PEBC (Therapeutic) Sample Questions Set-5
Categories: PEBC Canada
Question. Mr. TM brings in a prescription of doxazosin to be started at 1 mg daily and increased to 2 mg daily in two weeks. You would provide the following information:
a) Doxazosin can frequently cause sexual dysfunction
b) Doxazosin is being titrated up slowly to help minimize the side effects arising from lowered blood pressure
c) Doxazosin will take three to six months to have an effect
d) Doxazosin will reverse BPH and decrease prostate size
e) None of the above
Answer: (b)
Question. PT is a 77- year old man with moderate symptoms of BPH who was diagnosed eight years ago. He has been reluctant to take any medications for this as he feels he is able to cope and has made lifestyle adjustments for this “disease of old age”. His physicians have suggested he start therapy and also told PT that he may have to undergo surgery due to the large size of the prostate. PT would like to delay surgery as long as possible, and present it to your pharmacy to discuss in more detail the medications used in BPH. PT’s only other medication is atenolol 50 mg daily for treatment of his hypertension. What may be the most suitable drug to be added to PT’s current medication?
a) doxazosin
b) finasteride
c) prazosin
d) terazosin
Answer: (b)
Question. PT returns to your pharmacy with a prescription for finasteride 10 mg daily. Which of the following would you do?
a. fill the prescription as written and reassure him of the benefits this medication can provide
b) do not fill the prescription as written; instead, you contact the prescriber to suggest a lower dose
c) do not fill the prescription as written; instead you contact a prescriber to report a drug interaction with atenolol
d) fill the prescription as written, but call the prescriber to suggest lowering the dose of atenolol to 25 mg daily.
Answer: (b)
Question. Three months later, PT presents to your pharmacy with a prescription for another agent for treatment of his BPH. He states that side effects of the previous therapy were not tolerable. What are the most common side effects that cause patients to discontinue finasteride?
a) low blood pressure resulting in dizziness and light-headedness
b) headaches
c) impotence and ejaculation abnormalities
d) constipation and abdominal cramping
e) nasal congestion or rhinitis
Answer: (c)
Question. A patient with a shingle. In which factor is least likely to be referred to his doctor?
a. 70 year old of age
b. with severe pain
c. single spread to eye
d. HIV positive
Answer: (a)
Question. Which of the following statements is true about the varicella vaccinations of 18 month children?
a. at this age it should not be given
b. given to 3 yr old
c. given 3 times
d. children 12 months to 12 years of age should receive a single 0.5ml dose administered sc.
Answer: (d)
Question. A baby had fever of viral origin all except:
a) give him acetaminophen five doses/day
b) give him acetaminophen not more than eight doses/day
c) avoid to much clothes
d) do not wake him up during the night to give him acetaminophen doses except if he had febrile seizures before
Answer: (b)