PEBC (Therapeutic) Sample Questions Set-11
Categories: PEBC Canada
Question. A 30 year old woman currently on iron supplements to anemia. She is currently using ibuprofen for dysmenorrhea pain, glyburide for diabetes type II, ciprofloxacin for UTI infections. Iron may decrease the absorption of which of the following medications?
a. Ramipril
b. Atenolol
c. Ciprofloxacin
d. Ibuprofen
e. Glyburide
Answer: (c)
Question. Which of the following antineoplastic agents causes nephrotoxicity?
A. Cisplatin
B. Vincristine
C. Doxorubicin
D. Carmustine
E. Bleomycin
Answer: (a) and (d)
Question. MG requests a refill for her prescription of Marvelon 21 (desogestrel/ethinyl estradiol), that she has taken for several years. MG tells the pharmacist that she is getting married in two weeks and has calculated that her period will likely start the day before her wedding. MG asks the pharmacist to suggest a way to delay her period so that it will not coincide with her wedding and honeymoon trip. Appropriate counseling information by the pharmacist includes which of the following?
a. Take 1 tablet every second day for the next 2 cycles (42 consecutive days), followed by 7 days pill-free, and then resume her regular schedule.
b. Take 1 tablet daily for the next 2 cycles (42 consecutive days), followed by a 7 days pill-free period, and then resume her regular schedule.
c. Take 2 tablets daily for the next 21 days, followed by a 30-day pill-free period, and then resume her regular schedule.
d. Take 1 tablet of erythromycin 250 mg together with each tablet of the oral contraceptive daily, for 1 week prior to her wedding and during the honeymoon period, and then resume her regular schedule.
e. Take 1 tablet daily for one week, followed by a pill-free period for the second week and alternate in this manner for the duration of the honeymoon period, and then resume her regular schedule.
Answer: (b)
A 25-year-old man with asthma presents to the physician's office complaining of palpitations, insomnia, and irritability over the last week. His medical history is significant for chronic steroid-dependent asthma. He has been admitted to the hospital 3 times during the last year for asthma exacerbations. He required intubation during 2 of these admissions. His history also is significant for gastroesophageal reflux and tennis elbow.His current medications include theophylline 400 mg twice daily, prednisone 20 mg daily, albuterol inhaler as needed, salmeterol inhaler twice daily, and fluticasone inhaler twice daily. He is also taking an OTC reflux medicine, but he is unable to remember the name since he only started taking it a week ago. During the physical examination, the physician orders laboratory tests to measure the level of theophylline in his blood. The laboratory immediately calls the physician because the lab results show that the patient's level is extremely elevated. The physician is surprised by this news because the level was within normal limits the previous month. The only identifiable change that the physician can note is the addition of the OTC Reflux medicine. That he is unable to name. The physician wonders which medication could have caused such an elevation in theophylline level.
Question. Which reflux medicine is likely to have caused this reaction?
I) Cimetidine
II) Ranitidine
III) antacids
(A) I only
(B) III only
(C) I and II
(D) II and III
(E) All of the above
Answer: (a)
Question. Which of the following is the most potent H2 inhibitors may include:
a) Famotidine
b) Cimetidine
c) Ranitidine
d) Nizatidin
e) Promethazine
Answer: (a)
Question. A patient diagnosed with gastrointestinal tract complications ulcers. The risk of having ulcers is bigger in people having which of the following conditions:
a) Smokers
b) Chronic alcoholics
c) NSAID long-term treatment
d) Corticosteroids long-term treatment
e) All are correct
Answer: (e)
Question. A doctor wants advice on ranitidine. What is true about the advantages of ranitidine over cimetidine?
A) Ranitidine is more potent than cimetidine
B) Ranitidine has less drug interactions.
C) Cimetidine decrease liver microsomal enzymes
D) A, B and C are correct
E) None of the above
Answer: (d)
Question. Patient coming to take an early refill from lorazepam 14 tabs (repeat), because he is going away and he had his last refill 6 days ago, 14 tabs once daily. Still 8 tablets left. What you should do to a patient who has a history of alcoholism.
a. Do not give him
b. Give him for he has right for refills
c. Give him 14 tab (one refill) only
d. Call doctor to ask him for authorization
Answer: (c)