PEBC (Collaboration and Team Work) Sample Questions Set-2
Categories: PEBC Canada
Question. CS is a 68-yo male who presented to the ER this morning at 0200 hours with a 2-day history of productive cough with fever. He also complained of shortness of breath. He decided to seek medical treatment because the chest pain and other symptoms were preventing restful sleep. It was decided to admit CS to the hospital with a diagnosis of community-acquired pneumonia. The following antibiotic regimen was ordered: An adult patient with community acquired pneumonia need for hospitalization ward can be guided by?
A) PSI < 91
B) PSI >91
C) > 162
D) < 162
Answer. (b)
Question. Which of the following bacterial infections in pneumonia often require ICU care?
A) S. pneumoniae
B) S. aureus
C) P. aeurigunosa
D) M. Pneumonia
E) H. influenza
Answer. (b)
Question. Which of the following antibiotics has poor activity against S. pneumoniae.
A) Ciprofloxacin
B) Amoxicillin plus Clavulanate
C) doxycycline
D) Cefuroxime
E) Moxifloxacin
Answer. (a)
Question. Ceftriaxone 1 g IV q 12 h and clarithromycin 500 mg po q 12 h. What comment would you make during rounds this morning regarding the dosing of the antibiotics?
I) The ceftriaxone and clarithromycin doses must be reduced based on CS’s estimated renal function.
II) These antibiotics should be given at least 1 hour apart.
III) Ceftriaxone can be given q 24 h for the treatment of community acquired pneumonia.
A) I only
B) III only
c) I and II only
d) II and III only
e) I, II and III
Answer. (b)
Question. Carol Smith, a 29 yo woman presents to a doctor with classic symptoms (dysuria, frequency, urgency) plus pyuria and NO fever. She is otherwise healthy and there are no other medical conditions and medication on her profile. Doctor initiated empiric antibiotic therapy for lower urinary tract infection.
What is correct about empiric therapy of lower UTI?
A) Nitrofurantoin is a reasonable first line treatment choice. It is effective against E. coli and resistance has remained low. It is a narrow spectrum antibiotic that concentrates in the urine.
B) Nitrofurantoin for 3 day of therapy to treat lower UTI
C) TMP/SMX for 7 days of therapy to treat lower UTI
D) Ciprofloxacin 5 days of therapy to treat lower UTI
E) Amoxicillin or cephalexin for 10 days
Answer: (a)
Question. Which of the following antibiotics is LEAST likely used in urinary tract infections?
A) Nitrofurantoin
B) Cephalexin
C) Amoxicillin
D) Moxifloxacin
E) Ciprofloxacin
Answer: (d)
Question. Which of the following antibiotics is contraindicated in renal impairment (CrCl<60mL/min) in UTI?
A) Nitrofurantoin
B) Cephalexin
C) Amoxicillin
D) Moxifloxacin
E) Ciprofloxacin
Answer: (a)
Question. Doctor has initiated empiric therapy TMP/SMX for 3 days of therapy to treat lower UTI. What is the pharmacist's concern?
a) Duration of therapy should be minimum 5 days
B) Duration of therapy should be minimum 10 days
C) TMP/SMX increase resistance of to E. coli
D) There is no indication of TMP/SMX
E) Photo sensitivity of TMP/SMX
Answer: (c)
Question. Carol returns to the clinic 10 weeks later with signs and symptoms of another UTI. The physician asks your opinion on treating her again with another course of TMP/SMX 1 DS tablet tid for 3 days. You reply:
a) That this is probably a reinfection, and therefore, TMP/SMX is appropriate, although you recommend treatment for 14 days.
b) That it is a relapse due to a resistant organism and would recommend treatment with a fluoroquinolone.
c) That this is a reinfection with E. coli and a second course of treatment with 3 days of TMP/SMX should be initiated.
d) That Carol may be a complicated UTI and should be admitted to the hospital for proper workup and IV antibiotics.
e) That Carol appears to be a candidate for long-term prophylaxis with single strength TMP/SMX 3 times a week.
Answer: (c)