PEBC (Psychiatric and Neurological Drugs) Sample Questions Set-5
Categories: PEBC Canada
Ques. MK is a 32 year old woman who has been a customer at your pharmacy for some time. Currently she is using citalopram 40 mg daily for the past 6 months. She came to pick up her refill. She was a little concerned about her therapy. Recently she was reading health Canada warning and advisories on Citalopram > 40 mg have QT prolongation side effects. What is your appropriate response?
A) advise patients to discontinue citalopram and contact the doctor.
B) advise patient to reduce the dose to half
C) advise the patient to continue her therapy until consult her doctor.
D) Tell that she can use it until the drug is withdrawn from the market.
E) Advise patient to get a new prescription
Answer: (c)
Ques. MK asks the pharmacist if she is concerned that she gets any heart problem from citalopram use? What is the appropriate response?
A) some people may get the side effects of the drug
B) Since you have already been taking this medication for the past 6 months, you may NOT get the side effects.
C) Side effects of SSRIs occur within the first 1 to 2 weeks of drug initiation.
D) If you notice any symptoms of palpitation or heart rhythm changes please contact your doctor.
E) QT prolongation only occurs if more than 40 mg of citalopram.
Answer: (d)
Ques. A physician prescribed alprazolam 0.5 mg SL 3 tab. Repeat 5 times. What is correct?
A) Prescription is NOT valid
B) Prescriptions is forged
C) Prescription should not contain repeats
D) prescription is valid
E) the prescription is NOT allowed
Answer: (d)
Ques. The pharmacist fills a prescription for sumatriptan 100 mg tablets for a patient with migraine. Appropriate information to provide to the patient includes which of the following?
a) If the sumatriptan does not relieve the headache within four hours, ergotamine may be used.
b) If no relief is achieved in two hours, sumatriptan may be repeated.
c) If the headache is relieved but another headache occurs eight hours later, sumatriptan may be used for the second headache.
d) The maximum dosage in any 24 hour period is six tablets.
e) If relief is not achieved, no other medication can be used for 24 hours.
Answer: (c)
Ques. A 30-year-old patient, is currently on antidepressant treatment, 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. MD is a 40-year-old woman who has recently been diagnosed with panic disorder. She describes to you the very frightening episodes she has experienced over the last six months. She was convinced she had a serious heart problem, but has been assured by her doctor that she is physically healthy. She is obviously very anxious, fidgeting with her purse, looking around to see who may also be in the pharmacy. Upon questioning, you found out that she has been having trouble concentrating and sleeping and that she is very worried about having another attack. Which of the following medications would be the best choice, as a single agent, for immediate relief of MD’s symptoms?
a. Buspirone
b. Desipramine
c. Alprazolam
d. Fluoxetine
Answer: (c)
Ques. A 53-year-old lady came to the pharmacy with a prescription for Wellbutrin 150 mg SR. Her profile shows that she was on Wellbutrin 150mg XL. The pharmacist asked the patient whether she is aware of any changes that her doctor made for her therapy, and she replied that nothing her doctor told her about that. The best action the pharmacist should do is:
A. Dispense Wellbutrin 150mg SR since there is no difference between the two
B. Dispense Wellbutrin XL as in her profile
C. Call the doctor to see if he has intended to change XL to SR
D. Give the generic bupropion SR
E. None of the above
Answer: (c)
Ques. A patient was taking fluoxetine for about 4 months. She is bringing a new RX for moclobemide. What should you do about this new RX?
a) Call the Dr. and say this new RX will not work because it has the same effect as fluoxetine
b) Fluoxetine should be stopped 2 weeks before starting moclobemide
c) Ask Dr. to prescribe a MAO inh instead of moclobemide
d) Fill the RX and tell pt. to stop fluoxetine
Answer: (b)