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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A physician calls an MTM clinic and asks a pharmacist for a recommendation for empiric antibiotic therapy to treat a patient who is routinely seen at the clinic. The patient's urinalysis and culture nave confirmed greater than 100.000CFU/mL of a gram-negative rod (sensitivity pending) and it is the first urinary tract infection the patient has been treated for in over 10 years. The pharmacist reviews the patient's profile and notes that the patient has an allergy to penicillin (severe hives) and a current medication list trial includes:
* lisinopril 10mg daily
* warfarin 5mg daily
* digoxin 0 125mg daily
* rosuvastatin 5mg daily
Which antibiotic recommendation would be MOST appropriate for this patient?

A) Cephalexin 500mgtid.
B) Ciprofloxacin 250mg b.l.d.
C) Nitrofurantoin 100rng bid
D) Trimethoprim/sulfamethoxazole DS b.i.d.

2. A pharmacist is completing a comprehensive medication review for a new patient wno has started menopause at the MTM clinic. The patient asks for a recommendation because sne is suffering from vaginal dryness.
Cuming, and irritation, and over-the-counter vaginal moisturizers have not relieved the issues Which recommendation would be MOST appropriate for the patient?

A) Progesterone 200mg PO QHS for A weeks
B) Conjugated estrogen 0.625mg PO daily and progesterone 200mg PO QHS for A weeks
C) Estrogen vaginal cream 0 5g vaginally for 2 weeks, then reassess
D) Conjugated estrogen 0.625mg PO dally indefinitely

3. A well-Known patient at an MTM clinic has been newly diagnosed with psoriasis. The patients PCP cans the pharmacy and asks for a recommendation to start therapy until the patient is able to consult a dermatologist in a few weeks. Which recommendation would beMOST appropriate for the pharmacist to make'

A) Calcipotriene ointment 0.001% daily
B) Tazarotene cream rj.05% daily
C) Betamethasone valerate ointment 0.1% daily
D) Pimecrolimus cream 1% daily

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

5. A patient is currently taking cyciosporine as a propnyiaxis for organ rejection following a kidney transplant.
Combination use of which medication could increase cyciosporine concentration and increase the risk of toxicity to the patient1?

A) Losartan
B) Lisinopril
C) Diltiazem
D) Metoprotol

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