PEBC (Qualifying Examination-Part I) Examples of the case scenario format
Categories: PEBC Canada
In these questions inclusive refer to the following:
TG, a 43 year old male, is admitted to the Emergency Department (ED) following a car accident. TG is diagnosed with an open femur fracture. In the trauma treatment area, the extensive leg wound requires thorough cleaning prior to fracture reduction. TG did not take any medications prior to the accident and is not known to have any medical conditions.
Ques. The ED physician asks the pharmacist what antibiotic prophylaxis should be given to TG for the open fracture. Which of the following would provide the most appropriate empiric antibiotic coverage for TG?
a. Cefazolin + metronidazole
b. Clindamycin + vancomycin
c. Metronidazole + gentamicin
d. Cefazolin + gentamicin
Answer: (d)
Ques. Following the fracture reduction surgery, TG is transferred from the ED to the orthopedics ward for monitoring before he can be discharged to a rehabilitation center. Which of the following therapies for deep vein thrombosis prophylaxis is the most appropriate while TG remains bedridden?
a. Clopidogrel
b. Enoxaparin
c. Warfarin
d. Rivaroxahan
Answer: (b)
In these questions inclusive refer to the following:
FN, an 83 year old female, has early onset Alzheimer disease, Parkinson disease, mild heart failure, and urinary incontinence. She often becomes agitated in the evening. Her current medications include the following:
Levodopa-carbidopa CR 200/50 mg po bid
Risperidone 0.25 mg po bid
Bumetanide 1 mg po daily
Donepezil 10 mg po daily
Ramipril 2.5 mg po qam
Calcium citrate 500 mg (elemental) po tid
Ques. Which of FN's medications is most likely contributing to her urinary incontinence?
a. Levodopa-carbidopa
b. Risperidone
c. Bumetanide
d. Ramipril
Answer: (c)
Ques. Which of FN's medications may worsen her Parkinson's diseases?
a. Risperidone
b. Donepezil
c. Ramipril
d. Calcium citrate
Answer: (a)
In these questions inclusive refer to the following:
Amoxicillin suspension is available in two strengths as shown below
Amoxicillin 125 mg/5 ml (100 ml bottle size) costs $3.20
Amoxicillin 250 mg/5 mL (100 ml bottle size) costs $5.40
Using the information provided above, the pharmacist is required to fill the following prescription:
Amoxicillin 187.5 mg po tid x 10 days
Ques. Which of the following provides the most cost-effective dosing regimen, rounding to full bottles?
a. Two bottles of amoxicillin 125 mg/5 mL
b. Three bottles of amoxicillin 125 mg/5 mL
c. One bottle of amoxicillin 250 mg/5 mL
d. Two bottles of amoxicillin 250 mg/5 mL
Answer: (b)
Ques. Which of the following provides the smallest, correct volume of amoxicillin suspension needed for each dose of this prescription?
a. 3.75 mL of amoxicillin 125 mg/5 mL
b. 7.5 mL of amoxicillin 125 mg/5 mL
c. 3.75 mL of amoxicillin 250 mg/5 mL
d. 7.5 mL of amoxicillin 250 mg/5 mL
Answer: (c)