PEBC (Psychiatric and Neurological Drugs) Sample Questions Set-12
Categories: PEBC Canada
In these questions inclusive refer to the following:
KM is a 66-year-old female who visits your pharmacy. She arrives at your pharmacy to refill her prescriptions. She is currently taking levodopa/carbidopa 100/25 five times daily, bromocriptine 5 mg qid, and selegiline 5 mg q 12 h. KM tells you that she has been well, except for some difficulty sleeping.
Ques. What should you recommend to KM?
a) Ensure that selegiline is taken early in the day
b) Ensure that the last dose of levodopa is taken to no later than 6 pm
c) Suggest that you could recommend that her physician switch from bromocriptine to ropinirole
d) Ensure that she avoids foods with high tyramine content, such as red wine and smoked meats.
Answer: (a)
Ques. KM turns one month later with a new complaint. She tells you that she has noticed that she is often light-headed when she arises from sitting or lying down. What might be causing this problem for KM?
a) Progression of PD
b) Levodopa therapy
c) Bromocriptine therapy
d) All of the above
Answer: (d)
Ques. Which of the following is a reasonable strategy for dealing with KM’s problem?
a) The use of a salt substitute
b) Fluid restriction
c) Fludrocortisone therapy
d) All of the above
Answer: (a)
Ques. Which of the following medications is/are approved for postherpetic neuralgia (PHN)?
a. Gabapentin
b. Amitriptyline
c. Lidocaine patch 5%
d. All of the above
Answer: (d)
Ques. Which of the following agents is indicated for the treatment of trigeminal neuralgia?
a. Topiramate
b. Gabapentin
c. Carbamazepine
d. Phenytoin
Answer: (c)
Ques. Which of the following antidepressants is most effective in the treatment of neuropathic pain?
a. Amitriptyline
b. Fluoxetine
c. Paroxetine
d. citalopram
Answer: (a)
Ques. A patient using phenytoin for the six months reported swollen gum, which of the following is the appropriate recommendation.
A) Mouth hygiene
B) Refer to dentist
C) Recommend oral mouth hygiene
D) Recommend toothpaste