spray.
B) Decrease their oxycodone quantity and recommend an extended release with naloxone spray
C) increase oxycodone quantity and recommend a laxative
D) Decrease oxycodone quantity and recommend naloxone spray.

Solutions: