PEBC (Therapeutic) Sample Questions
Categories: PEBC Canada
Ques. JM is 75 year old diagnosed with Alzheimer’s disease and diastolic dysfunction, his current medication include donepezil 10mg QD, furosemide 40mg QD, verapamil SR 180mg QD. Jims father and mother both have suffered Alzheimer's in their old age. Symptoms of Alzheimer’s disease, all EXCEPT:
a) Slurred speech
B) Delay cognitive functions detritions
C) Fatigue
D) Dementia
E) Loss of memory
Answer: (c)
Ques. All of the following are the risk factor of Alzheimer’s disease, EXCEPT
a) Female gender
b) Family history
c) Age
d) Emotional stress
e) None of the above
Answer: (d)
Ques. A 10 years old patient experiencing Otitis media. His doctor prescribed for him Suprax 100 mg/5ml, 10 ml TID. Parents have a concern that their child is old enough now, and they would prefer a tablet. The pharmacist should do the following:
(A) Call the doctor to switch change dosage form
(B) Tell the parents that there is no difference between the tablet and the susp. in treating the ear infection
(C) Tell the parents that the tablet is given for patients that have an age of 18 and more
(D) Otitis media should be treated with suspension and not tablet in order to have a better effect
(E) Tell the parents that the taste of tablet is bitter
Answer: (d)
Ques. Mr BB is a 55year old obese man who has been a patient at your pharmacy for many years. He is receiving atenolol 50 mg OD for hypertension, atorvastatin 20 mg OD and glyburide 5 mg BID for blood glucose control. He smoked a pack of cigarettes a day for the last 38 years. His lipid profile is under control. For some reason he started to take herbal products containing niacin and find problems with muscular pain. This pain was not continuous. What should the patient do?
A. Take Tylenol on prn base
B. Refer to his physician
C. Ask for creatine kinase test
D. Patients need not to worry as this pain subsides after discontinuation of herbal products.
E. Use antidote of niacin
Answer: (b)
Ques. A 65-year-old man with a history of hypertension, atrial fibrillation, hypercholesterolemia, and a right middle cerebral artery stroke 6 months previous reports 3 separate episodes of head deviation to the left with rhythmic jerking of the left arm and left side of his face lasting approximately 1 minute. He is taking warfarin, atenolol, and atorvastatin. What is the drug of choice for epilepsy?
A) Lamotrigine (monotherapy)
B) Gabapentin,
C) Valproic acid
D) Phenytoin
E) Carbamazepine
Answer: (a)
Ques. If patient peptic ulcer symptoms do not respond to the initial trial of esomeprazole 20 mg daily for 4 wks, which would be the most appropriate recommendation?
A) decrease alcohol intake
B) Take small meals
C) Add domperidone
D) Switch treatment to H2RA
E) Double dose of esmoprazole
Answer: (e)
Ques. A pharmacist is working as a relief in another pharmacy. A patient came with a prescription of Ativan 1 mg. The pharmacist remembered that the same patient came with another prescription of the same drug two days ago in the other pharmacy where he worked. What should the pharmacy do?
A. Call the police
B. Refuse to fill the new prescription
C. Discuss the matter with the patient
D. Call the doctor and tell him that the patient is addictive
Answer: (c)
Ques. A 58-year-old female patient with a weight of 52 kg. Her creatinine clearance 40mL/min has M.I., Angina, atrial fibrillation, CHF and hypercholesterolemia.
KCl = 4 meq/L (normal value 3.5 to 5 meq/L)
Current medication: Digoxin 0.125 mg po QD,
Furosemide 40 mg po QD, Warfarin 5 mg po QD,
Lovastatin 20mg po initiated 1 month ago,
Captopril 12.5 mg po tid, Kcl, 20 meq po BID,
Nitroglycerin 0.4mg SL prn, Nitroglycerin patch 0.4mg/hr q 24h
Which of the following is appropriate recommendation with Janna’s physician:
I. Fill the prescription the way it is
II. Decrease digoxin dose
III. Increase furosemide dose
A) I only
B) III only
C) I and II only
D) II and III only
E) All of the above
Answer: B (III only)