PEBC (Collaboration and Team Work) Sample Questions Set-8
Categories: PEBC Canada
Osteoporosis is due to an imbalance of bone formation and resorption, and may lead to complications such as fractures. Diagnosis is typically made by measuring the T-score, which compares a patient's bone mineral density with a young healthy person of the same sex. A T-score <-2.5 is diagnostic for having osteoporosis. Based on MK's T-score at the hip (-2.6), she is considered to have osteoporosis and should receive treatment to prevent fractures. The pharmacist should tell the patient that her alendronate should help to keep her bones strong, so that she would be less likely to get a fracture if she were to fall again. Alendronate prevents bone loss, and should be taken in addition to the calcium and vitamin D. DM should take alendronate in the morning with a full glass of water (~8 ounces) at least 30 minutes before eating, taking other medications, or drinking anything besides water, and should remain upright (either sitting or standing) for 30 minutes, not 2 hours. This is to prevent any esophageal damage that might result from direct contact of alendronate on the esophagus. MK also is taking lansoprazole, which may interact with the calcium. Calcium is better absorbed in an acidic stomach environment, but MK likely has reduced calcium absorption due to her lansoprazole-induced acid suppression. She might benefit by switching to a calcium citrate form (plus vitamin D), which does not require as much acidity in the stomach for absorption.
Question. What are the risk factor for osteoporosis?
I) Caucasian
II) Smoking
III) Renal diseases
A) I only
B) III only
C) I and II
D) II and III
E) I, II, III
Answer: (e)
Question. What is true about alendronate
A) Take on empty stomach in the morning
B) Must take with calcium supplement dose
C) With glass of orange juice
D) May be taken anytime of the day
E) All are correct
Answer: (a)
Question. An orthopaedic surgeon-organizing seminar on information for osteoporosis. What kind of patients he may invite
A) Postmenopausal women taking calcium and vitamin D supplements to prevent osteoporosis
B) A 50-year-old obese women her BMD was -< 2.5
C) An elderly women had spine fracture after fall in doorway of her home
D) Patients on bisphosphonate therapy after prevention of long term use of prednisone therapy.
E) all of the above
Answer: (e)
Question. Patient on raloxifene (Evista) for the postmenopausal symptoms with high cholesterol, the doctor asks you if she has to stop. What is not right about raloxifine?
Patient medical history includes: Diabetes, High cholesterol, DVT
A) Raloxifene aggravates flushing
B) Raloxifene increase LDL
C) Raloxifene has no significant effect on HDL, and TG
D) Raloxifene treats osteoporosis
Answer: (b)
Question. What should be the most concern to the Dr for the above patient?
A) If patient has high cholesterol
B) If patient has diabetes
C) If patient is postmenopausal
D) If patient is with DVT or PE
E) All of the above
Answer: (d)
Question. Hormones replacement therapy contraindication are all except?
A) Hypertension
B) Breast cancer
C) Thromboembolism
D) unexplained uterine bleeding
E) Suspected Pregnancy
Answer: (a)
Question. A 55 year old female is in treatment for stress incontinence. She has 3 children. Best therapy that suits her is/are:
I. Systemic estrogen
II. Imipramine
III. Vaginal estrogen
A) I only
B) III only
C) I and II only
D) II and III only
E) I, II, III
Answer: (b)
Question. She wants to know, where can she get help to know more about kaegel pelvic exercise? What is appropriate?
A) refer to chiropractor
B) refer to podiatrist
C) refer to physiotherapist
D) refer to nurse
E) refer to midwife
Answer: (c)
Question. A mother asks you whether she should give acetaminophen drops for her 2-month-old baby. The baby has had a fever of about 39C since this morning? What is appropriate?
A) fever lasting > 24 h with no obvious cause give acetaminophen
B) fever lasting > 72 h give acetaminophen
C) fever > 40.5 C give acetaminophen
D) refer to dr. child patient less than 2 mo age
E) none
Answer: (d)
Question. A child has had epileptic seizure before in medical profile. Now I have a fever. Mother is worried about seizure. What to do?
A) Give acetaminophen and recommend cold compress
B) Give acetaminophen and refer to doctor
C) Refer to emergence
D) Give acetaminophen
Answer: (b)