Exam Name: Board Certified Medication Therapy Management Specialist
Certification Provider: NBMTM
Corresponding Certification: NBMTM Certification
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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Care Advocacy | 13% | |
| Topic 2: Fundamentals of Pharmacogenomics | 5% | |
| Topic 3: Pharmacotherapy | 62% | |
| Topic 4: Medication Therapy Management Foundations | 13% | - Definition and Practice Translation |
| Topic 5: Documentation and Billing | 7% |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
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. Cyclosporine
- B. Tacrolimus
- C. Azathioprine
- D. Belatacept
Correct Answer: A 🗳️
A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?
- A. Have the pharmacy technician verify the DUR with the patient.
- B. Override the rejection claim and counsel patient to take daily.
- C. Call the prescriber and verify the directions of the prescription and diagnosis code.
- D. Ask the patient how they are supposed to take the medication
Correct Answer: C 🗳️
A 49-year-ow male patient who has moderate rheumatoid arthritis has experienced an inadequate response to methotrexate treatment Switching to which non-biologic disease-modifying anti-rheumatic drug could increase the patients risk of a gastro intestinal perforation?
- A. Tofacitinib
- B. Leflunomide
- C. Etanercept
- D. Golimumab
Correct Answer: D 🗳️
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. Trimethoprim/sulfamethoxazole DS b.i.d.
- B. Ciprofloxacin 250mg b.l.d.
- C. Cephalexin 500mgtid.
- D. Nitrofurantoin 100rng bid
Correct Answer: D 🗳️
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. Folic acid
- C. Leucovorin
- D. Dexamelhasone
Correct Answer: B 🗳️
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