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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Medication Therapy Management (MTM) Care Plan Development30%- Recommend evidence-based pharmacotherapy
- Establish therapeutic goals with measurable outcomes
- Address polypharmacy and medication optimization
- Develop individualized medication therapy care plans
Topic 2: Professional Practice and Communication25%- Maintain continuing education and competency
- Apply reimbursement principles for MTM services
- Communicate effectively with healthcare team members
- Utilize technology and documentation systems
- Adhere to legal, regulatory, and ethical standards
Topic 3: Patient Education and Follow-up20%- Modify care plans based on patient response
- Schedule and conduct follow-up assessments
- Provide patient-centered counseling on medications
- Promote adherence and self-management strategies
Topic 4: Patient Assessment and Documentation25%- Review and interpret patient data for MTM eligibility
- Identify drug therapy problems
- Gather patient-specific information (medical history, current medications, lab results)
- Document patient encounters appropriately

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A patient w a past medical history significant for schizopnrenia is being evaluated forlong-acting injectable (LAI) therapy. The patient is taking 3mg of paliperidone daily and has no concerns tor theuse of LAls After completing the initial titration schedule, which maintenance dose of the intramuscular formulation of paliperidone would be BEST for the patient every 4 weeks?

A) 156mg
B) 234mg
C) 78mg
D) 117mg


2. A patient was referred by a cardioiogist and is currently taking pitavastatin 2mg 4 times per week. This close is the maximum tie patient can tolerate after failing atorvastatin and rosuvastatin due to statinintolerance The most recent LDL indicates thatthe patient needs to reduce LOL choleslerol level The patientis on a fixed income due to a recentlayoff Which of the following pharmacotherapy changes would beBEST to recommend?

A) Add ezetimioe iomg dairy
B) Change the frequency of pravastatin to once daily
C) Add airocumab 75mg/mL subcutaneous every 2 weeks
D) Change pltavastatin to pravastatin 20mg dally.


3. A 79-year-old patient presents to the pharmacy and complains of dry cough which started last week. The patient has a current medication list that includes: levothyroxine, metoprolol, sertraline, and lisinopril. The patient should be notified that the cough may be a side effect of taking which medication?

A) Metoprolol
B) Lisinopril
C) Levothyroxine
D) Sertraline


4. A patient has Been using rivastigmine transdermal patch for eight months but missed applying the medication for the last 15 days. Which recommendation would De MO ST appropriate for the pharmacist tor helping the patient resume adherence?

A) Restart rivastigmine at the lowest dose and titrate
B) Restart rivastigmine put change to the oral dosage form.
C) Restart rivastigmine patch at the current dose.
D) Restart rivastigmine at the current dose and add memantine.


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

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


Solutions:

Question # 1
Answer: D
Question # 2
Answer: A
Question # 3
Answer: B
Question # 4
Answer: C
Question # 5
Answer: D

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