PEBC (Psychiatric and Neurological Drugs) Sample Questions Set-9
Categories: PEBC Canada
Ques. An elderly patient had a prescription of lorazepam 1 mg as needed for escalation of aggressive, agitated behavior. About 30 min after administration of a dose of the lorazepam, the patient was given clonazepam. Which of the following should be monitored? Except?
A) Disorientation
B) difficulty in walking
C) fall
D) insomnia
E) sedation
Answer: (d)
Ques. A.M. is an 18-year old male who was admitted to the hospital after having his first psychotic break. A.M. 's parents have noticed that he was acting strangely for the last few months. His grades in school had dropped; he was not interested in hanging out with his friends anymore; and he had been fired from his part-time job. Most of A.M.’s time was spent alone in the basement staring blankly at the TV. When it appeared that A.M. was not responding to external stimuli, his parents brought him to the emergency department worried that something is wrong with their son. A.M.’s social withdrawal, as well as his loss of academic and occupational functioning is most consistent with:
a) prodromal phase of schizophrenia
b) depression
c) acute phase of schizophrenia
d) residual phase of schizophrenia
Answer: (a)
Ques. As part of the initial screening of the above patient, it would be important to include :
a. complete blood count and electrolytes
b. urine drug screen
c. urine culture
d. thyroid function test
Answer: (a)
Ques. The most appropriate choice of medication treatment for A.M would be:
a. clozapine
b. olanzapine
c. perphenazine
d. chlorpromazine
Answer: (b)
Ques. Second-generation anti-psychotics as a class offer the following advantage:
a. high D2 blockade
b. dopamine blockade specific to the nigrostriatal and mesocortical areas
c. low ratio of D2:5HT2 blockade
d. rapid dissociation from the serotonin receptor
Answer: (c)
Ques. The efficacy of second-generation antipsychotics as compared to conventional antipsychotics can be summarized as:
a. equally effective for positive symptoms and negative symptoms, less effective for cognitive symptoms and mood symptoms
b. equally effective for positive, negative, cognitive and mood symptoms
c. equally effective for positive symptoms, more effective for mood and cognitive symptoms and less effective for negative symptoms
d. equally effective for positive symptoms, more effective for negative, cognitive and mood symptoms
Answer: (d)
Ques. Which of the following second-generation agents is most likely to cause prolactin elevation?
a. Risperidone
b. olanzapine
c. Quetiapine
d. clozapine
Answer: (a)
Ques. The propensity of second generation agents to cause weight gain can be ordered as follows:
a. clozapine>Risperidone>Quetiapine>olanzapine
b. olanzapine>clozapine>Risperidone>Quetiapine
c. risperidone>Quetiapine>olanzapine>clozapine
d. clozapine>Olanzapine>Quetiapine>Risperidone
Answer: (d)