PEBC (Ethics and Pharmacy Regulations) Sample Questions Set 7
Categories: PEBC Canada
Question. A patient presents a new prescription to be filled. It is a prescription for Tiagabine, a new anti-convulsant agent related to vigabatrin. Vigabatrin has never been approved for use in Canada due to reports of adverse effects on vision. Although this adverse event has never been reported with Tiagabine, the agents affect gamma-amino butyric acid (GABA) in much the same way, and effects on GABA are thought to be the basis for the vision problem. The patient asks the pharmacist to address what adverse effects could occur with this agent. The pharmacist knows the patient to be an anxious individual with a history of noncompliance with his seizure medications, despite poorly controlled seizures. It relates to what ethical dilemma?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Veracity
E) Justice
Answer: (d)
Question. A 55 yo woman indicates that she was just discharged two weeks ago after fracturing her right wrist after a fall at home. She states that she got up at night to use the washroom and tripped over a loose rug. She tried to support herself using her right hand, when she felt severe pain at the wrist. She had difficulty moving her hand and tried applying ice. However, by the next morning her pain was worse and she decided to get help. Now her pain is well controlled at present with medications. Who should have bone mineral density (BMD) testing? Except
A) postmenopausal women and men over age 50
B) Vertebral compression fracture
C) Family history of osteoporotic fracture
D) Systemic glucocorticoid therapy > 3 months duration
E) A person with BMI over 35
Answer: (e)
Question. Review for an unapproved use, the following elements are considered when evaluating a potential, medically accepted off-label use: Except
A) Positive therapeutic perspective as reflected by clinical evidence, expert opinion, best practices, and/or authoritative guidelines
B) Absence of potential clinically important concerns about the drug such as increased toxicity with no substantial therapeutic gain support in peer-reviewed literature
C) Assessment of the level of evidence reflected in published reports and availability of published reports of well-designed clinical studies systematic reviews
D) Pharmaceutical manufacturer promotional information package insert
Answer: (d)
Question. Mr x loyal and Mr y are loyal customer of your pharmacy Mr x bring all family member prescription to your pharmacy and Mr y only person from family bring prescription to your pharmacy and you waived co-payment for Mr x so what ethics seeking
a) beneficence
b) veracity
c) fidelity
d) justice
e) honesty
Answer: (c)
Question. An evening doctor writes a prescription, to his wife, in your corner pharmacy. What is the right action to do?
A) it is illegal to dispense
B) it is legal but unethical to dispense
C) it is illegal but ethical
D) illegal and unethical
E) just refuse to dispense
Answer: (b)
Question. A palliative care patient receiving morphine for cancer pain. Few days later the lady grandson comes to fill a prescription for his grandmother. The pharmacist notices that the patient is using more morphine. What should pharmacists do?
A) Don’t fills the prescription because it is earlier than time interval
B) Counsel patient not to take medications more than prescribed
C) Call the doctor to change morphine to Fentanyl
D) Call the doctor to increase the dose of morphine
E) None of the above
Answer: (d)
Question. In order to Health Canada approve drug as substitute drugs, drug should have the following characteristics:
A) Therapeutic equivalents
B) Pharmaceutical equivalents
C) Pharmaceutical alternates
D) Bioequivalent
E) Relative bioavailability
Answer: (a)
Question. Dispensing error occurs in the pharmacy. The errors may be occurring due to excessive workload on pharmacists. Some functions of a pharmacist may be transferred to a technician. To achieve this, all of the following will be barriers, except?
A) Pharmacist availability
B) Government regulations
C) Risk management
D) Pharmacist attitude
E) Technician training
Answer: (a)
Question. The Canadian health care system is based on five fundamental principles, which of the following is correct?
A) Effectiveness of drugs
B) Accessibility of health care services
C) Availability of medications
D) Individuality of treatment
E) Providing economic therapy
Answer: (b)
Question. Which of the following are exempted preparations?
a) Codeine 30 mg + caffeine 15 mg+ ASA 325 mg
b) Codeine 3.3 mg/5ml + Caffeine 15mg+ASA 325 mg
c) Codeine 3.3 mg/1ml+ caffeine + ASA suspension 325 mL
d) Codeine 8 mg/mL
e) Codeine 19.8 mg/mL
Answer: (b)