PEBC (Therapeutic) Sample Questions Set-4

1 November, 2022

Categories: PEBC Canada

Question. A patient with trigeminal neuralgia was prescribed carbamazepine (CBZ) by his doctor, with some relief of his signs and symptoms but with more side effects that are bothering the patient. To manage the side effect, his doctor should:

I) Reduce the dose of CBZ

II) Give oxcarbazepine

III) Reduce the dose of CBZ and add baclofen

A) I only

B) III only

C) I and II

D) II and III

E) I, II, III

Answer: (d)

Question. Which of the following agents is the best indicated for the treatment of trigeminal neuralgia?

a. topiramate

b. Gabapentin

c. carbamazepine

d. phenytoin

e. Duloxetine

Answer: (c)

Question. Which of the following antidepressants is most effective in the treatment of neuropathic pain?

a) amitriptyline

b. fluoxetine

c) paroxetine

d. citalopram

e. Duloxetine

Answer: (a)

Question. A 69 year old male who is being treated for chronic cancer pain with 15 mg of SR morphine at 6 AM and 6 PM. He is complaining of significant breakthrough pain which wakes him up at about 4 AM and another pain 3 PM, using as rescue doses of immediate release morphine. His pain is well controlled throughout the rest of the day. How should morphine regimen should change:

A) Reduce the dose interval of SR morphine to q8h

B) No need to change, as rescue doses continue to be taken as needed

C) Increase the dose of immediate release morphine

D) Increase dose of SR morphine to 30 mg q 12 hours.

E) Do not change SR morphine and add liquid morphine PRN for breakthrough pain.

Answer: (b)

Question. Which of the following counseling is important when a patient who has been given opioid for the first time:

A) Double of dose if needed

B) Do not drink alcohol while taking this medication

C) Take medication with full glass of water

D) Do not takes this medication with any other medication

Answer: (b)

Question. A 25 years old woman comes to your pharmacy to get something for head ache. Currently she is acetaminophen tab 500 mg for headache however, she says she need something strong medications. All are true about Symptoms of tension headache includes all of the following except:

a. patient feels pressure like headache and neck stiffness

b. patient has depression

c. patient is anxious, irritated and has fever

d. it is treated by ibuprofen 400 mg

Answer: (c)

Question. Mr. TM is a 67-year old man who presents to your pharmacy asking about what he can do to help treat his “prostate problem”. After asking some questions and some discussion, you determined that he was diagnosed with BPH two months ago and was prescribed no treatment. He has mild, infrequent symptoms, occasional frequency and nocturia, without any dysuria. He wonders if he should be receiving medications for treatment of BPH. He continues to be sexually active and wants to avoid therapies that may affect his sexual function.

In Mr TM’s case, the lack of treatment for his BPH:

a. is completely inappropriate and he should seek a second opinion

b. is for only six months and he should be starting on drug therapy in four months

c. is due to his concerns of sexual function, since all drugs for BPH affect sexual function

d. may be appropriate since he has mild symptoms

e. none of the above

Answer: (d)

Question. What nonpharmacologic advice can you provide to Mr TM regarding BPH?

a. drink plenty of fluids, especially cranberry juice

b. limit his intake of alcohol and caffeine-containing beverages, especially at night

c. increase his regular exercise level, to help decrease his blood pressure and also decrease BPH symptoms

d. limit sexual activity to avoid aggravating BPH symptoms

Answer: (b)

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