PEBC (Therapeutic) Sample Questions

18 October, 2022

Categories: PEBC Canada

In these questions inclusive refer to the following:

A 80 yo male with NYHA II CHF (EF 33%), purchasing Gravol for nausea, dizziness, ↓ appetite x 2wks. He thinks it is related to recent ramipril dose increases. Patient medical history include MI (past 3 yr ago), HTN(past 20 yrs), ↑ lipids(x 2yrs), CHF(x 1yr), atrial fibrillation ( for 10 wks). His current meds include:

Pravastatin 40mg QD (x2yrs), amiodarone 200mg QD

(x6wks), digoxin 0.25mg QD (x1yr), warfarin 5mg QD

(for a 6wks), carvedilol 25mg BID (x 1yr), HCTZ 25mg

QD (x 25yrs), Ramipril 10mg QD (↑ from 5mg 2wks ago).

Ques. A patient has symptoms of heart failure at less than ordinary activity, which is defined as?

a) symptoms may appear at climbing one flight upstairs. Or walking 200 yards

b) symptoms may appear 30 minutes jogging

c) symptoms may appear after 3 to 5 times of exercise for 30 min in a week

d) None of the above

Answer: (a)

Ques. What is initial therapy for a patient who has heart failure symptoms from NYHA classification 1 to IV.

A) ACE I and beta blockers

B) ARBs and beta blockers

C) Digoxin and beta blockers

D) Diuretics and beta blockers

E) Spironolactone and beta blockers

Answer: (a)

Ques. If hypothetically doctors choose to use metoprolol and enalapril to assess the tolerability. Which of the following need to be watched?

A) Shortness of breath

B) Ankle edema

C) Weakness

D) Dry or productive cough

E) Fatigue

Answer: (d)

Ques. A regular customer of your pharmacy, complaining about having to get up at night, as he woke up two times due to asthma symptoms. Currently he is on salbutamol and ICS puffers. What is the first step a pharmacist should do?

A) refer to doctor

B) recommend sleep hygiene

C) increase dose of ICS

D) Add to LABA or LTRA

E) Check use of salbutamol and ICS puffers devices

Answer: (e)

Ques. The above patient comes to the pharmacy. Asking why he got oral fungal infections. He is currently using inhaled corticosteroid like fluticasone 500 mcg bid. What is the cause of his oral fungal infection?

A) Due to high dose if ICS

B) Due to incorrect technique of ICS

C) Due to NOT using spacer

D) It is usual side effect of ICS

Answer: (d)

Ques. A patient has COPD and renal failure, developed pneumonia, which of the following fluroquinolones can be used?

A) Ciprofloxacin

B) Moxifloxacin

C) Levofloxacin

D) Norfloxacin

E) Gemifloxacin

Answer: (b)

Ques. Ted is a 55 year-old male, and a new patient to your pharmacy. 163 cm, 86 kg. He suffered a non-ST elevation myocardial infarction 1 week ago. He tells you that he had PCI in hospital, with a bare metal stent to his proximal LAD. What are the clinical features used to calculate TIMI risk score?

A) Age >65 y

B) hypertension

C) high cholesterol

D) any ASA use within 7 d

E) all of the above

Answer: (e)

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