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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. An 80-year-oia female patient who has a T-score of 2.7 was recently diagnosed with osteoporosis, and me patients physician wants to initiate an oral medication that will help reduce hip fracture risk Which medication would he MO ST beneficial to recommend?

A) Ibandronate
B) Alendronate
C) Raloxifene
D) Denosumab

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

3. A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?

A) Hydrochlorothiazide
B) Amiodipine
C) Atenolol
D) Irbesartan

4. Which counseling point is MOST appropriate to provide to a patient picking up a prescription of insulin degiudec injection 20OU/mi_ (Tresiba FlexTouch U-200)?

A) "Make sure you use pens within 56 days "
B) "Do not leave the needle In the skin for more than 3 seconds."
C) "Use this injection only m the abdominal region.''
D) "You do not need to prime the pen before every injection."

5. A 45-year-old male patient who has diabetic peripheral neuropathy is picking up a prescription for pregabalin.
During pick up. the patient reveals working a jobthat requires constant walking the patientexperiences suboptimal reliet of diabetic neuropathy and inquires about over the counter (OTC) pain relief options Which response by thepharmacist would be MOST appropriate?

A) Use a capsaicin cream.
B) Use a topical lidocaine
C) Do not use OTC treatments when taking pregabalin.
D) Use a triple antibiotic ointment

Solutions: