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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Fundamentals of Pharmacogenomics | 5% | - Basic principles of pharmacogenomics - Impact of genetic variations on drug response and metabolism - Application of pharmacogenomic data in clinical decision-making |
| Topic 2: Documentation and Billing | 7% | - Coding, billing, and reimbursement rules - Required documentation standards for MTM services - Compliance and regulatory requirements |
| Topic 3: Pharmacotherapy | 62% | - 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 |
| Topic 4: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Integration of MTM within healthcare systems and practice settings - Core concepts and definitions of MTM - Models and frameworks for delivering MTM services |
| Topic 5: Patient Care Advocacy | 13% | - Adherence support and barrier resolution - Health literacy and cultural competence - Care coordination and collaboration with providers - Patient education and communication strategies |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
Question 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/progesterone oral capsule
B. Estradiol/levonorgestrel transdermal patch
C. Estradiol transdermal paten
D. Conjugated estrogens/medroxyprogesterone oral tablet
Question 2
Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?
A. Directions were property followed and continue using the ring as directed.
B. Use a backup birth control method until the ring has been in place for 7 days.
C. Use a backup birth control method until the ring has been in place for 3 days
D. Continue using the ring as directed and use a backup birth control during future intercourse
Question 3
When a researcher performs a study and concludes that there is a difference, but no actual difference exists, which kind of error has occurred?
A. Type II
B. Type I
C. Alternative hypothesis
D. False negative
Question 4
A pharmacist may utilize which technique to optimize time allocated to MTM services?
A. Utilize pharmacy interns to finalize a comprehensive medication review in the OutcomesMTM platform.
B. Have a pharmacy technician or other support personnel perform the medication therapy review process
C. Streamline the SOAP process oy restricting documentation to valid positive test results.
D. Have support personnel print off a patient's medication lists from claims data for review prior to a comprehensive medication review
Question 5
Which initial regimen would be MOST appropriate for a patient who has a blood pressure or 134/80mmHg and was diagnosed withvasospastic angina?
A. Nitroglycerin SL p.r.n. only
B. Dilltiazem plus nitroglycerin SL p.r.n.
C. Lisinopril plus nitroglycerin St prn
D. MetoprololXL plus nitroglycerin SL p.r.n.
Solutions:
| Question 1 Answer: D | Question 2 Answer: C | Question 3 Answer: B | Question 4 Answer: D | Question 5 Answer: A |








