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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Fundamentals of Pharmacogenomics5%- Impact of genetic variations on drug response and metabolism
- Application of pharmacogenomic data in clinical decision-making
- Basic principles of pharmacogenomics
Topic 2: Pharmacotherapy62%- Medication safety, drug interactions, and therapeutic alternatives
- Drug selection, dosing, monitoring, and adverse effect prevention
- Disease state management and evidence-based treatment guidelines
- Patient-specific pharmacotherapy optimization
Topic 3: Defining Medication Therapy Management and Translating MTM into Practice13%- Models and frameworks for delivering MTM services
- Core concepts and definitions of MTM
- Integration of MTM within healthcare systems and practice settings
Topic 4: Patient Care Advocacy13%- Care coordination and collaboration with providers
- Adherence support and barrier resolution
- Patient education and communication strategies
- Health literacy and cultural competence
Topic 5: Documentation and Billing7%- Compliance and regulatory requirements
- Required documentation standards for MTM services
- Coding, billing, and reimbursement rules

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. 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) Apixaban 5mg PO b.i.d.
B) Rivaroxaban 20mg FO daily
C) Dabigatran I50mg PO b.i.d.
D) EdoxaDan 30mg PO daily


2. A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?

A) Atenolol
B) Irbesartan
C) Amiodipine
D) Hydrochlorothiazide


3. Which medication is a first-line biologic for the treatment of psoriasis?

A) Adalimumab
B) Trastuzumab
C) Bavituximab
D) Cetuximab


4. 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) increase their 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) Decrease oxycodone quantity and recommend naloxone spray.


5. A pharmacist is completing a comprehensive medication review for a new patient wno has started menopause at the MTM clinic. The patient asks for a recommendation because sne is suffering from vaginal dryness.
Cuming, and irritation, and over-the-counter vaginal moisturizers have not relieved the issues Which recommendation would be MOST appropriate for the patient?

A) Estrogen vaginal cream 0 5g vaginally for 2 weeks, then reassess
B) Progesterone 200mg PO QHS for A weeks
C) Conjugated estrogen 0.625mg PO dally indefinitely
D) Conjugated estrogen 0.625mg PO daily and progesterone 200mg PO QHS for A weeks


Solutions:

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

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