PEBC (Neurological Drugs & Respiratory Drugs) Sample Questions Set-3
Categories: PEBC Canada
Question. MP is a 77 year old female presented to the emergency department with dyspnea, fever to 103, hypotension and mental status changes. Initial evaluation demonstrates a left lower lobe infiltrates. Additional studies show blood pressure of 90/60, respiratory rate of 34, and pulse of 110. Laboratory parameters include WBC of 2.3, and BUN of 33, with creatinine of 1.3. Pulse oximetry reveals 88% on room air, which comes up to 99% on 4 liters. Based upon the above presentation, which of the following is the most appropriate course of action? (CURB 65)
A) Discharge the patient on oral azithromycin
B) Admit the patient to the general medical ward and begin intravenous doxycycline and azithromycin
C) Admit the patient to the intensive care unit, and begin fluid resuscitation, and intravenous ampicillin-sulbactam and levofloxacin.
D. Admit the patient to the intensive care unit and initiate mechanical ventilation, pressors, and intravenous piperacillin tazobactam
Answer. (c)
Question. After MPs discharge from hospital. His doctor prescribed him tiotropium (Spiriva), but he still has some signs and symptoms of COPD during the day although he is compliant with using his medication. Best therapy as an add on is/are:
I) Add ipratropium to Spiriva for 8 to 10 days
II) Add salbutamol to Spiriva
III. Add inhaled corticosteroid to Spiriva
A) I only
B) III only
C) I and II
D) II and III
E) I, II, III
Answer. (c)
Question. MPs doctor wants to do an assessment for his COPD to assess his condition during an exacerbation. Best monitoring parameters to assess his condition is:
(A) Respirometer and histamine test challenge
(B) Peak flow meter
(C) Arterial blood gas determination
(D) X-ray to the chest
(E) None of the above
Answer. (c)
Question. RKP is a 3-year old boy with moderate persistent asthma who started on a budesonide dry powder inhaler two weeks ago. The patient stopped taking the medication because he did not feel an improvement in symptoms. Which of the following counseling points should the pharmacist review with the patient?
a) The patient is too young to use a dry powdered inhaler appropriately
b) Budesonide should be used only as needed before exercising
c) One way to measure improvement is by using a peak flow meter daily
d) A spacer should be used with the dry powdered inhaler
Answer. (a)
Question. In the assessment of asthmatic condition of a child, what factor is useful?
a) peak flow meter > 5 year age
b) days missed from school
c) Nocturnal symptoms
d) Exercise tolerance
E) All of the above
Answer. (e)
Question. What is the best dosage form for inhalation drugs, in children <5 year age?
A) MDI + aerochamber+ face mask
B) Turbuhaler
C) Diskus
D) handihaler
E) Nebulizer
Answer. (a)
Question. What is incorrect about long-term use of inhaled corticosteroids?
A) Inhaled corticosteroids can slow growth in kids
B) Decrease in height is permanent.
C) The effect on height is dose-related but it seems to occur even with low doses of beclomethasone, budesonide, or flunisolide.
D) Oral fungal infection
E) Inhaled corticosteroids can cause weight loss
Answer. (e)
Question. What is NOT correct about long-term use of oral steroids?
A) Increase risk of osteoporosis and fractures
B) Suggest osteoporosis monitoring
C) Increase fracture risk in seniors
D) Increase risk of cataract
E) Gastritis
Answer. (e)
Question. KT is a 28-year old woman, who is being treated for generalized seizures (simple partial). Presented with a prescription of carbamazepine. Her medical history includes: No allergies and no other medical conditions. Which medication causes tolerance?
a) Carbamazepine
b) Valproic acid
c) Phenytoin
d) Clobazam
Answer. (d)
Question. A patient comes into the pharmacy and falls down; he had a ‘seizure’. What is to be done?
A) Call 911 and see if his wife has coverage
B) Try to keep his mouth open to prevent chalk up.
C) Give chewable tablets of phenytoin
D) Call doctor to get prescription of carbamazepine
E) Call his family to inform his condition
Answer. (b)