PEBC - Therapeutic (Musculoskeletal, Asthma, COPD, Respiratory Tract Infections) Sample Questions Set-8
Categories: PEBC Canada
Ques. Albert Wang, a 68-yo male who presented to the ED this morning at 0200 hours with a 2 day history of productive cough with fever. He also complained of shortness of breath. He decided to seek medical treatment because the chest pain and other symptoms were preventing restful sleep. It was decided to admit Albert to the hospital with a diagnosis of community-acquired pneumonia. The following antibiotic regimen was ordered: Ceftriaxone 1 g IV q 12 h and clarithromycin 500 mg po q 12 h. What comment would you make during rounds this morning regarding the dosing of the antibiotics?
I) The ceftriaxone and clarithromycin doses must be reduced based on Albert’s estimated renal function.
II) These antibiotics should be given at least 1 hour apart.
III) Ceftriaxone can be given q 24 h for the treatment of community acquired pneumonia.
A) I only
B) III only
C) I and II
D) II and III
E) I, II, III
Answer: (b)
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. Patients come for refills of ibuprofen and salbutamol prn. Using increased frequency of salbutamol what will the pharmacist recommend?
a) do not exceed the dose prescribed by the Dr. If difficulty of breathing persists, contact your physician.
b) advise Dr. to give mefenamic acid instead of ibuprofen
c) tell the patient to see the doctor for further assessment
d) all of the above
Answer: (d)
Ques. chronic obstructive pulmonary disease (COPD) which parameters you will measure to assess the disease or treatment progress
a) a thorough history of the patient including environmental factors, cigarette smoking, occupational exposure
b) physical examination like signs of hyperinflation, airflow obstruction, chronic hypoxemia and pulmonary hypertension
c) laboratory tests like CBC, chest radiography, spirometry before and after bronchodilation, pulse oximetry, arterial blood gases, alpha antiprotease level
d) sputum production, dyspnea, exercise capacity, frequency of exacerbation
e) All of the above
Answer: (e)
Ques. A patient with rheumatoid arthritis, her doctor prescribed for him MTX in divided oral dosage of 2.5 mg at 12 hrs interval of 3 doses given as a course once weekly. In his profile the patient was using ibuprofen 600 mg twice daily. The following are correct except:
a) The dose of methotrexate in cancer treatment is given once week
b) Doses of MTX used for rheumatoid arthritis are higher than those used for psoriasis
c) Full dose of MTX is given in pts with CrCL >80
d) MTX is Contraindicated in pregnancy
e) MTX is Contraindicated in breastfeeding women
Answer: (a)
Ques. Methotrexate cause all except
a. Conjunctivitis
b. Ulcer in mouth
c. Hepatotoxicity
d. Gastric intolerance
e. Renal toxicity
Answer: (a)
Ques. Rheumatoid arthritis which parameters you will measure for assessment of treatment
a. duration of morning stiffness (yes)
b. number of painful and tender joints(yes)
c. number of swollen joints(yes)
d. range of joint motion(yes)
e. All of the above
Answer: (e)
Ques. Therapeutic response to methotrexate in patients with rheumatoid arthritis is usually observed within
a. one hour, if administered intravenously
b. 3-6 hours
c. 3-6 weeks
d. 3-6 days
e. 3-6 months
Answer: (c)