PEBC (Therapeutic) Sample Questions Set-14
Categories: PEBC Canada
Question. A 49 year old woman is taking levothyroxine, after a few months his serum TSH levels decrease to 0.1 mU, what to do?
A) Decrease dose of levothyroxine
B) Increase dose of levothyroxine
C) Stop for 2 wks and start
D) Stop for 5 wks and discontinue
E) Stop for 1 week levothyroxine
Answer: (a)
Question. A 53 year-old lady came to the pharmacy with a prescription for Wellbutrin 150mg SR (bupropion). Her profile shows that she was on Wellbutrin 150mg XL. The pharmacist asked the patient whether she is aware of any changes that her doctor made for her therapy, and she replied that nothing her doctor told her about that. The best action the pharmacist should do is:
a) Dispense Wellbutrin 150 mg SR since there is no difference between the two
b) Dispense Wellbutrin XL as in her profile
c) Call the doctor to see if he has intended to change XL to SR
d) Give the generic Bupropion SR
e) None of the above
Answer: (c)
Question. A 56 yo woman receiving prescription therapy propyl thiouracil, for hyperthyroidsim, what is true?
I) the drug is used in treatment of hypothyroidism
II) if she wants to be pregnant she must consult her physician
III) fever or sore throat has been reported during low WBC caused by the drug
A) I only
B) III only
C) I and II only
D) II and III
E) I, II, III
Answer: (d)
Question. If the doctor is considering adding Lugol's solution. Which of the following are the auxiliary labels of Lugol’s I2 solution
I) lugol solution dose 2-6 drops po tid (6.3 mg/drop
II) Taken internally
III) Protect from light and Stains skin and clothes
A) I only
B) III only
C) I and II only
D) II and III only
E) I, II, III
Answer: (e)
Question. A 44 yo patient just had gastric bypass and was told by her doctor she can't eat any solids for at least another week. The only way she currently gets nutrition is through a protein shake? Doctor prescribed omeprazole 40 mg daily capsule?
What is appropriate to do? Patient insurance does not cover Nexium and Protonix pockets.
A) recommend patient to mix omeprazole in protein shake
B) recommend patient to mix omeprazole in applesauce
C) recommend patient to change to Nexium
D) recommend patient to dissolve in water and swallow whole
E) None of the above
Answer: (d)
Question. SN is a 27-yo female who presents to the clinic complaining of greenish nasal discharge, facial pain, tooth pain, fever, chills, and a cough. What is the mostly likely cause of SN’s sinusitis?
a) Streptococcus pneumoniae
b) Virus
c) Staphylococcus aureus
d) Moraxella cattarhalis
e) Anaerobe
Answer: (a)
Question. Doctor diagnosed with peptic ulcer disease due to H. Pylori infection. His doctor prescribed him the following medicines.
Omeprazole 20mg BID x 7 days
Clarithromycin 250 mg BID x 7 days
Amoxicillin 1g BID x 7 days.
What is the pharmacist’s appropriate action?
A) Dispense as written
B) The appropriate dose of clarithromycin is 500 mg BID x 7 days.
C) Ask the patient to take all medicines on an empty stomach.
D) Dispense and counsel patient to take omeprazole bid, clarithromycin bid, and amoxicillin bid
Answer: (b)
Question. A 75 years old patient was discharged after cataract surgery. Patient has renal disease. His doctor wants to discharge him and to prescribe a fluoroquinolone with higher activity against gram-positive organisms and does not renal dose adjustment Best recommendation the physician should do is;
a) Prescribe ciprofloxacin drop 7-10days.
b) Moxifloxacin 7-10 days
c) Ofloxacin drop 7-10 days
d) Ciprofloxacin oral 500mg q 12 hours 7-10 days
e) None of the above
Answer: (b)
Question. A patient who looks somewhat depressed approaches the prescription counter. 'boy, I can't believe what is happening to me, I went to the doctor because I was feeling kind of low. She gave me a prescription for zopiclone. It certainly helps me sleep, but I still feel depressed. Did you ever wonder if life was worth the hassle? How would you respond to this person?
A) patient is mentally ill
B) patient is certain stereotype
C) patient need multiple contact to develop trusting healthcare
D) educate patient about depression disorders
E) recommend self care and lifestyle modifications
Answer: (c)