PEBC (Cardiovascular and CNS) Sample Questions

Categories: PEBC Canada

In these questions inclusive refer to the following:

 

MJ is an 82 year old woman who has been a customer at your pharmacy for many years. When her son PK comes to pick her blister pack. She is currently using hydrochlorothiazide/candesartan 12.5 mg/35 mg, metoprolol 50 mg bid, amlodipine 10 mg daily, metformin 500 mg tid, glyburide 2.5 mg bid, glicalizide MR 60 mg daily, clonazepam 0.25 mg tid, metoclopramide PRN for nausea. Recently her metformin dose was increased to 1000 mg bid to manage her high HbA1c > 9%. Caregivers of patients want to know what medications should be taken with meals.

Ques. Which of the following medications should be taken with meals?

A) metformin, glyburide, gliclazide, metoclopramide, metoprolol

B) metformin, glyburide, gliclazide and metoprolol

C) metformin, glyburide, gliclazide and hydrochlorothiazide/candesartan

D) metformin, glyburide, gliclazide and metoprolol, hydrochlorothiazide/candesartan

E) metformin, glyburide, gliclazide

 

Answer: (e)

 

Ques. Metformin should be taken with meals, because?

A) increase bioavailability

B) decrease hypoglycemia

C) mask taste disturbances

D) decrease gastrointestinal side effects

E) decrease lactic acidosis side effects

 

Answer: (d)

 

Ques. As part of inter professional collaboration in diabetes care, a pharmacy may consider referring to diabetic patients to all of the following professionals?

A) Physicians, nurse practitioners, dieticians, chiropodists, and optometrists.

B) Physicians, nurse practitioners, physiotherapist, chiropodists, and podiatrist

C) Physicians, nurse practitioners, psychiatrist, physiotherapist and podiatrist

D) Physicians, nurse practitioners, dieticians, social worker, and personal support worker

E) Physicians, nurse practitioners, dieticians, social workers, and optometrists.

 

Answer: (a)

 

Ques. KP is a 47-year-old patient who has just started a raw diet in only a few days, taking citrus juice daily. Maintain a healthy lifestyle such as diet and exercise. Patient using atorvastatin 20 mg to treat high cholesterol and a recent visit to the doctor, he increased the atorvastatin dose to 40 mg. Patient complains of severe dyspepsia and diarrhea. It’ may be due to:

a. Because he is on raw food diet

b. Changed atorvastatin 20 mg to 40 mg

c. Takes citrus juice

d. Exercise

e. Multivitamins

Answer: (b)

 

Ques. KP is diagnosed high LDL and TG, what is the best therapy to initiate?

A) Rosuvastatin

B) Cholestyramine

C) Niacin

D) Fenofibrate

E) Ezetamibe

Answer: (a)

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