PEBC (Psychiatric and Neurological Drugs) Sample Questions Set-6

7 October, 2022

Categories: PEBC Canada

Ques. KP is a 30 year old patient who 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. You were told by the same patient that she once was on an antidepressant that caused her limbs to jerk at night. Which antidepressant is most likely to cause this problem?

a) Mirtazapine

b) venlafaxine

c) bupropion

d) moclobemide

Answer: (d)

Ques. Venlafaxine was omitted for 10 days for a 78 year old patient. The order was inadvertently crossed off from medication administration records and subsequently not transcribed on transfer to chronic care. Patient experienced all of the following, except?

A) nausea and vomiting

B) Delirium

C) Flu like symptoms

D) Insomnia

E) Tremors

Answer: (e)

Ques. A nurse had an order to administer a 200 mg depot injection of zuclopenthixol decanoate. She had no previous experience with the drug and misunderstood the vial’s label. Instead of giving the patient his usual dose of 1ml of a 200mg/ml solution, she interpreted the entire vial to contain 200mg. Five times the normal dose was given (the vial was only half full). The patient may experience the following?

A) unpleasant extra pyramidal symptoms

B) suicidal symptoms

C) disorientation

D) Insomnia

E) none of the above

Answer: (a)

Ques. Which of the following can be crushed and chewed?

A) Dutasteride

B) Ibandronate

C) Duloxetine

D) Divalproex

E) ASA 80 mg

Answer: (e)

Ques. JM is 75 year old diagnosed with Alzheimer’s disease and diastolic dysfunction, his current medication include donepezil 10mg QD, furosemide 40mg QD, verapamil SR QD. Jims father and mother both have suffered Alzheimer's in their old age. Symptoms of Alzheimer’s disease, all EXCEPT:

A) Slurred speech

B) Delay cognitive functions detritions

C) Fatigue

D) Dementia

E) Loss of memory

Answer: (c)

Ques. All of the following are the risk factor of Alzheimer’s disease, EXCEPT

a) Female gender

B) Family history

C) Age

D) Emotional stress

E) None of the above

Answer: (d)

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)

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