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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Patient Care Advocacy13%- Care coordination and collaboration with providers
- Patient education and communication strategies
- Adherence support and barrier resolution
- Health literacy and cultural competence
Fundamentals of Pharmacogenomics5%- Impact of genetic variations on drug response and metabolism
- Application of pharmacogenomic data in clinical decision-making
- Basic principles of pharmacogenomics
Documentation and Billing7%- Required documentation standards for MTM services
- Coding, billing, and reimbursement rules
- Compliance and regulatory requirements
Defining Medication Therapy Management and Translating MTM into Practice13%- Models and frameworks for delivering MTM services
- Integration of MTM within healthcare systems and practice settings
- Core concepts and definitions of MTM
Pharmacotherapy62%- Patient-specific pharmacotherapy optimization
- Medication safety, drug interactions, and therapeutic alternatives
- Drug selection, dosing, monitoring, and adverse effect prevention
- Disease state management and evidence-based treatment guidelines

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

Question 1

Medicare Advantage plans are evaluated across which five domains under Medicare's 5-star rating system to provide information on plan quality and performance?

A. Staying Healthy. Accuracy of Drug Pricing, Member Experience. Member Appeals, and Health Plan Customer Service
B. Staying Healthy CMR Completion Rate Member Experience Member Appeals and Health Plan Customer Service
C. Staying Healthy. coordination or Care, CMR Completion Rate. Member Experience, and Health Plan customer service
D. Staying Healthy. Management of Chronic Conditions. Member Experience. Member Complaints, and Health Plan Customer Service


Question 2

A patient takes lisinopril 20mg once daily. Which question would BEST evaluate the efficacy of Lisinopril for this patient?

A. "Do you feel like the drug is working?"
B. "Have your symptoms started improving after starting lisinopril?"
C. ''How have your recent wood pressure readings been?"
D. "Is your blood pressure under control with lisinopril?"


Question 3

A 79-year-old patient presents to the pharmacy and complains of dry cough which started last week. The patient has a current medication list that includes: levothyroxine, metoprolol, sertraline, and lisinopril. The patient should be notified that the cough may be a side effect of taking which medication?

A. Sertraline
B. Levothyroxine
C. Lisinopril
D. Metoprolol


Question 4

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


Question 5

A patient who is taking norethindrone 0.35mg daily for contraception is 5 hours late for a dose. How many hours must pass for a dose of norethindrone to be considered MISSED?

A. 24
B. 3
C. 12
D. 6


Solutions:

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

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