PEBC (Neurological Drugs & Respiratory Drugs) Sample Questions Set-1
Categories: PEBC Canada
Question. JP is a 35 year old female presented to her doctor with undesirable symptoms for the past 6 months such as throbbing, pulling, creeping, watering down through her leg and unpleasant sensations in her legs specially occurring in the evening and in sleep at night. This causes her to be restless and wakes up several times at night. Based on signs and symptoms JP doctor diagnosed her condition as restless leg syndrome and prescribed pramipexole 0.125 mg hs.
All of the non pharmacological measures recommended, except?
A) hot baths, stretching, moderate exercise
B) playing cards, video games, and crossword puzzles
C) gambling and hyper sexuality
D) walking and stretching exercise
E) avoid alcohol, caffeine, and smoking
Answer. (c)
Question. If a doctor prescribed a non ergotamine selective dopamine agonist, pramipexole 0.125 mg hs daily. What is incorrect?
A) Pramipexole is taken 2 hours before the onset of symptoms and increase every 2-3 days to effectiveness
B) For evening symptoms, a dose can be taken late afternoon.
C) dopamine agonist are associated with nauseas, sedation and lightheadedness
D) pramipexole and ropinirole is used for treatment for intermittent symptoms of restless leg syndrome.
E) pramipexole and ropinirole are more frequently associated with sudden onset of sleep attack at higher doses.
Answer. (d)
Question. If JPs doctor considers prescribing gabapentin to treat restless leg syndrome in the event of intolerability to dopamine agonist or RLS symptoms augmentation. What is incorrect about gabapentin?
A) gabapentin major side effects include drowsiness and gait in elderly
B) gabapentin has NO evidence of use in restless leg syndrome treatment
C) gabapentin is effective to treat painful restless leg syndrome
D) gabapentin is no interactions with oral contraceptive pills
E) gabapentin are taken two hours apart from antacids
Answer. (b)
Question. KT is a 30 year old female with an active lifestyle. Past few months she has been complaining of severe numbness in her right leg that causes her collapse, balance problems and unsteadiness when walking. Her neurological symptoms were steadily progressive. However her cognitive, visual and emotional responses are normal. After several laboratory tests such as rheumatoid factor, C-reactive protein, antinuclear antibody and complete neurological exam. Her condition was diagnosed as multiple sclerosis. To improve symptoms like stretching exercise to manage spasticity and gait disturbances by non pharmacological measure of multiple sclerosis. Which healthcare professionals may collaborate?
A) physiotherapist
B) dietician
C) nurse practitioner
D) chiropractor
E) psychiatrist
Answer. (a)
Question. Although there is no known cure for multiple sclerosis, several disease modifying therapies have been shown to reduce the rate or relapse, number severity, and duration of attacks of multiple scelrosis. What are treatment options for multiple sclerosis?
a) interferons beta
B) glatiramer
C) Mitoxantrone
D) Natalizumab
E) All of the above
Answer. (e)
Question. JD is a 65 yo patient with type 2 diabetes. His current CrCl <30 ml/min. Patient reports severe burning, pin feeling and numbness in his limbs. Doctor considering prescribing What is the DOC for neuropathic pain?
A) Nortriptyline
B) Gabapentin
C) Pregabalin
D) Carbmazepine
E) Duloxetine
Answer. (a)
Question. JD doctor prescribed carbamazepine 100 mg daily. After a few weeks JD returns to your pharmacy and says he has some relief of his signs and symptoms but with more side effects that are bothering the patient. Which of the following symptoms are not dose dependent?
A) Skin Rash
B) Dizziness
C) visual disturbances
D) GI upset
Answer. (a)
Question. Which of the following antidepressants is most effective in the treatment of post herpetic neuralgia, and diabetic neuropathic pain?
a. Amitriptyline
b. Fluoxetine
c. Paroxetine
d. Citalopram
Answer. (a)
Question. Which of the following DOES NOT have any value in the treatment of symptoms of trigeminal neuralgia.
A) Carbamazepine
B) Capsaicin
C) Meloxicam
D) Duloxetine
E) Pregabalin
Answer. (c)
Question. MK is a 22 year old female with a 6 month history of pulse type headache, pain is unilateral lasting anywhere from a few hours to one to two days. Other symptoms include nausea and vomiting. MK has an active lifestyle. Do all of the following increase the severity of her headache? Except
A) bicycling
B) known dietary trigger
C) light
D) application of ice
E) noisy room
Answer. (d)