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Updated: Jul 03, 2026
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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
1. A physician has diagnosed a patient with Addison's disease but believes the condition may be medication induced, if contained on the patient's current medication list, which of the following would MOST likely be the offending drug responsible for the diagnosis of this condition?
A) Prednisone
B) Metoprololsuccinate
C) indomethacin
D) Sitagtiptin/metaformin
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) Osteoporosis
B) Suicidal ideation
C) Drowsiness. insomnia
D) Stevens-Johnson syndrome (SJS). TEN
3. A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?
A) Ask the patient how they are supposed to take the medication
B) Override the rejection claim and counsel patient to take daily.
C) Call the prescriber and verify the directions of the prescription and diagnosis code.
D) Have the pharmacy technician verify the DUR with the patient.
4. An MTM pharmacist representing a national insurance company calls a patient to provide an annual comprehensive medication review Using the leach hack method, which question would be MOST appropriate for the pharmacist to ask during the session to ensure the patient's understanding?
A) "What Is the best time for the call center to contact you?"
B) "Do you take your medications in the morning?"
C) "What side effects should you watch out for while on the medications?"
D) "Do you know when your next doctors appointment is scheduled for?
5. Which immunosuppressant requires screening for symptoms of post-transplant lymphoproliferative disorders and progressive mulitifocal leukoencephalopathy with counseling and education as pan of a Risk evaluation and Mitigation Strategy?
A) Tacrolimus
B) Belatacept
C) Cyclosporine
D) Azathioprine
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: C |
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