PEBC (Cardiovascular and Metabolic Syndrome) Sample Questions
Categories: PEBC Canada
Ques. MJ is a 62 year old woman who has been a customer at your pharmacy for many years. MJ comes to pick her new prescription glargine (lantus). She is currently using regular insulin at bedtime. Her doctor advised her to continue regular insulin and a new prescription of glargine. When she asked about mixing glargine and regular insulin the same syringe. The pharmacist should buy the product.
A) Stable if administered immediately and may be premixed and stored in refrigerator for upto 7 days
B) Have not been studied when administered together
C) Should never be mixed in the same syringe
D) Mixing regular and glargine insulin increase risk of cancer side effect
E) If you are using regular and glargine, always choose insulin pen devices.
Answer: (c)
Ques. MK is an 80 year old patient recently diagnosed with recurrent paroxysmal atrial fibrillation (two or more episodes are termed as recurrent). His doctor informed him that even recurrences of atrial fibrillation can lead to thromboembolism and have an enormous amount of stroke risk. MKs current medical conditions include hypertension, high LDL, hypothyroidism and asthma. Currently he is on Canadesartan/hydrochlorothiazide 16 mg/12.5 mg, atorvastatin 40 mg, levothyroxine 0.25 mcg, salbutamol 1 puff prn, fluticasone inhaler bid. What is appropriate for all patients to prevent stroke associated with atrial fibrillations?
A) anticoagulants therapy
B) antiplatelet therapy
C) ratre control drugs such as digoxin, beta-blockers, verapamil, and/or diltiazem.
D) rythm control drugs such as amiodarone or dronedarone
E) dual antiplatelet therapy
Answer: (a)
Ques. MKs doctor is considering initiating dronedarone therapy to maintain sinus rythm. Like amiodarone, dronedarone blocks sodium, calcium, and potassium myocardial currents, providing both rhythm and rate control. Which of the following is NOT the side effect of dronedarone?
A) pulmonary fibrosis
B) hypothyroidism
C) vision changes
D) skin discolouration
E) all of the above
Answer: (e)
Ques. Which of the following drugs would cause drug induced atrial fibrillation?
A) amiodarone
B) dronedarone
C) salbutamol
D) hydrochlorothiazide/candesartan
E) Metoprolol
Answer: (c)
Ques. A52-year-old female patient on omeprazole, iron supplements, ASA 81 mg, she got deep vein thrombosis, was admitted to the hospital and was given a thrombolytic agent. Doctor considering adding antiplatelets dose. What antiplatelet is suitable?
A) clopidogrel
B) increase ASA dose to 325 mg
C) ASA+Dipyradamole
D) GP IIb/IIIa inhibitors
Answer: (b)
Ques. Which of the following proton pump inhibitors is suitable in patients receiving clopidogrel?
A) omeprazole
B) lansoprazole
C) Pantoprazole
D) esomeprazole
Answer: (c)
Ques. A 16-year-old high school student currently on insulin treatment for his type I diabetes. Current reading for insulin for a patient is:
At 7 am 12 units NPH (70/30), 6 units regular insulin
At 5 pm 12 units NPH (70/30), 6 units regular insulin
Reading at 7 am (2-3 mmol/L)
Reading at 5 pm (2-3 mmol/L)
Target blood sugar levels (5.8 mmol/L) should be between 5 am to 7 pm. What would you do?
A) Decrease both time NPH (basal) and maintain regular (prandial) insulin
B) Decrease regular insulin, increase NPH
C) Increase NPH morning and evening, decrease regular
D) No changes necessary
Answer: (a)
Ques. Concomitant use of diuretics and ACEI, especially in whom diuretic therapy was recently instituted, may experience hypotension effects after the first dose of ACEI. This can be minimized by:
a) Discontinue ACEI
b) loop diuretics
c) Discontinue diuretics
d) Discontinue diuretic for few days
e) All of the above
Answer: (d)
Ques. You are a new pharmacist practicing in a community pharmacy setting. A patient John Mikhel, comes into the pharmacy to get a new prescription filled for Dimicron MR 30 mg (glicalizide), In checking her patient profile, you learn that she is long-time patron of the pharmacy., is 60 yo, is 6'.1 tall and weighs 200 lbs. His father passed away at a young age by juvenile diabetes (type I DM) He has a refill history for Rosuvastatin that indicates a pattern of late refills, in fact, the last refill should have run out of two weeks ago. She got a new prescription for ramipril filled three weeks ago and one for clarithromycin two weeks ago. The rosuvastatin, ramipril and Dimicron MR (gliclizide) are prescribed by Dr AM and the clarithromycin by Dr. PM. What additional information should be obtained from John in future interactions? Except?
A) Obtain information of current prescription and non-prescription medication to ensure the profile is complete.
B) Obtain information of chronic use of medications
C) Assess understanding about acute care medications
D) Possible presence of other medical problems that are not being treated or his physician is unaware of
E) None of the above
Answer: (e)
Ques. What barrier do you think might keep you from getting a complete picture of her medication therapy?
A) Lack of self confidence and anxiety of her father death with type I DM
B) Environmental barrier because he is tall
C) Administrative barrier at pharmacy
D) Poor communication skills of patient
E) Pharmacist barrier
Answer: (a)