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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 a hypersensitivity reaction secondary to abacavir
B) To avoid Stevens-Johnson syndrome secondary to darunavir
C) To avoid an anaphylaxis reaction secondary to ritonavir
D) To avoid an acute exacerbation of hepatitis secondary to lamivudine

2. Which guideline BE ST describes a daily nutrient goal for a patient who is following the DASH diet?

A) Sodium intake should be no more than 2300mg daily
B) Saturated fat intake should be no more than 17% of total daily calories
C) Protein intake should De at least 55% of total daily calories.
D) Fiberintake should be between Gg and 10g daily

3. A well-Known patient at the MTM clinic has been recently diagnosed with Parkinson's disease, andthe patient's current medication listnow includes:
* carbidopa/;levodopa 25mg/100mg t.i.d
* ropinirole 0.25mg LLd.
- rerrous suirate 325mg daily
* lisinopril 10mg daily
Based on this medication list, which counseling point would be most appropriate for me patient?

A) Ferrous sulfate should he separated from carbidopa/levodopa doses by at least 2 hours
B) Blood pressure should be monitored closely due to risk of hypertension with ropinirole.
C) A diet highin proteinwin enhance the effectiveness of carbidopa/levodopa
D) Loperamide should be used to treat diarrhea caused by carbidopa/levodopa

4. A patient who presents at the MTM clinic is 7-weeKs pregnant The patients past medical history includes hypertension, hypothyroidism, asthma, and GERD. and her medication profile includes:
* lisinopril 10mg daily
* levothyroxine 75ncg daily
* famotidine 20mg daily
* budesonide nebulizer 0 25mg b id
Which counseling point is most appropriate to address with the patient during this MTM session?

A) Discontinue famotidine and change to pantoprazole
B) Discontinue lisinopril and change to nifedipine.
C) Ensure Tdap. influenza, andMMR vaccinations are current
D) Discontinue levothyroxine and change to methimazole.

5. Which product provides a patient with highest percentage oi elemental iron?

A) Ferrous sulfate (exsiccated)
B) Ferrous sulfate
C) Ferrous fumarate
D) Ferrous gluconate

Solutions: