Online Access Free BCMTMS Practice Test

A 28-year-old, Caucasian male patient who is positive for HIV presents to clinic to initiate antiretrovirals. The physician instructs the patient to get blood drawn for labs, prescribes the following medications, and asks him to return to the clinic prior to starting medications:
abacavir/lamivudine 600/300mg PO daily
darunavir 400mg 2 tablets PO daily
ritonavir 100mg PO daily
For which reason is pharmacogenomic testing for the HLA-B*5701 gene variant indicated for this patient prior to initiation of therapy?

• A.To avoid an anaphylaxis reaction secondary to ritonavir
• B.To avoid Stevens-Johnson syndrome secondary to darunavir
• C.To avoid a hypersensitivity reaction secondary to abacavir
• D.To avoid an acute exacerbation of hepatitis secondary to lamivudine

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.Suicidal ideation
• D.Stevens-Johnson syndrome (SJS). TEN

A male patient who was recently diagnosed with prostatitis was prescribed levofloxacin 500mg PO daily.
Which counseling point would be MOST important for a pharmacist to provide lo the patient?

• A.Avoid drinking milk within 2 hours or taking levofloxacin.
• B.Take levofloxacin with an iron supplement
• C.Consume meals nigh in Tat for the duration of therapy.
• D.Avoid grapefruit juice for the duration of therapy

A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?

• A.Bactrim DS
• B.Glipizide
• C.Methotrexate
• D.Losartan

When establishing an MTM program with a physician's practice, which benefit to the collaboration should the pharmacist highlight to the medical director?

• A.MTMs allow patients to be reminded of upcoming appointments.
• B.An MTM may be the only source of accurate pharmacotherapy information for physicians.
• C.An MTM has the ability to assist in identifying gaps in care.
• D.An MTM provides patients with a person to talk to about concerns.