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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. For a patient who has uncomplicated major depressive disorder and no contraindications, which class of antidepressants would TYPICALLY be recommended as first-line therapy?

A) Tricyclic antidepressants
B) Selective serotonin reuptake inhibitors
C) Norepinephrine and dopamine reuptake inhibitors
D) Serotonin-norepinephrine reuptake inhibitors

2. A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?

A) Drowsiness. insomnia
B) Suicidal ideation
C) Stevens-Johnson syndrome (SJS). TEN
D) Osteoporosis

3. 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) Diltiazem
C) Metoprotol
D) Lisinopril

4. A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?

A) "Do you remember to take your insulin?"
B) "Where else are you getting your insulin?"
C) "How are you taking your insulin'"
D) "Do you have concerns about the cost-effectiveness of diabetic medications?"

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

Solutions: