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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. 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 an anaphylaxis reaction secondary to ritonavir
C) To avoid a hypersensitivity reaction secondary to abacavir
D) To avoid Stevens-Johnson syndrome secondary to darunavir

2. A male patient who was recently diagnosed with prostatitis was prescribed levofloxacin 500mg PO daily.
Which counseling point would be MOST important for a pharmacist to provide lo the patient?

A) Avoid grapefruit juice for the duration of therapy
B) Avoid drinking milk within 2 hours or taking levofloxacin.
C) Consume meals nigh in Tat for the duration of therapy.
D) Take levofloxacin with an iron supplement

3. A pharmacist places the following note in the Plan section or a patients soap note:
'Recommend patient increase ibuprofen 200mg to q.I.d scheduled dose Patient agrees.
Which description of an error with this note is most accurate?

A) it includes irrelevant information mat should have been excluded.
B) it should have been placed in the Objective section.
C) it is missing a follow-up and monitoring plan
D) It introduces new Information that should be included in the Subjective section

4. 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) Cephalexin 500mgtid.
C) Nitrofurantoin 100rng bid
D) Ciprofloxacin 250mg b.l.d.

5. For a patient who has pulmonary arterial hypertension and acute vasoreactivity, which medication is the preferred treatment?

A) Amlodipine
B) Verapamil
C) Metoprolol
D) Hydrochlorothiazide

Solutions: