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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Documentation and Billing7%- Coding, billing, and reimbursement rules
- Required documentation standards for MTM services
- Compliance and regulatory requirements
Patient Care Advocacy13%- Adherence support and barrier resolution
- Patient education and communication strategies
- Health literacy and cultural competence
- Care coordination and collaboration with providers
Pharmacotherapy62%- Patient-specific pharmacotherapy optimization
- Medication safety, drug interactions, and therapeutic alternatives
- Disease state management and evidence-based treatment guidelines
- Drug selection, dosing, monitoring, and adverse effect prevention
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
Fundamentals of Pharmacogenomics5%- Application of pharmacogenomic data in clinical decision-making
- Impact of genetic variations on drug response and metabolism
- Basic principles of pharmacogenomics

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. Which initial regimen would be MOST appropriate for a patient who has a blood pressure or 134/80mmHg and was diagnosed withvasospastic angina?

A) Lisinopril plus nitroglycerin St prn
B) Nitroglycerin SL p.r.n. only
C) Dilltiazem plus nitroglycerin SL p.r.n.
D) MetoprololXL plus nitroglycerin SL p.r.n.


2. Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?

A) Directions were property followed and continue using the ring as directed.
B) Continue using the ring as directed and use a backup birth control during future intercourse
C) Use a backup birth control method until the ring has been in place for 3 days
D) Use a backup birth control method until the ring has been in place for 7 days.


3. Which class of medications is typically first line in treating eating disorders?

A) Selective serotonin reuptake inhibitors
B) Tricyclic antidepressants
C) Mood stabilizers
D) Serotonin and norepinephrine reuptake inhibitors


4. A patient w a past medical history significant for schizopnrenia is being evaluated forlong-acting injectable (LAI) therapy. The patient is taking 3mg of paliperidone daily and has no concerns tor theuse of LAls After completing the initial titration schedule, which maintenance dose of the intramuscular formulation of paliperidone would be BEST for the patient every 4 weeks?

A) 234mg
B) 156mg
C) 78mg
D) 117mg


5. 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) Ciprofloxacin 500mg bid plus lactulose titrated to 2-3 soft stools per day
C) Disulfiram 500mg on=e daily plus lactulose titrated to 2-3 soft stools per day
D) Metronidazole 500mg t.i.d.


Solutions:

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

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