[2025年11月] 今すぐダウンロード！リアルNBMTM BCMTMS試験問題集テストエンジン試験問題
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質問 # 60
Which phosphodiesterase-5 enzyme inhibitor is indicated for benign prostatic hyperplasia with or without erectile dysfunction?
- A. sildenafil
- B. Vardenafil
- C. Tadatafil
- D. Alprostadil
正解：A
質問 # 61
When establishing an MTM program with a physician's practice, which benefit to the collaboration should the pharmacist highlight to the medical director?
- A. An MTM may be the only source of accurate pharmacotherapy information for physicians.
- B. An MTM provides patients with a person to talk to about concerns.
- C. MTMs allow patients to be reminded of upcoming appointments.
- D. An MTM has the ability to assist in identifying gaps in care.
正解：D
質問 # 62
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. Use a backup birth control method until the ring has been in place for 3 days
- B. Continue using the ring as directed and use a backup birth control during future intercourse
- C. Directions were property followed and continue using the ring as directed.
- D. Use a backup birth control method until the ring has been in place for 7 days.
正解：A
質問 # 63
A 28-year-oict patient is pregnant and has a past medical history of depression, hypertension, and newly diagnosed acid reflux. The patient's current medications include:
* sertraline 50mg daily
* labetalol 20Omg b.i.d.
* lansoprazole DR 30mg daily (newly initiated)
The patient has been crushing sertraline and labetalol due to nausea and associated vomiting episodes. How should the patient be counseled to administer lansoprazole?
- A. Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole at same time as the other crushed medications
- B. Crush the lansoprazole capsule, place it in applesauce or orange juice, and take 30 minutes prior to eating breakfast
- C. Crush the lansoprazole capsule, place it in applesauce or orange juice, and take at same time as the other crushed medications
- D. Open the lansoprazole capsule, sprinkle its contents in applesauce or orange juice, and swallow it whole
30 minutes prior to eating breakfast.
正解：D
質問 # 64
During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?
- A. G6PO
- B. FCER2
- C. TPMT
- D. CFTR
正解：A
質問 # 65
Which reverse-transcriptase inhibitor used in the treatment of hepatitis B virus MUST be taken on an empty stomach (i.e.. more than 2 hours before or after a meal?
- A. Lamivudine
- B. Entecavir
- C. Adefovir
- D. Telbivudine
正解：B
質問 # 66
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. Progesterone 200mg PO QHS for A weeks
- B. Conjugated estrogen 0.625mg PO daily and progesterone 200mg PO QHS for A weeks
- C. Conjugated estrogen 0.625mg PO dally indefinitely
- D. Estrogen vaginal cream 0 5g vaginally for 2 weeks, then reassess
正解：D
質問 # 67
Medicare Advantage plans are evaluated across which five domains under Medicare's 5-star rating system to provide information on plan quality and performance?
- A. Staying Healthy. Management of Chronic Conditions. Member Experience. Member Complaints, and Health Plan Customer Service
- B. Staying Healthy. coordination or Care, CMR Completion Rate. Member Experience, and Health Plan customer service
- C. Staying Healthy. Accuracy of Drug Pricing, Member Experience. Member Appeals, and Health Plan Customer Service
- D. Staying Healthy CMR Completion Rate Member Experience Member Appeals and Health Plan Customer Service
正解：A
質問 # 68
A cardiologist recently made a financial investment and now holds 40% total ownership in a pharmacy. The physician refers an patients who are enrolled in Medicare to that pharmacy and asks the patients to only pick up medications from that pharmacy With regards to laws governing Medicare fraud and abuse, which legislation has been violated by the referring cardiologist^
- A. Criminal Health Care Fraud Statute
- B. Anti-KicKback statute
- C. Stark Law
- D. False Claims Act
正解：B
質問 # 69
When a patient presents with signs and symptoms of diabetic peripheral neuropathy, which lab should be checked prior to starting a patient on pregabalin?
- A. Triiodothyronine
- B. A1C
- C. Alanine transaminase
- D. Serum creatinine
正解：D
質問 # 70
A patient who is taking norethindrone 0.35mg daily for contraception is 5 hours late for a dose. How many hours must pass for a dose of norethindrone to be considered MISSED?
- A. 0
- B. 1
- C. 2
- D. 3
正解：D
質問 # 71
A patient takes lisinopril 20mg once daily. Which question would BEST evaluate the efficacy of Lisinopril for this patient?
- A. "Have your symptoms started improving after starting lisinopril?"
- B. "Is your blood pressure under control with lisinopril?"
- C. "Do you feel like the drug is working?"
- D. ''How have your recent wood pressure readings been?"
正解：A
質問 # 72
A patient who presents at the MTM clinic is 7-weeKs pregnant The patients past medical history includes hypertension, hypothyroidism, asthma, and GERD. and her medication profile includes:
* lisinopril 10mg daily
* levothyroxine 75ncg daily
* famotidine 20mg daily
* budesonide nebulizer 0 25mg b id
Which counseling point is most appropriate to address with the patient during this MTM session?
- A. Discontinue levothyroxine and change to methimazole.
- B. Discontinue famotidine and change to pantoprazole
- C. Discontinue lisinopril and change to nifedipine.
- D. Ensure Tdap. influenza, andMMR vaccinations are current
正解：C
質問 # 73
A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?
- A. Amiodipine
- B. Irbesartan
- C. Atenolol
- D. Hydrochlorothiazide
正解：B
質問 # 74
For a patient who has pulmonary arterial hypertension and acute vasoreactivity, which medication is the preferred treatment?
- A. Metoprolol
- B. Hydrochlorothiazide
- C. Verapamil
- D. Amlodipine
正解：D
質問 # 75
A 45-year-oid patient with a medical history or hypertension. hypercholesterolemia, chronic pain from cancer, and obesity is taking
* phentermine 37 5mg daily
* losartan-HCTZ 50/25 daily
* rosuvastatin 20mg daily
*oxycodone 30mg one tablet dally every 6 hours p.r.n. (#120)
The patient presents to the pharmacy with a prescription of oxycodone 30mg hut two tablets every 6 hours prn tor pain (#240); The pharmacist notices an increase in the dosage of the medication with360MME on this prescription. The patient states that the old dosage was not helping their pain, so the doctor increased the dose.
taking more as needed Tor pain relief. Which of the following recommendations would be best for the pharmacist to present to the patient's prescriber?
- A. increase their oxycodone quantity and recommend naloxone spray.
- B. Decrease their oxycodone quantity and recommend an extended release with naloxone spray
- C. increase oxycodone quantity and recommend a laxative
- D. Decrease oxycodone quantity and recommend naloxone spray.
正解：B
質問 # 76
An 80-year-oia female patient who has a T-score of 2.7 was recently diagnosed with osteoporosis, and me patients physician wants to initiate an oral medication that will help reduce hip fracture risk Which medication would he MO ST beneficial to recommend?
- A. Raloxifene
- B. Alendronate
- C. Denosumab
- D. Ibandronate
正解：D
質問 # 77
Which combination is an integrase-strand-transfer-inhibitor-based regimen used in the treatment of HIV?
- A. Darunavir. ritonavir, tenofovir. emtricitabine
- B. Doravirime. tenofovr. emtricitabine
- C. Darunavir. tenofovir. emtricitabine
- D. Dokjtegravii. lenofovir, emtricitabine
正解：C
質問 # 78
A 79-year-old patient presents to the pharmacy and complains of dry cough which started last week. The patient has a current medication list that includes: levothyroxine, metoprolol, sertraline, and lisinopril. The patient should be notified that the cough may be a side effect of taking which medication?
- A. Lisinopril
- B. Metoprolol
- C. Sertraline
- D. Levothyroxine
正解：A
質問 # 79
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. Face-to-face sessions are more effective than sessions facilitated at call centers.
- B. Both types of sessions meet the Medicare Part D criteria of being interactive.
- C. Medicare prefers face-to-face sessions over sessions facilitated at call centers.
- D. Sessions facilitated at call centers are completed more quickly than face-to-face sessions.
正解：B
質問 # 80
Which class of medications is typically first line in treating eating disorders?
- A. Tricyclic antidepressants
- B. Serotonin and norepinephrine reuptake inhibitors
- C. Mood stabilizers
- D. Selective serotonin reuptake inhibitors
正解：D
質問 # 81
When comparing demographics and other patient characteristics, which group of patients would typically show the LOWE ST rates of medication adherence to statin therapy?
- A. Patients with a previous history of congenital heart disease when compared to those without it
- B. Non-smokers when compared to patients that smoke
- C. Higher-income patients when compared to Medicaid patients
- D. Younger otherwise healthy patients when compared to older patients
正解：D
質問 # 82
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. Ferrous sulfate should he separated from carbidopa/levodopa doses by at least 2 hours
- B. Blood pressure should be monitored closely due to risk of hypertension with ropinirole.
- C. Loperamide should be used to treat diarrhea caused by carbidopa/levodopa
- D. A diet highin proteinwin enhance the effectiveness of carbidopa/levodopa
正解：B
質問 # 83
Which medication is a first-line biologic for the treatment of psoriasis?
- A. Bavituximab
- B. Adalimumab
- C. Trastuzumab
- D. Cetuximab
正解：D
質問 # 84
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