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Updated: Aug 04, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: 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 2: Documentation and Billing | 7% | - Required documentation standards for MTM services - Coding, billing, and reimbursement rules - Compliance and regulatory requirements |
| Topic 3: Patient Care Advocacy | 13% | - Care coordination and collaboration with providers - Patient education and communication strategies - Health literacy and cultural competence - Adherence support and barrier resolution |
| Topic 4: Fundamentals of Pharmacogenomics | 5% | - Basic principles of pharmacogenomics - Application of pharmacogenomic data in clinical decision-making - Impact of genetic variations on drug response and metabolism |
| Topic 5: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Integration of MTM within healthcare systems and practice settings - Models and frameworks for delivering MTM services - Core concepts and definitions of MTM |
1. Which statement is MOST accurate regarding MTM sessions that are facilitated by a call center and face-to- face sessions in a community pharmacy?
A) Both types of sessions meet the Medicare Part D criteria of being interactive.
B) Sessions facilitated at call centers are completed more quickly than face-to-face sessions.
C) Medicare prefers face-to-face sessions over sessions facilitated at call centers.
D) Face-to-face sessions are more effective than sessions facilitated at call centers.
2. Which intervention is MOST important for the prevention and treatment or COPD?
A) Smoking cessation
B) Pharmacologic treatment
C) Pulmonary rehabilitation
D) Regular physical exercise
3. A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?
A) Drowsiness. insomnia
B) Osteoporosis
C) Stevens-Johnson syndrome (SJS). TEN
D) Suicidal ideation
4. A well-Known patient at the MTM clinic has been recently diagnosed with Parkinson's disease, andthe patient's current medication listnow includes:
* carbidopa/;levodopa 25mg/100mg t.i.d
* ropinirole 0.25mg LLd.
- rerrous suirate 325mg daily
* lisinopril 10mg daily
Based on this medication list, which counseling point would be most appropriate for me patient?
A) A diet highin proteinwin enhance the effectiveness of carbidopa/levodopa
B) Loperamide should be used to treat diarrhea caused by carbidopa/levodopa
C) Ferrous sulfate should he separated from carbidopa/levodopa doses by at least 2 hours
D) Blood pressure should be monitored closely due to risk of hypertension with ropinirole.
5. in treating venous thromboembolism, which direct oral anticoagulant would be BEST for maintenance treatment in a 78-yeaf-oia adult who has a creatinine clearance of 23mL/min and weighs less than 60Kg?
A) EdoxaDan 30mg PO daily
B) Apixaban 5mg PO b.i.d.
C) Dabigatran I50mg PO b.i.d.
D) Rivaroxaban 20mg FO daily
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: B |
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