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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A 28-year-oict patient is pregnant and has a past medical history of depression, hypertension, and newly diagnosed acid reflux. The patient's current medications include:
* sertraline 50mg daily
* labetalol 20Omg b.i.d.
* lansoprazole DR 30mg daily (newly initiated)
The patient has been crushing sertraline and labetalol due to nausea and associated vomiting episodes. How should the patient be counseled to administer lansoprazole?

A) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take 30 minutes prior to eating breakfast
B) Crush the lansoprazole capsule, place it in applesauce or orange juice, and take at same time as the other crushed medications
C) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole
30 minutes prior to eating breakfast.
D) Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole at same time as the other crushed medications

2. During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?

A) TPMT
B) CFTR
C) G6PO
D) FCER2

3. For a patient who has uncomplicated major depressive disorder and no contraindications, which class of antidepressants would TYPICALLY be recommended as first-line therapy?

A) Norepinephrine and dopamine reuptake inhibitors
B) Tricyclic antidepressants
C) Serotonin-norepinephrine reuptake inhibitors
D) Selective serotonin reuptake inhibitors

4. in premature infants, which factor affecting medication absorption needs to be considered?

A) Saliva enzymes
B) Kidney size
C) Gastric pH
D) Stomach size

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

Solutions: