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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

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

2. 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 10 try the senna/docusate supplement for a few more weeks.
B) Recommend the patient try a psyllium laxative.
C) Refer the patient to a physician to rule out a bowel obstruction
D) Advise the patient to eat more fiber and stay hydrated

3. A patient who is taking cannabidiol for seizures associated with Lennox-Gastaut syndrome should have specific lab values tracked closely during therapy to monitor for which potential effect?

A) Intoxication syndrome
B) Hepatotoxicity
C) Pancreatitis
D) Nephrotoxicity

4. A pharmacist is counseling a patient on the correct use of a new inhaler. During the session, the pharmacist observes multiple verbal and non-verbal cues indicating the patient may have low health literacy. Following this observation, what should the pharmacist ask the patient to do NEXT in order to appropriately assess the patient's understanding of the delivered information?

A) Teach back what was learned so far.
B) Recite all current medications.
C) Take a formal written health literacy test
D) Read aloud a patient information sheet.

5. A patient who is taking norethindrone 0.35mg daily for contraception is 5 hours late for a dose. How many hours must pass for a dose of norethindrone to be considered MISSED?

A) 3
B) 6
C) 12
D) 24

Solutions: