PEBC (Therapeutic) Sample Questions

18 October, 2022

Categories: PEBC Canada

In these questions inclusive refer to the following:

A 55 year-old male, new patient to your pharmacy, overweight suffered a non-ST elevation myocardial infarction 6 days ago and had PCI in hospital, bare metal stent to proximal LAD. Currently his medical conditions are hypertension, LDL 2.5mmol/L, Tchol/HDL 5. Social history: has smoked 1 ppd x 30 years, family history: brother died of MI 6 years ago. Currently have new prescriptions: EC ASA 325 mg once daily, clopidogrel 75 mg once daily, metoprolol 50 mg bid and ramipril 2.5 mg once daily. Patients are currently using vitamin E 800 IU for the last one year, hoping to prevent any cardiovascular problems.

Ques. What are the recommended blood pressure goals for secondary prevention of Acute coronary syndrome patients.

A) 135/85

B) 140/90

C) 145/95

D) 160/85

E) 150/90

Answer: (b)

Ques. Overwhelming data in patients with established CAD supporting the benefits of anticholinesterase drugs in mortality, cardiovascular mortality and stroke. What is the drug of choice recommended above for patients to achieve target LDL?

A) Rosuvastatin

B) Ramipril

C) Niacin

D) Fenofibrate

E) Beta blockers

Answer: (a)

Ques. After PCI, a stent doctor has prescribed EC ASA 325 mg once daily, clopidogrel 75 mg once daily. Which of the following is NOT the common side effect of clopidogrel?

A) Joint pain

B) headache

C) constipation

D) Rash

E) Diarrhea

Answer: (c)

Ques. A 53-year-old lady came to the pharmacy with a prescription for Wellbutrin 150 mg SR. Her profile shows that she was on Wellbutrin 150mg XL. The pharmacist asked the patient whether she is aware of any changes that her doctor made for her therapy, and she replied that nothing her doctor told her about that. The best action the pharmacist should do is:

A. Dispense Wellbutrin 150mg SR since there is no difference between the two

B. Dispense Wellbutrin XL as in her profile

C. Call the doctor to see if he has intended to change XL to SR

D. Give the generic bupropion SR

E. None of the above

Answer: (c)

Ques. A patient was taking fluoxetine for about 4 months. She is bringing a new RX for moclobomide. What should you do about this new RX?

a) Call the Dr. and say this new RX will not work because it has the same effect as fluoxetine

b) Fluoxetine should be stopped 2 weeks before starting moclobomide

c) Ask Dr. to prescribe a MAO inh instead of moclobomide

d) Fill the RX and tell pt. to stop fluoxetine

Answer: (b)

Ques. A patient’s profile 75 year-old female: Weight: 52 kg, has acute ischemic stroke, atrial fibrillation, hypothyroidism, osteoarthritis, and osteoporosis. Medication profile. Digoxin 0.125 mg po qd; Naproxen 375 mg po bid Levothyroxine 0.1 mg po qd; Calcium gluconate 125 mg po qd

The physician should:

a. Increase the dose of digoxin

b. Decrease the dose of digoxin

c. Decrease the dose of levothyroxin and monitor digoxin

d. Increase dose of levothyroxine to 0.150 mg po qd

Answer: (c)

Ques. A patient wants to stop taking fluoxetine because she continues to have trouble sleeping and does not wish to use a sedative. Which is the best option to improve sleep?

a) Add lorazepam at bedtime

b) Switch to bupropion

c) Switch to moclobemide

d) Switch to mirtazapine

Answer: (d)

Ques. You were told by the same patient that she once was on an antidepressant that caused her limbs to jerk at night. Which antidepressant is most likely to cause this problem?

a) Mirtazapine

b) venlafaxine

c) bupropion

d) moclobemide

Answer: (d)

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