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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
1. A patient is currently taking cyciosporine as a propnyiaxis for organ rejection following a kidney transplant.
Combination use of which medication could increase cyciosporine concentration and increase the risk of toxicity to the patient1?
A) Losartan
B) Diltiazem
C) Lisinopril
D) Metoprotol
2. A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?
A) Drowsiness. insomnia
B) Suicidal ideation
C) Stevens-Johnson syndrome (SJS). TEN
D) Osteoporosis
3. Which guideline BE ST describes a daily nutrient goal for a patient who is following the DASH diet?
A) Saturated fat intake should be no more than 17% of total daily calories
B) Fiberintake should be between Gg and 10g daily
C) Sodium intake should be no more than 2300mg daily
D) Protein intake should De at least 55% of total daily calories.
4. A patient who practices the Muslim faith and cannot consume pork-based products presents to the pharmacy and asks. "What: should I be on the lookcut for when buying an over-the-counter omega-3 fatty acid capsule'" Which response by a pharmacist would be MOST appropriate'?
A) "All omega-3 Tatty acids are derived from pork-based ingredients, so they should be avoided completely."
B) "Omega-3 ratty acid capsules do not contain any pork-based ingredients, so you can purchase them without any issue."
C) "Omega-3 fatty acids are very important for your heart, and you should take them regardless of your religious beliefs "
D) "Omega-3 fatty acid capsules may contain a pork-based gelatin, so let me confirm which non-gelatin- based options we have available.'
5. A patient presents to his scheduled appointment Tor face-to-face MTM with a pharmacist. The patient has a list of personal medications and bottles of over-the counter herbal supplements Upon review ol the entire medication checklist the pharmacist wants to educate the patient on managing the drug interaction that was found between warfarin and SI John's won supplement What would be the BEST approach to guide the patient in managing the drug interaction?
A) St John's wort should be OK as long as the physician is aware
B) St Jonns wort has to be replaced with gingKo blloba.
C) St John's wort will decrease the INR
D) St. John's wort will increase the INR
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: D |
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