- Exam Code: BCMTMS
- Exam Name: Board Certified Medication Therapy Management Specialist
- Updated: Aug 21, 2026
- Q & A: 103 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Documentation and Billing | 7% | - Required documentation standards for MTM services - Coding, billing, and reimbursement rules - Compliance and regulatory requirements |
| Topic 2: Defining Medication Therapy Management and Translating MTM into Practice | 13% | - Core concepts and definitions of MTM - Integration of MTM within healthcare systems and practice settings - Models and frameworks for delivering MTM services |
| Topic 3: Patient Care Advocacy | 13% | - Patient education and communication strategies - Adherence support and barrier resolution - Health literacy and cultural competence - Care coordination and collaboration with providers |
| Topic 4: Pharmacotherapy | 62% | - Medication safety, drug interactions, and therapeutic alternatives - Drug selection, dosing, monitoring, and adverse effect prevention - Patient-specific pharmacotherapy optimization - Disease state management and evidence-based treatment guidelines |
| Topic 5: 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 |
1. What are the genes involved in the metabolism pathway or warfarin?
A) CYP2C19, VKORC1
B) CYP2D6, VKORC1
C) CYP2C9, VKORC1
D) CYP3A4, VKORC1
2. Which class of medications is typically first line in treating eating disorders?
A) Selective serotonin reuptake inhibitors
B) Mood stabilizers
C) Serotonin and norepinephrine reuptake inhibitors
D) Tricyclic antidepressants
3. Which guideline BE ST describes a daily nutrient goal for a patient who is following the DASH diet?
A) Saturated fat intake should be no more than 17% of total daily calories
B) Protein intake should De at least 55% of total daily calories.
C) Fiberintake should be between Gg and 10g daily
D) Sodium intake should be no more than 2300mg daily
4. The physician or a 73-year-oid patient recommended mat the patient begin taking an iron supplement. The patients current medication list includes:
* omeprazole 40mg daily
* warfarin 4mg daily
* metformin 500mg b.i.d
* simvastatin 40mc q.p.m
* llsinopril 10mg daily
Which of the patient's rredications is MOST likely to interfere with absorption of any iron supplement?
A) Omeprazole
B) Lisinoprll
C) Warfarin
D) Simvastatin
5. A patient was referred by a cardioiogist and is currently taking pitavastatin 2mg 4 times per week. This close is the maximum tie patient can tolerate after failing atorvastatin and rosuvastatin due to statinintolerance The most recent LDL indicates thatthe patient needs to reduce LOL choleslerol level The patientis on a fixed income due to a recentlayoff Which of the following pharmacotherapy changes would beBEST to recommend?
A) Add airocumab 75mg/mL subcutaneous every 2 weeks
B) Change pltavastatin to pravastatin 20mg dally.
C) Change the frequency of pravastatin to once daily
D) Add ezetimioe iomg dairy
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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