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NBMTM BCMTMS Exam Overview:

NBMTM BCMTMS Exam Syllabus Topics:

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A male patient who was recently diagnosed with prostatitis was prescribed levofloxacin 500mg PO daily.
Which counseling point would be MOST important for a pharmacist to provide lo the patient?

A) Consume meals nigh in Tat for the duration of therapy.
B) Avoid grapefruit juice for the duration of therapy
C) Take levofloxacin with an iron supplement
D) Avoid drinking milk within 2 hours or taking levofloxacin.

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

3. 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) Take the folic acid during a daily activity, such as teeth brushing.
B) Switch the methotrexate weekly to hydroxychloroquine daily.
C) Discontinue the folic acid.
D) Change the folic acid dosing to a weekly dosing that aligns with methotrexate.

4. Which reverse-transcriptase inhibitor used in the treatment of hepatitis B virus MUST be taken on an empty stomach (i.e.. more than 2 hours before or after a meal?

A) Entecavir
B) Lamivudine
C) Telbivudine
D) Adefovir

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