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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient presents to his scheduled appointment Tor face-to-face MTM with a pharmacist. The patient has a list of personal medications and bottles of over-the counter herbal supplements Upon review ol the entire medication checklist the pharmacist wants to educate the patient on managing the drug interaction that was found between warfarin and SI John's won supplement What would be the BEST approach to guide the patient in managing the drug interaction?

A) St John's wort will decrease the INR
B) St. John's wort will increase the INR
C) St John's wort should be OK as long as the physician is aware
D) St Jonns wort has to be replaced with gingKo blloba.

2. 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) "Omega-3 fatty acids are very important for your heart, and you should take them regardless of your religious beliefs "
C) "Omega-3 ratty acid capsules do not contain any pork-based ingredients, so you can purchase them without any issue."
D) "All omega-3 Tatty acids are derived from pork-based ingredients, so they should be avoided completely."

3. An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?

A) "Is your physician aware that you're not taking your medications'?"
B) "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"
C) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"
D) "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"

4. 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) Call the prescriber and verify the directions of the prescription and diagnosis code.
B) Override the rejection claim and counsel patient to take daily.
C) Have the pharmacy technician verify the DUR with the patient.
D) Ask the patient how they are supposed to take the medication

5. A pharmacist who practices as an independent MTM contractor wants to conduct an MTM review witha 74- year-oid patient, me patient is in a nursing none and is hard of hearing with mild dementia.The patient does not have a power of attorney on tile or details or family members on file Which or me following outreach techniques; would be the BEST way to conduct the review and reduce the chances or MTM outcome failures?

A) At their local pharmacy
B) Patients representative
C) Face-to-face
D) Via phone

Solutions: