PEBC - Therapeutic (Musculoskeletal, Asthma, COPD, Respiratory Tract Infections) Sample Questions Set-1

26 October, 2022

Categories: PEBC Canada

Ques. A patient was prescribed 25 mg methotrexate weekly for control of his rheumatoid arthritis. But the dispensing pharmacist mistakenly labelled it as 25 mg daily. If the patient has already taken 7 days of medicine, what symptoms will appear EXCEPT.

a) Leukopenia

b) thrombocytopenia

c) Constipation

d) Anemia

e) Bone marrow depression

Answer: (c)

Ques. A 55 yo woman indicates that she was just discharged two weeks ago after fracturing her right wrist after a fall at home. She states that she got up at night to use the washroom and tripped over a loose rug. She tried to support herself using her right hand, when she felt severe pain at the wrist. She had difficulty moving her hand and tried applying ice. However, by the next morning her pain was worse and she decided to get help. Now her pain is well controlled at present with medications. Who should have bone mineral density (BMD) testing? Except

A) postmenopausal women and men over age 50

B) Vertebral compression fracture

C) Family history of osteoporotic fracture

D) Systemic glucocorticoid therapy > 3 months duration

E) A person with BMI over 35

Answer: (e)

Ques. Bisphosphonates are the drug of choice in osteoporosis? What is monitored?

I) Joint Pain

II) Calcium levels

III) Vitamin D levels

A) I only

B) III only

C) I and II

D) II and III

E) I, II, III

Answer: (e)

In these questions inclusive refer to the following:

JD is a 67 yo obese patient a regular customer of your pharmacy. Taking therapies for hypertension atenolol 50 mg daily and for diabetes metformin 500 mg daily, and glimepiride 2 mg daily. For the past 2 year, she has been diagnosed with osteoarthritis using PRN acetaminophen up to 4000 mg/day.

Ques. Which of the following is least recommended to JD?

A) Physiotherapy

B) walking

C) walking aids like cane

D) warm compresses

E) weight loss

Answer: (d)

Ques. JDs has recently reported frequent heartburn. Doctor wants to avoid oral NSAIDS to manage her joint pain. What is the appropriate option?

A) consider suggesting high dose of acetaminophen

B) consider suggesting topical NSAIDSPharmacyPREP.com

C) consider suggesting combination of topical and oral NSAIDS

D) consider suggesting duloxetine 30 mg/day

E) consider suggesting opioids 1 to 2 wks

Answer: (e)

Ques. JDs doctor considering intra-articular injections. How many injections per year can be given?

A) 12

B) 6

C) 3

D) 2

E) 1

Answer: (c)

Ques. JDs doctor considering giving duloxetine 30 mg/day because conventional analgesics are not enough to treat her pain? What is incorrect?

A) duloxetine is an antidepressant inhibit central pain pathway

B) duloxetine is SNRI

C) suggest to take with food if nausea is problem

D) Suggest to take fiber and fluids if constipation is problem

E) High dose 120 mg/day offer additional benefits

Answer: (e)

Ques. Osteoarthritis patients using diclofenax gel (Voltaren gel) what risk factors do you consider? Except

A) age >65 yo

B) GI bleeding

C) Renal disease

D) already using NSAIDs

Answer: (a)

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