PEBC (Quality and Safety) Sample Questions
Categories: PEBC Canada
In these questions inclusive refer to the following:
PQ is a 75 year old patient who has just been diagnosed with hypothyroidism. Her past medical history is significant for heart failure, type 2 diabetes mellitus, anemia, and chronic stable angina, all of which are well-controlled. Her medications include:
Carvedilol 6.25 mg po bid
Ferrous fumarate 300 mg po daily
Vitamin D 1000 units po daily
Glyburide 2.5 mg po bid
Enalapril 10 mg po bid
Furosemide 40 mg po daily
Nitroglycerin sublingual spray prn
Ques. PQ should be started on a low dose of levothyroxine because of her:
a. age.
b. gender.
c. diabetes.
d. metoprolol use.
Answer: (a)
Ques. Appropriate counselling and follow up for PQ with initiation of levothyroxine includes all of the following, EXCEPT:
a. separate the levothyroxine dose from ferrous fumarate by several hours.
b. take levothyroxine on a full stomach for greater absorption.
c. physician follow up is needed in six to eight weeks to have her thyroid function tests repeated.
d. closer monitoring of her angina should be done during dosage titration of levothyroxine.
Answer: (b)
Ques. Which of the following parameters is the most appropriate for PQ's self-evaluation of the effectiveness of levothyroxine therapy?
a. Increased energy
b. Weight loss
c. Improved vision
d. Less frequent angina
Answer: (a)
In these questions inclusive refer to the following:
A family health team is reviewing recent guidelines for dyslipidemia and cardiovascular risks. Physician colleagues ask the pharmacist for information on the recommendations for monitoring patients in various categories.
Ques. The current recommendation for performing a baseline plasma lipid profile in men is to screen all males over the age of:
a. 35 years.
b. 40 years.
c. 50 years.
d. 55 years.
Answer: (b)
Ques. Lipid profile screening is important in all patients who have a history of:
a. COPD.
b. GERD.
c. diabetes.
d. liver disease.
Answer: (c)
Ques. Which of the following is the primary assessment tool recommended to quantify a patient's 10-year risk for total cardiovascular disease?
a. Framingham risk score
b. SCORE risk estimator
c. TIMI risk score
d. CHADS2 score
Answer: (a)
In these questions inclusive refer to the following:
HM is a regular client at the pharmacy. He has been taking quetiapine 300 mg po bid for eight months to help control his schizophrenia symptoms but he has recently noticed that some of his symptoms have been worsening. Prior to starting quetiapine, HM took risperidone therapy for two years. HM is a regular smoker and smokes between 10 to 20 cigarettes per day. HM tells the pharmacist that now his psychiatrist would like to change his regimen to clozapine.
Ques. In assessing the possible change to clozapine for HM, which of the following statements is the most appropriate for the pharmacist to consider?
a. This change is appropriate, as clozapine may help patients who fail on other antipsychotics.
b. This change is not appropriate, as clozapine will likely produce the same effect as quetiapine.
c. This change is not appropriate, as the cost of monitoring and risk of adverse effects with clozapine is too high.
d. This change is not appropriate, because the preferred recommendation is to add clozapine to the current quetiapine.
Answer: (a)
Ques. HM is concerned about the possible adverse effects from clozapine. When discussing monitoring with HM, which of the following statements is the most appropriate to include?
a. Dry eyes and dry mouth occur frequently and may be managed with non prescription supplements.
b. Problems affecting the blood do occur rarely and regular blood lab work is required.
c. Cigarette smoking may increase the likelihood of experiencing side effects from clozapine.
d. Parkinsonian and other movement disorders may occur even with low doses of clozapine.
Answer: (b)