PEBC (Psychiatric and Neurological Drugs) Sample Questions Set-3

7 October, 2022

Categories: PEBC Canada

Ques. KM is a 75 yo woman, frequently forgets daily activities such housekeeping, names of relatives and friends... Doctor diagnosed Alzheimer's. What is the goal of therapy?

A) Delay the time to transfer nursing home facility

B) Decrease mortality

C) Decrease cognitive functions damage

D) Decrease the time for pharmacotherapy

E) Increase medication compliance

Answer: (c)

Ques. A patient wants to stop taking fluoxetine because she continues to have trouble sleeping and does not wish to use a sedative. Which is the best option to improve sleep?

a) Add lorazepam at bedtime

b) Switch to bupropion

c) Switch to moclobemide

d) Switch to mirtazapine

Answer: (d)

Ques. MJ is a 70 year old man. Has been on anti-parkinson's medications levodopa/carbidopa tid. and Furosemide for the treatment of hypertension. He also uses arthritis medicationsn Acetaminophen 650 mg q6h and vitamin B12 injections. Recently he has been diagnosed for urinary incontinence. What is the cause of urinary incontinence?

A) Levodopa/carbidopa

B) Furosemide

C) Acetaminophen

D) Vitamin B12 injection

Answer: (a)

Ques. The doctor prescribes a combination treatment of SSRI+benzodiazepines for which there is a risk for a pharmacokinetic interaction. Which of the following is the best course of action?

A) Recommend avoiding the combination due to the narrow safety margin of SSRI

B) Recommend avoiding the combination due to narrow safety of margin of benzodiazepines

C) Dispense the combination and monitor for increased side effects of SSRI

D) Dispense the combination and monitor for increased side effects of benzodiazepines

Answer: (d)

Ques. A 30 yo maniac patient on lithium 600 mg q8h admitted to hospital with hallucination and disorientation. What is the better explanation or drug related problem?

A) non adherence

B) taking too much medication

C) Taking too little dosePharmacyPREP.com

D) toxicity of lithium

E) Need additional drug therapy

Answer: (e)

Ques. A 25 year old student is taking paroxetine daily for the treatment of depression for the past 3 months. Currently the doctor diagnosed the patient as a maniac. What is appropriate to do?

A) Continue paroxetine and start lithium

B) Discontinue paroxetine and start lithium

C) Continue paroxetine and add haloperidol and lithium

D) Discontinue paroxetine and add haloperidol

E) Increase dose of lithium

Answer: (b)

Ques. A patient with neuropathic pain was prescribed carbamazepine by his doctor, with some relief of his signs and symptoms but with more side effects that are bothering the patient. Which of the following symptoms are not dose dependent?

A) Rash

B) Dizziness

C) visual disturbances

D) GI upset

Answer: (a)

Ques. A 10 years child with ADHD. His doctor diagnosed his condition and prescribed methylphenidate CR capsule 10 mg twice daily. Best thing the pharmacist should do is

A) Call the doctor to switch the patient to methylphenidate CR tab 20 mg/dose since the latter is given in divided doses.

B) Call the doctor to ensure him that methylphenidate CR is given once daily and not twice daily

C) Dispense the prescription as it is

D) Call the doctor to prescribe him methylphenidate since the capsule can be opened and sprinkled on soft foods

E) None of the above

Answer: (b)

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