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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. Which laxative do current guidelines recommend as first-line treatment for constipation-predominate irritable Dowel syndrome?

A) Sennosides/docusate
B) Magnesium citrate
C) Psyllium husk
D) Bisacody1 suppository

2. The physician or a 73-year-oid patient recommended mat the patient begin taking an iron supplement. The patients current medication list includes:
* omeprazole 40mg daily
* warfarin 4mg daily
* metformin 500mg b.i.d
* simvastatin 40mc q.p.m
* llsinopril 10mg daily
Which of the patient's rredications is MOST likely to interfere with absorption of any iron supplement?

A) Warfarin
B) Simvastatin
C) Omeprazole
D) Lisinoprll

3. What are the genes involved in the metabolism pathway or warfarin?

A) CYP2D6, VKORC1
B) CYP3A4, VKORC1
C) CYP2C9, VKORC1
D) CYP2C19, VKORC1

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) Decrease their oxycodone quantity and recommend an extended release with naloxone spray
C) increase oxycodone quantity and recommend a laxative
D) Decrease oxycodone quantity and recommend naloxone spray.

5. A patient completed a genetic test that was requested by a pharmacist. and the results showed that the pattern is a poor metabolizer of CYP2C19 if the patient has history of acute coronary syndrome, which medication should he avoided in the patient's treatment regimen due to a black box warning?

A) Lisinopnl
B) clopidogrel
C) Ticagretor
D) Losartan

Solutions: