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

2. Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?

A) Use a backup birth control method until the ring has been in place for 3 days
B) Directions were property followed and continue using the ring as directed.
C) Continue using the ring as directed and use a backup birth control during future intercourse
D) Use a backup birth control method until the ring has been in place for 7 days.

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

4. A patient has a past medical history of multiple myeloma, hypertension. hypertipidemia. depression, anxiety, nausea and vomiting, asthma, and eczema which chronic conditions would qualify the patient tor MTM services through Medicare Part D?

A) Asthma, eczema, nauses and vomiting, and anxiety
B) Asthma, anxiety, hypertension, and eczema
C) Asthma. multiple myeloma, hyperlipemia, and hypertension
D) Asthma, depression, hypertension, and hyperlipidemia

5. Which laxative do current guidelines recommend as first-line treatment for constipation-predominate irritable Dowel syndrome?

A) Bisacody1 suppository
B) Psyllium husk
C) Sennosides/docusate
D) Magnesium citrate

Solutions: