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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient takes lisinopril 20mg once daily. Which question would BEST evaluate the efficacy of Lisinopril for this patient?

A) "Have your symptoms started improving after starting lisinopril?"
B) "Do you feel like the drug is working?"
C) "Is your blood pressure under control with lisinopril?"
D) ''How have your recent wood pressure readings been?"

2. 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 levothyroxine and change to methimazole.
B) Discontinue famotidine and change to pantoprazole
C) Ensure Tdap. influenza, andMMR vaccinations are current
D) Discontinue lisinopril and change to nifedipine.

3. A patient was referred by a cardioiogist and is currently taking pitavastatin 2mg 4 times per week. This close is the maximum tie patient can tolerate after failing atorvastatin and rosuvastatin due to statinintolerance The most recent LDL indicates thatthe patient needs to reduce LOL choleslerol level The patientis on a fixed income due to a recentlayoff Which of the following pharmacotherapy changes would beBEST to recommend?

A) Change pltavastatin to pravastatin 20mg dally.
B) Change the frequency of pravastatin to once daily
C) Add ezetimioe iomg dairy
D) Add airocumab 75mg/mL subcutaneous every 2 weeks

4. A patientis newly diagnosed with ADHD andmuscular dystropny. The patient's physician wants to ado atomoxetine to the patent's treatment regimen Testing mat reveals inepatient is a poor metaholizer ofwhich enzyme would indicate that the medication Should beAVOIDED'?

A) CYP3A4
B) CYP450
C) CYP2DG
D) CYP2B6

5. A patient is participating in an MTM session snares that they are taking hydrocodone/acetaminopen iomg
/325mg four times daily for the last year due to chronic back pain The patient complains of constipation even after taking senna/docusate supplements for the last month and describes bloating, cramps, and an Inability to have a bowel movement for the pant five days Which reaction by the pharmacist to the patients concern would be BEST?

A) Advise the patient to eat more fiber and stay hydrated
B) Advise the patient 10 try the senna/docusate supplement for a few more weeks.
C) Refer the patient to a physician to rule out a bowel obstruction
D) Recommend the patient try a psyllium laxative.

Solutions: