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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Fundamentals of Pharmacogenomics | 5% | - Basic principles of pharmacogenomics - Application of pharmacogenomic data in clinical decision-making - Impact of genetic variations on drug response and metabolism |
| Topic 2: Documentation and Billing | 7% | - Compliance and regulatory requirements - Coding, billing, and reimbursement rules - Required documentation standards for MTM services |
| Topic 3: Pharmacotherapy | 62% | - Medication safety, drug interactions, and therapeutic alternatives - Patient-specific pharmacotherapy optimization - Drug selection, dosing, monitoring, and adverse effect prevention - Disease state management and evidence-based treatment guidelines |
| Topic 4: Patient Care Advocacy | 13% | - Adherence support and barrier resolution - Health literacy and cultural competence - Patient education and communication strategies - Care coordination and collaboration with providers |
| Topic 5: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Core concepts and definitions of MTM - Models and frameworks for delivering MTM services - Integration of MTM within healthcare systems and practice settings |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
1. A regular patient of the pharmacy presents to pick up the monthly medication refills. During the course or conversation. the patient mentions that the insurance company had requested to set up a review session to go over all current medications, and that a pharmacist at a call center will undertake the review. Which type of MTM service modelIt MOST likely being provided to the patient?
A) Care teams
B) Pharmacy-based disease monitoring
C) Hybrid MTM disease management
D) Telephonic
2. For a patient who has pulmonary arterial hypertension and acute vasoreactivity, which medication is the preferred treatment?
A) Amlodipine
B) Metoprolol
C) Verapamil
D) Hydrochlorothiazide
3. A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?
A) "Do you have concerns about the cost-effectiveness of diabetic medications?"
B) "Do you remember to take your insulin?"
C) "Where else are you getting your insulin?"
D) "How are you taking your insulin'"
4. A patient well-Known to ire MTM clinic was recently diagnosed with recurrent hepatic encephalopathy.
Which treatment would De MOST appropriate to recommend for the patterns
A) Rifaximin 550mg bid plus lactulose titrated to 2-3 son stools per day
B) Disulfiram 500mg on=e daily plus lactulose titrated to 2-3 soft stools per day
C) Metronidazole 500mg t.i.d.
D) Ciprofloxacin 500mg bid plus lactulose titrated to 2-3 soft stools per day
5. in treating venous thromboembolism, which direct oral anticoagulant would be BEST for maintenance treatment in a 78-yeaf-oia adult who has a creatinine clearance of 23mL/min and weighs less than 60Kg?
A) Rivaroxaban 20mg FO daily
B) Dabigatran I50mg PO b.i.d.
C) Apixaban 5mg PO b.i.d.
D) EdoxaDan 30mg PO daily
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: C |
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