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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
| Topic 1: Patient Education and Follow-up | 20% | - Promote adherence and self-management strategies
- Schedule and conduct follow-up assessments
- Provide patient-centered counseling on medications
- Modify care plans based on patient response
|
| Topic 2: Professional Practice and Communication | 25% | - Adhere to legal, regulatory, and ethical standards
- Utilize technology and documentation systems
- Maintain continuing education and competency
- Apply reimbursement principles for MTM services
- Communicate effectively with healthcare team members
|
| Topic 3: Medication Therapy Management (MTM) Care Plan Development | 30% | - Recommend evidence-based pharmacotherapy
- Address polypharmacy and medication optimization
- Establish therapeutic goals with measurable outcomes
- Develop individualized medication therapy care plans
|
| Topic 4: Patient Assessment and Documentation | 25% | - Document patient encounters appropriately
- Gather patient-specific information (medical history, current medications, lab results)
- Review and interpret patient data for MTM eligibility
- Identify drug therapy problems
|
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
1. When a patient presents with signs and symptoms of diabetic peripheral neuropathy, which lab should be checked prior to starting a patient on pregabalin?
A) Triiodothyronine
B) Alanine transaminase
C) Serum creatinine
D) A1C
2. Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?
A) Use a backup birth control method until the ring has been in place for 7 days.
B) Directions were property followed and continue using the ring as directed.
C) Use a backup birth control method until the ring has been in place for 3 days
D) Continue using the ring as directed and use a backup birth control during future intercourse
3. A pharmacist is conducting a medication review for a 56-year-old female patient who has been diagnosed with rheumatoid arthritis. The patient states that she takes methotrexate once each week and that it seems to be helping her symptoms. The patient has also been prescribed folic acid daily but mentions often forgetting to take the medication. Based on this interaction, which recommendation would be BEST for the pharmacist to include in the patient's medication-related action plan (MAP)?
A) Discontinue the folic acid.
B) Change the folic acid dosing to a weekly dosing that aligns with methotrexate.
C) Take the folic acid during a daily activity, such as teeth brushing.
D) Switch the methotrexate weekly to hydroxychloroquine daily.
4. Which initial regimen would be MOST appropriate for a patient who has a blood pressure or 134/80mmHg and was diagnosed withvasospastic angina?
A) MetoprololXL plus nitroglycerin SL p.r.n.
B) Lisinopril plus nitroglycerin St prn
C) Nitroglycerin SL p.r.n. only
D) Dilltiazem plus nitroglycerin SL p.r.n.
5. An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?
A) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"
B) "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"
C) "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"
D) "Is your physician aware that you're not taking your medications'?"
Solutions:
Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: C |