Quiz NBMTM - BCMTMS - Board Certified Medication Therapy Management Specialist–Trustable Exam Cram Questions

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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions (Q15-Q20):

NEW QUESTION # 15
A 45-year-oid patient with a medical history or hypertension. hypercholesterolemia, chronic pain from cancer, and obesity is taking
* phentermine 37 5mg daily
* losartan-HCTZ 50/25 daily
* rosuvastatin 20mg daily
*oxycodone 30mg one tablet dally every 6 hours p.r.n. (#120)
The patient presents to the pharmacy with a prescription of oxycodone 30mg hut two tablets every 6 hours prn tor pain (#240); The pharmacist notices an increase in the dosage of the medication with360MME on this prescription. The patient states that the old dosage was not helping their pain, so the doctor increased the dose.
taking more as needed Tor pain relief. Which of the following recommendations would be best for the pharmacist to present to the patient's prescriber?

A. Decrease oxycodone quantity and recommend naloxone spray.
B. increase oxycodone quantity and recommend a laxative
C. Decrease their oxycodone quantity and recommend an extended release with naloxone spray
D. increase their oxycodone quantity and recommend naloxone spray.

Answer: C

NEW QUESTION # 16
Which counseling point is MO ST appropriate Tor a pharmacist to provide to a female patient who is just starting levothyroxine therapy?

A. "Consistently take this medication with either breakfast or dinner."
B. "Be sure that you are taking an antacid 30 minutes prior to taking this medication."
C. "immediately discontinue this medication if you become pregnant.''
D. "Check your thyroid Hormone levels 4 to 6 weeks after starting this medication "

Answer: D

NEW QUESTION # 17
A patient suffering from jpain decides to self-treat with over-the-counter ibuprofen. leading to fluctuating bloodpressure At the next appointment with the PCP. the patient is treated with HCTZ. which causes increasedurinary frequency, leading to a urologist visit Misdiagnosis leads the patient to receive oxybutynin, which causes urinary retention treated with terazosin The terazosin causes orthostatic hypotension, leading to a fail that results in a fracture.
The above example reflects which aspect of prescribing iatrogenesis?

A. Polypharmacy
B. Prescribing cascade
C. Gaps in care coordination
D. Gaps in care

Answer: B

NEW QUESTION # 18
A patient presents at the pharmacy to request monthly refills. During the conversation with the pharmacist, the patient does not mention the names or indications of the medications being refilled; however, the patient could describe the color and shape of each. Past interactions with the patientinclude several missed appointments for an annual influenza vaccine, an outburst when asked to fill out an influenza vaccination questionnaire, and continual refusals when offered medication guides. Based on this information, which approach should the pharmacy staff use to communicate with the patient going forward?
when asked to nil out an influenza vaccination questionnaire, and continual refusals when offered medication guides Based on this information, which approach should the pharmacystaff use to communicate with the patient going forward?

A. Require that pharmacy staff place medication guides in the patient's medication bags following transactions.
B. Ask the pharmacy manager to witness all communications andtransactions with the patient
C. Have the pharmacy staff make a record book of Incidents relating to interactions with the patient
D. Offer to help the patient complete forms and questionnaires and speak using non-medical terms

Answer: D

NEW QUESTION # 19
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

Answer: B

NEW QUESTION # 20
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