PEBC (Product Distribution) Sample Questions

Categories: PEBC Canada

Ques. Appropriate auxiliary labelling for clarithromycin suspension includes which of the following?

a. Shake well before using

b. Take with plenty of fluids

c. Avoid prolonged exposure to sunlight

d. Keep refrigerated

 

Ques. A biological safety cabinet would be the best choice for preparing a parenteral formulation of:

a. alteplase.

b. doxorubicin.

c. nitroglycerin.

d. penicillin.

 

Ques. A physician wants to switch a terminally-ill patient from slow release morphine sulphate tablets, 15 mg po twice daily, to a liquid morphine sulphate dosage form because the patient has difficulty in swallowing tablets. If a morphine sulphate solution containing 5 mg per mL is prescribed q4h, what volume should be dispensed for a 20-day supply to provide the same pain relief as the tablet regimen?

a. 20 ml

b. 60 mL

c. 100 mL

d. 120 mL

 

Ques. A patient is currently taking 220 mg of anhydrous zinc sulphate. To receive the equivalent amount of elemental zinc, how many milligrams of zinc sulphate heptahydrate ( 7 H2O) would the patient require? (Molecular weights: zinc 65, ZnSO4 161, H20 18)

a. 123 mg

b. 220 mg

c. 300 mg

d. 392 mg

 

Ques. Given that 30 g of a mild corticosteroid ointment covers the entire surface of any adult for one application, how much ointment (in grams) should be dispensed for an 18 year old patient who requires treatment on approximately 20% of her body with twice daily application for 14 days?

a. 12 g

b. 84 g

c. 124 g

d. 168 g

 

Ques. A patient in an intensive care unit is ordered a dopamine intravenous infusion to start at a rate of 5 mcg/kg/min. If the patient weighs 158 pounds and dopamine is available as a premixed intravenous solution containing 200 mg/250 mL, what is the hourly infusion rate?

a. 3 ml/h

b. 9 ml/h

c. 27 ml/h

d. 39 ml/h

 

Ques. BV is a 62 year old, obese female who visits a walk-in-clinic while her physician is away on vacation. She presents to the pharmacist with the following prescription:

Losec (omeprazole) 30 mg

M: 30

Sig. i po daily

The pharmacist knows that this product is only available in 10 mg or 20 mg strengths and that BV's profile shows that she was previously on the 20 mg strength of this medication. The most appropriate initial pharmacist response is to:

a. tell BV that the physician has made a prescribing error.

b. ask BV why she visited the clinic today and what the physician told her about the prescription.

c. dispense using omeprazole 10 mg and adjust the quantity and dose accordingly.

d. assume the prescriber was thinking of Prevacid (lansoprazole) 30 mg and change the prescription accordingly.

 

Ques. A community pharmacy provides prescriptions for elderly patients in a nearby long-term care facility where the nursing staff administer medications. When processing the monthly refills for NR, an 83 year old female resident, the pharmacist notices that NR's lorazepam refills have been ordered several days early on the last two occasions. Which of the following is the most appropriate action for the pharmacist to take?

a. Ask NR if there has been a dosage change with her lorazepam

b. Ask the nurse at the residence to check NR's medication administration records

c. Alert the prescribing physician that NR is taking more lorazepam than prescribed

d. Report the nursing staff at the residence for a fraudulent diversion of medication

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