PEBC (Collaboration and Team Work) Sample Questions Set-1
Categories: PEBC Canada
Question. RKP is a 65 year old patient being treated with warfarin to prevent blood clots may be prescribed diclofenac and misoprostol combination (Arthrotec) by another specialist to treat arthritis. If taken together, the patient could experience internal bleeding. Upon reviewing the patient's prescriptions, the pharmacist notes the potential drug interaction and contacts the prescriber to alert him/her to the problem. Pharmacist evaluating a patient's planned drug therapy before a medication is dispensed is involved in?
A) Prospective drug utilization review
B) Retrospective drug utilization review
C) Reactive drug utilization review
D) Common Drug Review
E) Med Review
Answer. (a)
Question. Patients in long term health care settings often receive multiple medications. Periodic review of patient records can detect actual or potential drug-drug interactions or duplicate therapy. This type of review can also alert the pharmacist to the need for changes in medications such as antibiotics or the need for dosage adjustments based on laboratory test results. The key physician must then be alerted to the situation so that corrective action can be taken. If pharmacists review patient pharmacy profiles during the course of treatment and alert physicians about drug-drug interactions, duplicate therapy, over utilization, or excessive or insufficient dosing. This type of review is?
A) Prospective drug utilization review
B) Retrospective drug utilization review
C) Reactive drug utilization review
D) Common Drug Review
E) Med Review
Answer. (c)
Question. An analysis of member prescription utilization may identify a group of patients whose therapy does not meet approved guidelines. Upon review the pharmacist may identify a group of patients with asthma who, according to their medical and pharmacy history, should be using orally inhaled steroids. Using this information, the pharmacist can then encourage physicians to prescribe the indicated drugs. Which category of drug utilization review is this?
A) Prospective drug utilization review
B) Retrospective drug utilization review
C) Reactive drug utilization review
D) Common Drug Review
E) Med Review
Answer. (b)
Question. A patient is on phenelzine for the past 3 mo. currently looking for OTC nasal congestion. What is the best action to do?
A) Pseudoephedrine
B) Codeine syrup
C) Dextromethorphan
D) Desloratadine
E) Xylometazoline
Answer. (d)
Question. Cystic fibrosis (can cause shortness of breath or difficulty in breathing) clinic should be invited all, except?
A) Physiotherapy
B) Respiratory Therapist
C) Physician
D) Occupational therapist (rehabilitation, speech pathology, home assessment).
E) Nurse practitioner
Answer. (a)
Question. Laura Woods, a clinical pharmacist who visits primary care physicians for academic detailing meetings, she presents charts and evidence information in inhalation therapy in COPD? What is incorrect therapeutic action for COPD management?
A) Short acting bronchodilators as needed used for mild COPD
B) If COPD persist long acting bronchodilators like tiotropium is added
C) If COPD persist add long acting beta agonist to tiotropium
D) In COPD inhaled corticosteroids are used for patient FEV1 <50% coexistence of asthma or more than exacerbation of asthma.
E) None of the above
Answer. (e)
Question. Acute exacerbation of COPD patients, with simple low risks, what is NOT an antibiotic regimen? Which of the following antibiotics has poor activity against S. pneumoniae.
A) Ciprofloxacin
B) Amoxicillin
C) doxycycline
D) Cefuroxime
E) Clarithromycin
Answer. (a)
Question. Acute exacerbation of COPD patients, high risk patients, increased dyspnea, increased sputum volume and increased sputum purulence continue after 3 days of initial antibiotics. What are the best antibiotic options? Except (patient used clarithromycin < 3 mo, or patient is using statins)
A) Amoxi/clav
B) Moxifloxacin
C) Levofloxacin
D) Clarithromycin
E) doxycycline
Answer. (d)
Question. Acute exacerbation of COPD severe dyspnea, increase sputum production doctor will initiate anti-inflammatory drugs like?
A) Prednisone 7 to 10 days
B) Inhaled corticosteroids
C) Iv antibiotics
D) In bronchodilators
E) Combination of LABA and Tiotropium
Answer. (a)
Question. Patient using inhaled corticosteroids for long term treatment of COPD, have all the following side effects, except
A) skin bruising
B) decreased BMD
C) Increased risk of pneumonia
D) Cataract or glaucoma
E) Gait
Answer. (e)