[2025] Pass NBMTM BCMTMS Exam in First Attempt Easily
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NEW QUESTION # 30
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, eczema, nauses and vomiting, and anxiety
- C. Asthma, anxiety, hypertension, and eczema
- D. Asthma. multiple myeloma, hyperlipemia, and hypertension
Answer: A
NEW QUESTION # 31
A patient who has iron Deficiency anemia presents for a follow-up MTM session. During the session, the pattern states. "I've been very trustrated because I've been taking ferrous sulfate for nearly a year, and my iron level has not improved" " which additional product should me pharmacist recommend that the patient lake to assist with absorption of the iron supplement?
- A. Vitamin C
- B. Niacin
- C. Folic acid
- D. Vitamin B12
Answer: A
NEW QUESTION # 32
Which counseling point is MO ST appropriate Tor a pharmacist to provide to a female patient who is just starting levothyroxine therapy?
- A. "Check your thyroid Hormone levels 4 to 6 weeks after starting this medication "
- B. "Consistently take this medication with either breakfast or dinner."
- C. "Be sure that you are taking an antacid 30 minutes prior to taking this medication."
- D. "immediately discontinue this medication if you become pregnant.''
Answer: A
NEW QUESTION # 33
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/progesterone oral capsule
- B. Estradiol transdermal paten
- C. Conjugated estrogens/medroxyprogesterone oral tablet
- D. Estradiol/levonorgestrel transdermal patch
Answer: C
NEW QUESTION # 34
What are the genes involved in the metabolism pathway or warfarin?
- A. CYP3A4, VKORC1
- B. CYP2C9, VKORC1
- C. CYP2D6, VKORC1
- D. CYP2C19, VKORC1
Answer: D
NEW QUESTION # 35
A 45-year-old male patient who has diabetic peripheral neuropathy is picking up a prescription for pregabalin.
During pick up. the patient reveals working a jobthat requires constant walking the patientexperiences suboptimal reliet of diabetic neuropathy and inquires about over the counter (OTC) pain relief options Which response by thepharmacist would be MOST appropriate?
- A. Use a capsaicin cream.
- B. Use a triple antibiotic ointment
- C. Do not use OTC treatments when taking pregabalin.
- D. Use a topical lidocaine
Answer: A
NEW QUESTION # 36
A patient is participating in an MTM session snares that they are taking hydrocodone/acetaminopen iomg
/325mg four times daily for the last year due to chronic back pain The patient complains of constipation even after taking senna/docusate supplements for the last month and describes bloating, cramps, and an Inability to have a bowel movement for the pant five days Which reaction by the pharmacist to the patients concern would be BEST?
- A. Recommend the patient try a psyllium laxative.
- B. Refer the patient to a physician to rule out a bowel obstruction
- C. Advise the patient to eat more fiber and stay hydrated
- D. Advise the patient 10 try the senna/docusate supplement for a few more weeks.
Answer: C
NEW QUESTION # 37
A patient presents at the pharmacy with concerns about one of their current asthma medications. The pharmacist on shift recommends that the patient reach out to the health insurance company and request a comprehensive medication review from one of its medication therapy management (MTM) pharmacists over the phone. Which benefit is MOST likely recognized by conducting a telephonic MTM review?
- A. The patient can end the MTM session at any time
- B. The patient can have someone else attend the MTM session and relay the information
- C. The session will be much shorter than if it was conducted face-to-face
- D. The session can be scheduled at the patient's convenience and without regard to location.
Answer: D
NEW QUESTION # 38
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
Answer: A
NEW QUESTION # 39
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
Answer: D
NEW QUESTION # 40
Which product provides a patient with highest percentage oi elemental iron?
- A. Ferrous sulfate
- B. Ferrous gluconate
- C. Ferrous sulfate (exsiccated)
- D. Ferrous fumarate
Answer: D
NEW QUESTION # 41
While performing a medication review for a patient who was diagnosed with asthma last year, the pharmacist notes current use of an albuterol inhaler, as needed, which is typically 2 to 4 times per week when the patient's symptoms Hare up. The patient is not Inking any other medicatians for asthma Based on this information, which therapy should the pharmacist recommend to the patient's provider?
- A. Change the albuterol Inhaler to a prednisone burst p.r.n
- B. Change the albuterol inhaler to a formoterol as monotherapy.
- C. Add monteiukast QMS.
- D. Add a budesonide Inhaler b.i.d
Answer: C
NEW QUESTION # 42
A patientis newly diagnosed with ADHD andmuscular dystropny. The patient's physician wants to ado atomoxetine to the patent's treatment regimen Testing mat reveals inepatient is a poor metaholizer ofwhich enzyme would indicate that the medication Should beAVOIDED'?
- A. CYP2DG
- B. CYP2B6
- C. CYP3A4
- D. CYP450
Answer: D
NEW QUESTION # 43
Which reverse-transcriptase inhibitor used in the treatment of hepatitis B virus MUST be taken on an empty stomach (i.e.. more than 2 hours before or after a meal?
- A. Lamivudine
- B. Entecavir
- C. Telbivudine
- D. Adefovir
Answer: B
NEW QUESTION # 44
A 71-year-ow patient who was recently diagnosed withheart failurepresents for a comprehensive medication review. The pharmacist notes that a I of the patient's medications are up to date except eplerenone,which shows as 98 days past due for a refill When the pharmacist inquires about this, the patient responds by saying.
"My insurance does not cover this medication and i cannot afford the cash price " The pharmacist tens the patient spironolactone would be a cheaper option andhas shown to be just as effectivefor heart failure as eplerenone.The patient responds by saying. "Well, can you tell that to my doctor?" Which style of communication shouldthe pharmacist use while calling the patient's prescriber?
- A. Passive-aggressive
- B. Assertive
- C. Passive
- D. Aggressive
Answer: B
NEW QUESTION # 45
Which medication is preferred for healing Helicobacter pylori-negative, NSAlD-induced ulcers?
- A. Clarithromycin
- B. Sucralfate
- C. Omeprazole
- D. Ranitidine
Answer: A
NEW QUESTION # 46
A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?
- A. Bactrim DS
- B. Glipizide
- C. Losartan
- D. Methotrexate
Answer: D
NEW QUESTION # 47
For a patient who has uncomplicated major depressive disorder and no contraindications, which class of antidepressants would TYPICALLY be recommended as first-line therapy?
- A. Tricyclic antidepressants
- B. Serotonin-norepinephrine reuptake inhibitors
- C. Selective serotonin reuptake inhibitors
- D. Norepinephrine and dopamine reuptake inhibitors
Answer: C
NEW QUESTION # 48
A regular patient of the pharmacy presents to pick up the monthly medication refills. During the course or conversation. the patient mentions that the insurance company had requested to set up a review session to go over all current medications, and that a pharmacist at a call center will undertake the review. Which type of MTM service modelIt MOST likely being provided to the patient?
- A. Care teams
- B. Hybrid MTM disease management
- C. Pharmacy-based disease monitoring
- D. Telephonic
Answer: B
NEW QUESTION # 49
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