PEBC (Patient Care) Sample Questions
Categories: PEBC Canada
Ques. FR is a 70 year old female client who presents to the pharmacist, complaining of nausea, diarrhea, and dizziness for the past three days. Her medication profile includes: ASA, digoxin, enalapril, and amiodarone. She denies any recent diet changes and the only change to her medications was the addition of amiodarone last week. She believes she must have picked up a "stomach bug" and would like something for symptom relief. The most appropriate pharmacist recommendation for FR is to:
a. take loperamide and dimenhydrinate for symptom relief.
b. take increased fluids and bed rest until the symptoms resolve.
c. contact FR's physician to discontinue amiodarone until these symptoms resolve.
d. contact FR's physician to suggest that a digoxin level be taken.
Ques. FD, a 58 year old male with hypertension, asks the pharmacist if cranberry juice would be useful for his current symptoms, which include frequency and a large volume of urine, but no urgency, or painful urination. Further questioning reveals that for the past two months he has also experienced polydipsia and polyphagia. The pharmacist should refer FD to his physician because these symptoms are consistent with:
a. a urinary tract infecton.
b. prostate hyperplasia.
c. diabetes mellitus.
d. renal complications of hypertension.
Ques. DS is a 27 year old male who comes to the pharmacy seeking advice because, for the past 24 hours, he has experienced abdominal cramping, mild fever and frequent, loose stools with some blood loss. DS thinks it may be related to the antibiotic he has been taking for a dental abscess. Current medications include: clindamycin 150 mg po qid x 10 days, started eight days ago, and losartan 25 mg po daily for hypertension, started three months ago. The most appropriate pharmacist response is that these symptoms:
a. are expected, transient side effects of clindamycin; treat symptoms and continue medications.
b. may indicate an interaction between clindamycin and losartan; pharmacist call to dentist is warranted.
c. may indicate clindamycin-related pseudomembranous colitis; seek immediate medical attention.
d. are probably unrelated to DS's medications; treat for flu symptoms and follow up if no improvement.
Ques. Following the measurement of high amounts of free cortisol in the urine of a patient, a confirmatory test for the diagnosis of Cushing's syndrome is a test for normal cortisol suppression, through the administration of:
a. budesonide.
b. triamcinolone acetonide.
c. prednisolone.
d. dexamethasone.
Ques. For patients with a previous history of gastric ulcers who require ASA daily for stroke prophylaxis, which of the following is the most effective management strategy?
a. Concurrent use of an H2 antagonist
b. Use of an enteric-coated product
c. Reduction of the dose of ASA to every other day
d. Screening and eradication of H. pylori
Ques. CY is a 58 year old female who has heart failure (NYHA III). Her physician wants CY to start therapy with spironolactone or eplerenone. Which of the following adverse effects is found significantly more often with spironolactone than with eplerenone?
a. Bradycardia
b. Gynecomastia
c. Hyperkalemia
d. Prolonged QT interval
Ques. Which of the following medications is most likely to cause drug-induced leg cramps?
a. Lithium
b. Citalopram
c. Alprazolam
d. Zopiclone
Ques. When assessing a patient with a localized purulent cellulitis, which of the following indicates that antibiotics active against MRSA are required?
a. Presence of a drainable abscess
b. Concomitant immunosuppressive therapy
c. History of alcohol misuse
d. History of beta-lactam intolerance