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NBMTM BCMTMS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Fundamentals of Pharmacogenomics5%- Basic principles of pharmacogenomics
- Impact of genetic variations on drug response and metabolism
- Application of pharmacogenomic data in clinical decision-making
Topic 2: Patient Care Advocacy13%- Health literacy and cultural competence
- Patient education and communication strategies
- Care coordination and collaboration with providers
- Adherence support and barrier resolution
Topic 3: Defining Medication Therapy Management and Translating MTM into Practice13%- Core concepts and definitions of MTM
- Integration of MTM within healthcare systems and practice settings
- Models and frameworks for delivering MTM services
Topic 4: Pharmacotherapy62%- Disease state management and evidence-based treatment guidelines
- Drug selection, dosing, monitoring, and adverse effect prevention
- Patient-specific pharmacotherapy optimization
- Medication safety, drug interactions, and therapeutic alternatives
Topic 5: Documentation and Billing7%- Coding, billing, and reimbursement rules
- Required documentation standards for MTM services
- Compliance and regulatory requirements

NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:

1. A60-year-old female patent who is postmenopausal and underwent a hysterectomy 10 years ago is unable to tolerate vasomotor symptoms and vaginitis due to menopause, and the patient would like to go on hormone replacement therapy Which medication therapy would be most appropriate FIRST step for this patient?

A) Estradiol/levonorgestrel transdermal patch
B) Estradiol/progesterone oral capsule
C) Estradiol transdermal paten
D) Conjugated estrogens/medroxyprogesterone oral tablet


2. A 56-year-oid patient with a history of diabetes, hypertension, hypercholesterolemia, and asthma calls the pharmacy regarding message she has received. The medication list includes:
* metformin FR 6O0mg b.I.d
* glipizide 10mg bid
* lisinopril 40mg daily
* atorvastatin 40mg daily
* Tresiba 200units/mi_ 60 units sc hs
* semaglutide 0.5mg sc weekly
* Humalog 100units/mL 20 units Lid. before meals
* budesonide/formoterol 80/4.5 1 puff twice daily
The patient states that the can was regarding refills on their medications in which they decided to refill everything but their insulins. The patient states they have plenty of insulin, and they do not need any at the moment Which of the following questions would the BEST for the pharmacist lo ask using the motivational interviewing techniques to determine the patient's adherence to their insulins?

A) "Do you remember to take your insulin?"
B) "How are you taking your insulin'"
C) "Do you have concerns about the cost-effectiveness of diabetic medications?"
D) "Where else are you getting your insulin?"


3. Which medication is a first-line biologic for the treatment of psoriasis?

A) Bavituximab
B) Adalimumab
C) Cetuximab
D) Trastuzumab


4. A pharmacist is providing a race-to-face MTM session to a patient that the pharmacist has not seen for 5 years. The session lasts for 45 minutes which group of CPT codes should the pharmacist submit for billing?

A) 99605, 99607, 99607
B) 99605, 99606, 99606
C) 99605, 99606, 99607
D) 99606, 99607, 99607


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

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


Solutions:

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

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