PEBC - Therapeutic (Musculoskeletal, Asthma, COPD, Respiratory Tract Infections) Sample Questions Set-4
Categories: PEBC Canada
Ques. A 60 year old female type 2 diabetes patient the past 25, his DM is controlled Metformin 500mg TID and other medical conditions include atherosclerotic heart disease, pacemaker X 18 years Diltiazem CD 240 mg daily hypertension X 18 years, controlled Furosemide 40 mg daily peripheral vascular disease with frequent foot problems. She is allergic to sulfa drugs While refilling a prescription in your pharmacy, she asks for magnesium sulphate crystals for her usual daily foot soaks and corn plasters for her corns as she has been experiencing pain and swelling in her feet. When questioned as to when she last inspected her feet, she could not remember. Which of the following statements about foot ulcer prevention in diabetic foot problems is TRUE?
a) she should continue to soak her feet daily to soften the corns for easier removal.
b) she should inspect her feet daily to look for open wounds and signs of infection.
c) she should apply a new corn plaster daily for pressure relief.
d) she should apply an emollient to both feet, including in between the toes.
Answer: (b)
Ques. The following monitoring parameters is/are important in diabetic Neuropathic pain:
I) Insomnia and depression
II) Disability
III) Serum levels
(A) I only
(B) III only
(C) I and II
(D) II and III
(E) All of the above
Answer: (c)
Ques. A patient admitted to hospital with a non-healing ulcer of several months duration. Foot lesion is now black in colour and painful radiography and metal probe to bone suggests a diagnosis of osteomyelitis. What bacterial organism is MOST prevalent in diabetic foot infections?
a) Staphylococcus aureus
b) Staphylococcus epidermidis
c) Klebsiella species
d) Clostridium species
Answer: (a)
Ques. What would be the MOST appropriate therapy?
a) Amoxicillin/Clavulanic acid
B) Cephalexin
c) Ciprofloxacin OR 3rd gen/Clindamycin
d) Gentamicin
Answer: (c)
Ques. A 9-year old patient with moderate persistent asthma started on a budesonide dry powder inhaler two weeks ago. The patient stopped taking the medication because he did not feel an improvement in symptoms. Which of the following counseling points should the pharmacist review with the patient?
a. the patient is too young to use a dry powdered inhaler appropriately
b. budesonide should be used only as needed before exercising
c) one way to measure improvement is by using a peak flow meter daily
d) a spacer should be used with the dry powdered inhaler
Answer: (c)
Ques. Which of the following should be considered when selecting therapy for a child with asthma?
a. the child’s age
b. side effect profile
c. dosage form available
d. all of the above
Answer: (d)
Ques. In the assessment of asthmatic condition of a child, what factor is useful?
a. peak flow meter
b. days missed from school
c. nocturnal symptoms
d. exercise tolerance
E) none
Answer: (c)
Ques. Patient was using salbutamol 2 puffs qid prn, budesonide (Pulmicort) 100 microgram 1 puff BID. Patient increased the frequency of using salbutamol what will the pharmacist do
a. see profile to check dose
b. tell the patient to contact Dr
c. suggest Dr to increase dose of budesonide (Pulmicort)
d. all of the above
Answer: (d)
Ques. What is incorrect about long term use of inhaled corticosteroids?
A) inhaled corticosteroids can slow growth in kids
B) decrease in height is permanent.
C) The effect on height is dose-related but it seems to occur even with low doses of beclomethasone, budesonide, or flunisolide.
D) Oral fungal infection
E) inhaled corticosteroids can cause weight loss
Answer: (e)
Ques. What is NOT correct about long term use of oral steroids?
A) Increase risk of osteoporosis and fractures
B) Suggest osteoporosis monitoring
C) Increase fracture risk in seniors
D) Increase risk of cataract
E) gastritis
Answer: (e)