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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient has Been using rivastigmine transdermal patch for eight months but missed applying the medication for the last 15 days. Which recommendation would De MO ST appropriate for the pharmacist tor helping the patient resume adherence?

A) Restart rivastigmine put change to the oral dosage form.
B) Restart rivastigmine patch at the current dose.
C) Restart rivastigmine at the current dose and add memantine.
D) Restart rivastigmine at the lowest dose and titrate


2. 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 30 minutes prior to eating breakfast
D) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take at same time as the other crushed medications


3. 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 drinking milk within 2 hours or taking levofloxacin.
C) Avoid grapefruit juice for the duration of therapy
D) Take levofloxacin with an iron supplement


4. Which immunosuppressant requires screening for symptoms of post-transplant lymphoproliferative disorders and progressive mulitifocal leukoencephalopathy with counseling and education as pan of a Risk evaluation and Mitigation Strategy?

A) Belatacept
B) Tacrolimus
C) Azathioprine
D) Cyclosporine


5. During an MTM session the pattern reveals being currently treated with ifosfamind ana complains of symptoms that suggest severe central nervous system toxicity. Which agent should be used to counter this effect'

A) Methylene blue
B) Leucovorin
C) Dexamelhasone
D) Folic acid


Solutions:

Question # 1
Answer: B
Question # 2
Answer: A
Question # 3
Answer: B
Question # 4
Answer: D
Question # 5
Answer: D

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