PEBC (Psychiatric and Neurological Drugs) Sample Questions Set-1
Categories: PEBC Canada
Ques. PK is a 80 year-old woman with osteoporosis, osteoarthritis, chronic UTIs, essential tremor, and mild cognitive impairment, who has recently been diagnosed with depression with anxious features. Current medications include calcium with D 500 mg/400 IU tid, alendronate 70 mg weekly, and prn acetaminophen extra strength. Which of the following is a most likely antidepressant to give PK?
a. Citalopram and sertraline
b. Sertraline and Paroxetine
c. Paroxetine and Fluoxetine
d. Venlafaxine and Duloxetine
e. Amitriptyline and bupropion
Answer: (a)
Ques. You see PK two months later. She reports that some depressive symptoms have improved, but she is still rather anergic and doesn’t yet feel like her old self. What is the best course of action?
a. Begin augmentation therapy with aripiprazole
b. Begin augmentation therapy with bupropion
c. Begin augmentation therapy with quetiapine
d. Switch to lithium
Answer: (c)
Ques. SD is a 59 year old retired person. Frequently visit to his family doctor for difficulty in sleep. Which of the following patient assessments is LEAST important for insomnia? Patient denies taking alcohol, smoking and watching TV.
A) Total sleep time
B) Sleep latency
C) Early and/or frequent awakening
D) Alcohol consumption
E) Daytime impact of sleeping problem
Answer: (d)
Ques. SDs doctor considering prescribing medication for insomnia. Which of the following medications have fast onset of action and least hangover?
A) Zopiclone
B) Lorazepam
C) Oxazepam
D) Diazepam
E) Clonazepam
Answer: (a)
Ques. MJ is a 41 years old chronic alcoholic male, no known allergies, past medical history: Anxiety, difficulty sleeping. Current medications: triazolam 0.5 mg qhs x 3 years and acetaminophen/caffeine/codeine (Tylenol #1) – ii prn headache. You notice that this patient has been coming in early for refills for triazolam and has received extra prescriptions for this medication from many walk-in clinics. Patient approaches you and states that he is concerned about his triazolam usage, so he stopped using it 24 hours ago. He asks you what the most common withdrawal symptoms will be:
A. Diarrhea, shakes and chills
B. Insomnia, muscle spasms and irritability
C. Increased headache, fatigue and nausea
D. Seizures, delirium, and hallucinations
Answer: (b)
Ques. KD is a 65 yr female patient of osteoarthritis on acetaminophen 650 mg qid ask for 120 tab of Tylenol # 1 recommended by the doctor she is already on an increased dose so what is the main concern of the pharmacist. Her lifestyle includes daily drinks 2 to 3 wines.
I) Overdose of acetaminophen
II) Constipation
III) Narcotic regulations
A) I only
B) III only
C) I and II only
D) II and III only
E) I, II, III
Answer: (c)
Ques. Factors contributing to acetaminophen overdose and liver toxicity include?
I) ingesting more than the maximum recommended total daily dose (4 g in 24 hours),
II) taking multiple acetaminophen formulations for different conditions or symptoms.
III) consuming three or more alcoholic drinks per day while taking acetaminophen.
A) I only
B) III only
C) I and II only
D) II and III only
E) I, II, III
Answer: (e)
Ques. If IBs doctor considering to prescribe diclofenax gel (Voltaren gel) what risk factors you consider? Except
A) age >65 yo
B) GI bleeding
C) Renal disease
D) if already using NSAIDs
Answer: (a)