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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Practice and Communication | 25% | - Communicate effectively with healthcare team members - Adhere to legal, regulatory, and ethical standards - Maintain continuing education and competency - Utilize technology and documentation systems - Apply reimbursement principles for MTM services |
| Topic 2: Medication Therapy Management (MTM) Care Plan Development | 30% | - Address polypharmacy and medication optimization - Recommend evidence-based pharmacotherapy - Develop individualized medication therapy care plans - Establish therapeutic goals with measurable outcomes |
| Topic 3: Patient Education and Follow-up | 20% | - Provide patient-centered counseling on medications - Promote adherence and self-management strategies - Modify care plans based on patient response - Schedule and conduct follow-up assessments |
| Topic 4: Patient Assessment and Documentation | 25% | - Identify drug therapy problems - Review and interpret patient data for MTM eligibility - Document patient encounters appropriately - Gather patient-specific information (medical history, current medications, lab results) |
1. Which class of medications is typically first line in treating eating disorders?
A) Serotonin and norepinephrine reuptake inhibitors
B) Tricyclic antidepressants
C) Selective serotonin reuptake inhibitors
D) Mood stabilizers
2. A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?
A) Call the prescriber and verify the directions of the prescription and diagnosis code.
B) Have the pharmacy technician verify the DUR with the patient.
C) Ask the patient how they are supposed to take the medication
D) Override the rejection claim and counsel patient to take daily.
3. 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 decrease the INR
C) St. John's wort will increase the INR
D) St Jonns wort has to be replaced with gingKo blloba.
4. 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) Niacin
B) Folic acid
C) Vitamin B12
D) Vitamin C
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) Ciprofloxacin 500mg bid plus lactulose titrated to 2-3 soft stools per day
B) Metronidazole 500mg t.i.d.
C) Rifaximin 550mg bid plus lactulose titrated to 2-3 son stools per day
D) Disulfiram 500mg on=e daily plus lactulose titrated to 2-3 soft stools per day
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: C |
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Board Certified Medication Therapy Management Specialist
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