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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Patient Education and Follow-up | 20% | - 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 |
| Professional Practice and Communication | 25% | - Apply reimbursement principles for MTM services - Adhere to legal, regulatory, and ethical standards - Communicate effectively with healthcare team members - Utilize technology and documentation systems - Maintain continuing education and competency |
| Patient Assessment and Documentation | 25% | - Review and interpret patient data for MTM eligibility - Document patient encounters appropriately - Identify drug therapy problems - Gather patient-specific information (medical history, current medications, lab results) |
| Medication Therapy Management (MTM) Care Plan Development | 30% | - Address polypharmacy and medication optimization - Recommend evidence-based pharmacotherapy - Establish therapeutic goals with measurable outcomes - Develop individualized medication therapy care plans |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
Question #1
Which class of medications is typically first line in treating eating disorders?
A. Mood stabilizers
B. Serotonin and norepinephrine reuptake inhibitors
C. Tricyclic antidepressants
D. Selective serotonin reuptake inhibitors
Question #2
A pharmacist is conducting a medication review for a 56-year-old female patient who has been diagnosed with rheumatoid arthritis. The patient states that she takes methotrexate once each week and that it seems to be helping her symptoms. The patient has also been prescribed folic acid daily but mentions often forgetting to take the medication. Based on this interaction, which recommendation would be BEST for the pharmacist to include in the patient's medication-related action plan (MAP)?
A. Switch the methotrexate weekly to hydroxychloroquine daily.
B. Take the folic acid during a daily activity, such as teeth brushing.
C. Change the folic acid dosing to a weekly dosing that aligns with methotrexate.
D. Discontinue the folic acid.
Question #3
A patient who presents at the MTM clinic is 7-weeKs pregnant The patients past medical history includes hypertension, hypothyroidism, asthma, and GERD. and her medication profile includes:
* lisinopril 10mg daily
* levothyroxine 75ncg daily
* famotidine 20mg daily
* budesonide nebulizer 0 25mg b id
Which counseling point is most appropriate to address with the patient during this MTM session?
A. Discontinue famotidine and change to pantoprazole
B. Discontinue levothyroxine and change to methimazole.
C. Discontinue lisinopril and change to nifedipine.
D. Ensure Tdap. influenza, andMMR vaccinations are current
Question #4
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. Pravastatin 80mg
C. Atorvastatin 20mg
D. Lovastatin 80mg
Question #5
A patient presents at the pharmacy to request monthly refills. During the conversation with the pharmacist, the patient does not mention the names or indications of the medications being refilled; however, the patient could describe the color and shape of each. Past interactions with the patientinclude several missed appointments for an annual influenza vaccine, an outburst when asked to fill out an influenza vaccination questionnaire, and continual refusals when offered medication guides. Based on this information, which approach should the pharmacy staff use to communicate with the patient going forward?
when asked to nil out an influenza vaccination questionnaire, and continual refusals when offered medication guides Based on this information, which approach should the pharmacystaff use to communicate with the patient going forward?
A. Require that pharmacy staff place medication guides in the patient's medication bags following transactions.
B. Ask the pharmacy manager to witness all communications andtransactions with the patient
C. Offer to help the patient complete forms and questionnaires and speak using non-medical terms
D. Have the pharmacy staff make a record book of Incidents relating to interactions with the patient
Solutions:
| Question #1 Correct Answer: D | Question #2 Correct Answer: B | Question #3 Correct Answer: C | Question #4 Correct Answer: A | Question #5 Correct Answer: C |
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