PEBC (Therapeutic) Sample Questions
Categories: PEBC Canada
Ques. Ms AB is 72 kg. 50 y/o woman who was recently diagnosed with type 2 diabetes. On the physical exam her BP is 120/80. Her family doctor told her the results of her 24hour urine collection showed a normal amount of protein in the urine. Which of the following interventions should be implemented to decrease Ms AB’s chance of developing renal disease?
A) Initiation of an ACE inhibitor
B) Initiation of an ARB
C) Optimal blood glucose control
D) Reduction of protein intake to 0.6 g/kg/day
Answer: (c)
Ques. A patient was taking Dimicron 180 mg (glicalizide) dose recently decreased to 80 mg BID. also the patient. The patient was supposed to be given 1 box of Diovan (valsartan) 80 mg and boxes of Dimicron; the label of Diovan was wrongly placed on Dimicron and vice versa. The patient is advised to take 1 pill of Diovan and 2 pills of Dimicron. Because of wrong labeling, which symptoms patients experience initially?
A) Increased pulse rate
B) decrease pulse rate
C) Decrease systolic pressure
D) decrease diastolic pressure
E) Hypoglycemia
Answer: (c)
Ques. A 65 years old patient presents with psychomotor agitation. Patient is on Fluoxetine for 6 weeks for the treatment of depression. There was an improvement in his appetite and in his sleep disturbance. Doctor should now:
(A) Taper and discontinue the medication
(B) Continue the medication for 6 months
(C) Add Lithium
(D) Add Olanzapine
(E) “C” or “D”
Answer: (d)
Ques. A parent of an ADHD child calls your pharmacy to ask her concern on her child medication. After initiating methylphenidate bid 10 mg takes 7 am SR tabs and 3 pm IR tabs. She is concerned about her child losing his appetite and going to bed late at night and waking up late in the morning. What is the appropriate thing to do?
A) ask her to contact doctor
B) ask her to check weight
C) ask her to give medication 7 am SR tab and 12 noon IR tabs
D) ask her increase diet
E) ask her to check his school performance
Answer: (c)
Ques. A 41 years old chronic alcoholic male, no known allergies, past medical history: Anxiety, difficulty sleeping. Current medications: triazolam 0.5 mg qhs x 3 years and acetaminophen/caffeine/codeine (Tylenol #1) ii prn headache
You notice that this patient has been coming in early for refills for triazolam and has received extra prescriptions for this medication from many walk-in clinics. Patient approaches you and states that he is concerned about his triazolam usage, so he stopped using it 24 hours ago. He asks you what the most common withdrawal symptoms will be:
A. Diarrhea, shakes and chills
B. Insomnia, muscle spasms and irritability
C. Increased headache, fatigue and nausea
D. Seizures, delirium, and hallucinations
Answer: (b)