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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Fundamentals of Pharmacogenomics | 5% | |
| Pharmacotherapy | 62% | |
| Medication Therapy Management Foundations | 13% | - Definition and Practice Translation |
| Documentation and Billing | 7% | |
| Patient Care Advocacy | 13% |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
1. A patient who practices the Muslim faith and cannot consume pork-based products presents to the pharmacy and asks. "What: should I be on the lookcut for when buying an over-the-counter omega-3 fatty acid capsule'" Which response by a pharmacist would be MOST appropriate'?
A) "Omega-3 fatty acid capsules may contain a pork-based gelatin, so let me confirm which non-gelatin- based options we have available.'
B) "All omega-3 Tatty acids are derived from pork-based ingredients, so they should be avoided completely."
C) "Omega-3 ratty acid capsules do not contain any pork-based ingredients, so you can purchase them without any issue."
D) "Omega-3 fatty acids are very important for your heart, and you should take them regardless of your religious beliefs "
2. A 67-year-oiapatient with a history of type 2 diabetes and hypertension presents to the pharmacy and asks to receive the recombinant zoster (shingles) vaccine (RZV) the patient reports receiving the zoster vaccine live (ZVL) at a doctors office 10 weeks ago because the recombinant vaccine was out of stock Which response to the patient's immunization request would be MOST appropriate?
A) "You can receive a dose or RZV today, followed by a second dose in 2 to 6 weeks."
B) "You can receive a dose of the RZV today followed by the second dose in 2 to 6 months "
C) "You have to wait 12 weeks from your ZVL to get an initial dose of RZV. so you should come back in
2 weeks."
D) "You cannot get the RZV since you already received the ZVL. andthere is no need to get it since you are already immunized."
3. While performing a medication review for a patient who was diagnosed with asthma last year, the pharmacist notes current use of an albuterol inhaler, as needed, which is typically 2 to 4 times per week when the patient's symptoms Hare up. The patient is not Inking any other medicatians for asthma Based on this information, which therapy should the pharmacist recommend to the patient's provider?
A) Change the albuterol Inhaler to a prednisone burst p.r.n
B) Change the albuterol inhaler to a formoterol as monotherapy.
C) Add a budesonide Inhaler b.i.d
D) Add monteiukast QMS.
4. 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 an acute exacerbation of hepatitis secondary to lamivudine
B) To avoid a hypersensitivity reaction secondary to abacavir
C) To avoid Stevens-Johnson syndrome secondary to darunavir
D) To avoid an anaphylaxis reaction secondary to ritonavir
5. 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) CYP2B6
C) CYP2DG
D) CYP450
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: D |
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