PEBC (Collaboration and Team Work) Sample Questions Set-3
Categories: PEBC Canada
Question. A 68-year-old man with type 2 diabetes who visits your pharmacy complaining that he can’t see the blood glucose readings on his meter. In 2003 his vision was blurry, so he visited his optometrist to get new glasses. His optometrist referred him directly to the emergency department because he has severe bilateral diabetic retinopathy. Since that visit he has had several laser treatments and surgeries on both eyes. He is now essentially blind in the lower. How could a pharmacist have made a difference?
Which of the following is an appropriate action for his dry eye, blurred vision?
A) Recommend control his blood sugar levels
B) Ask to be more compliant with his antidiabetic drugs
C) Regular exercise
D) Recommend ophthalmic drops Visine for his dry eye.
E) Refer to the physician
Answer: (e)
Question. Pharmacists organized diabetic clinic in a community centre. What is incorrect about the pharmacist role in pre-diabetic patient
A) Explain significance of pre-diabetes
B) Prescribe lifestyle changes
C) Refer to local diabetes Centre and/or community programming
D) Re-screen annually or as clinically indicated
E) Encourage patient monitor daily blood sugar levels at home
Answer: (e)
Question. Your neighborhood pharmacy hypertension seminar a patient Ms Dorothy Brown, a 66 year old presents with hypertension, he has diabetes with chronic kidney disease, what will be the appropriate selection?
At what SBP should pharmacotherapy be started in Dorothy?
A) SBP ≥160 mmHg.
B) SBP ≥130/80 mmHg
C) SBP < 160 mmHg.
D) SBP < 130/80 mmHg
Answer: (b)
Question. What laboratory test Dorothy, should be monitored for chronic kidney disease.
A) Do annual random urine albumin to creatinine ratio (ACR).
B) Blood pressure SBP ≥130/80 mmHg
C) Blood pressure SBP ≥140/80 mmHg
D) Blood pressure SBP ≥130/85 mmHg
E) All of the above
Answer: (a)
Question. What is correct about chronic kidney disease monitoring?
I) If ACR >2 mg/mmol in men or <2.8 mg/mmol in women, result indicates no kidney damage, repeat in one year.
II) Blood pressure SBP ≥130/80 mmHg
III) If ACR >2 mg/mmol in men or >2.8 mg/mmol in women, result indicates kidney damage.
A) I only
B) III only
C) I and II
D) II and III
E) I, II, III
Answer: (d)
Question. What drugs are recommended to initiate patients like Dorothy?
A) Start ACEI or ARB regardless of BP to delay progression of CKD
B) Start Amlodipine daily and dihydropyridine calcium channel blocker
C) Start Metoprolol 50 mg daily
D) Start Hydrochlorothiazide 50 mg daily and Ramipril 10 mg daily
E) Start telmisartan/amlodipine 40/10 mg daily
Answer: (a)
In these questions inclusive refer to the following:
A 50-year-old male, otherwise healthy presenting complaint is retrosternal burning symptoms have been ongoing for approximately six months. At onset, retrosternal burning was occurring one to two times per week, mainly after meals. Symptoms do not worsen with activity or inspiration, but often worse when bending over or reclining. Burning occasionally accompanied by acidic taste in the mouth. Over the last month, symptoms have been occurring on a daily basis, with the patient occasionally awakening at night with similar symptoms which disturb sleep. Patient has been over the counter drug TUMS® and Maalox®, finds they work, but only relieve symptoms temporarily. Patient has never seen a physician for similar symptoms or used prescription medication. Patient does not report any dysphagia, nausea, vomiting, other abdominal pain, change in bowel habits, melena, bright red blood with stooling, or weight loss. Non-smoker; low alcohol consumption (average two beers per week).
Question. Which investigations are appropriate to order at this time?
A) endoscopy
B) barium series
C) pH test for 24 hours
D) do not need testing at this stage
E) None
Answer: (d)
Question. What alarm symptoms prompt an endoscopy test?
A) Specifically significant weight loss
B) dysphagia
C) hematemesis
D) melena
E) all of the above
Answer: (e)
Question. According to the Canadian Agency for Drugs and Technologies in Health (CADTH) scientific report, what is the most effective treatment in the above patient?
A) antacids
B) H2RAs
C) PPIs
D) Self-care
E) none
Answer: (c)
Question. Doctor prescribed omeprazole at a dose of 20 mg per day, when the next follow up visit should be arranged?
A) after 1 week
B) after 2 weeks
C) after 4 weeks
D) after 8 weeks
E) After 6 months
Answer: (c)
Question. Four months later the patient returns complaining that the past one-month's heartburn symptoms are worsening? What is appropriate management?
A) Increase dose of PPI to double
B) Switch to other PPI
C) Switch to H2RA
D) Combine PPI and antacids
E) Combine PPI and H2RAs
Answer: (a)