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NBMTM Board Certified Medication Therapy Management Specialist Sample Questions (Q50-Q55):

NEW QUESTION # 50
A 49-year-ow male patient who has moderate rheumatoid arthritis has experienced an inadequate response to methotrexate treatment Switching to which non-biologic disease-modifying anti-rheumatic drug could increase the patients risk of a gastro intestinal perforation?

A. Golimumab
B. Tofacitinib
C. Leflunomide
D. Etanercept

Answer: A

NEW QUESTION # 51
Which initial regimen would be MOST appropriate for a patient who has a blood pressure or 134/80mmHg and was diagnosed withvasospastic angina?

A. Lisinopril plus nitroglycerin St prn
B. Nitroglycerin SL p.r.n. only
C. MetoprololXL plus nitroglycerin SL p.r.n.
D. Dilltiazem plus nitroglycerin SL p.r.n.

Answer: B

NEW QUESTION # 52
A 45-year-old patient with a history of dyslipidemia, HIV, hypertension, and arthritis presents to the ambulatory care clinic for an MTM session. The patient reports being discharged from the hospital one month ago due to a non-ST-elevation myocardial infarction, for which the patient was recently started on atenolol
25mg and nitroglycerin sublingual tablets, indefinitely. The patient's current medication list now includes:
Lisinopril 40mg PO daily
Simvastatin 40mg PO daily
Dolutegravir 50mg/rilpivirine 25mg PO daily with meal
Ibuprofen 200mg 1 tablet every 8 hours p.r.n.
Atenolol 25mg PO daily
Nitroglycerin tablets p.r.n.
According to current guidelines from the American Heart Association, simvastatin 40mg should be switched to which medication?

A. Atorvastatin 20mg
B. Pravastatin 80mg
C. Rosuvastatin 20mg
D. Lovastatin 80mg

Answer: C

NEW QUESTION # 53
A pharmacist is completing a comprehensive medication review for a new patient wno has started menopause at the MTM clinic. The patient asks for a recommendation because sne is suffering from vaginal dryness.
Cuming, and irritation, and over-the-counter vaginal moisturizers have not relieved the issues Which recommendation would be MOST appropriate for the patient?

A. Estrogen vaginal cream 0 5g vaginally for 2 weeks, then reassess
B. Progesterone 200mg PO QHS for A weeks
C. Conjugated estrogen 0.625mg PO dally indefinitely
D. Conjugated estrogen 0.625mg PO daily and progesterone 200mg PO QHS for A weeks

Answer: A

NEW QUESTION # 54
A physician has diagnosed a patient with Addison's disease but believes the condition may be medication induced, if contained on the patient's current medication list, which of the following would MOST likely be the offending drug responsible for the diagnosis of this condition?

A. indomethacin
B. Sitagtiptin/metaformin
C. Metoprololsuccinate
D. Prednisone

Answer: B

NEW QUESTION # 55
......

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