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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions (Q41-Q46):

NEW QUESTION # 41
An 80-year-oia female patient who has a T-score of 2.7 was recently diagnosed with osteoporosis, and me patients physician wants to initiate an oral medication that will help reduce hip fracture risk Which medication would he MO ST beneficial to recommend?

A. Denosumab
B. Ibandronate
C. Raloxifene
D. Alendronate

Answer: B

NEW QUESTION # 42
A 28-year-old, Caucasian male patient who is positive for HIV presents to clinic to initiate antiretrovirals. The physician instructs the patient to get blood drawn for labs, prescribes the following medications, and asks him to return to the clinic prior to starting medications:
abacavir/lamivudine 600/300mg PO daily
darunavir 400mg 2 tablets PO daily
ritonavir 100mg PO daily
For which reason is pharmacogenomic testing for the HLA-B*5701 gene variant indicated for this patient prior to initiation of therapy?

A. To avoid a hypersensitivity reaction secondary to abacavir
B. To avoid Stevens-Johnson syndrome secondary to darunavir
C. To avoid an anaphylaxis reaction secondary to ritonavir
D. To avoid an acute exacerbation of hepatitis secondary to lamivudine

Answer: C

NEW QUESTION # 43
A patient has a past medical history of multiple myeloma, hypertension. hypertipidemia. depression, anxiety, nausea and vomiting, asthma, and eczema which chronic conditions would qualify the patient tor MTM services through Medicare Part D?

A. Asthma, depression, hypertension, and hyperlipidemia
B. Asthma. multiple myeloma, hyperlipemia, and hypertension
C. Asthma, eczema, nauses and vomiting, and anxiety
D. Asthma, anxiety, hypertension, and eczema

Answer: A

NEW QUESTION # 44
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. Decrease their oxycodone quantity and recommend an extended release with naloxone spray
B. Decrease oxycodone quantity and recommend naloxone spray.
C. increase oxycodone quantity and recommend a laxative
D. increase their oxycodone quantity and recommend naloxone spray.

Answer: A

NEW QUESTION # 45
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. John's wort will increase the INR
C. St Jonns wort has to be replaced with gingKo blloba.
D. St John's wort will decrease the INR

Answer: B

NEW QUESTION # 46
......

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