PEBC (Cardiovascular and CNS) Sample Questions
Categories: PEBC Canada
Ques. KP is a 53 year old patient who had hypertension who came to the pharmacy and had a prescription of rosuvastatin 10 mg daily as the doctor diagnosed him to use hyperlipidemia. He told the pharmacist do not want to start medication. I Want to try lifestyle changes. Pharmacist started talking to him about his condition and explained to him the benefit of using medication but also after the patient wanted to go lifestyle modification first. What should a good pharmacist do in this situation?
A) Respect patient autonomy and give him right to decide
B) Ask patient to see different doctor for second opinion
C) Ask patient to start after trying lifestyle modifications
D) Provide patient more evidence base documents to show benefit of medication and dangers of hyperlipidemia.
E) Ask the patient what your doctor tells you.
Answer: (d)
Ques. KM a 60 yo MI patient had bypass surgery 4 months ago using ASA 325 mg daily, clopidogrel 75 mg daily, rosuvastatin 10 mg daily, nodolol 80 mg daily and salbutamol PRN, budesonide daily. Now hospitalized with severe asthma. What is the pharmacist concern in KM?
I) drug and drug interactions
II) drug and disease interactions
III) drug and food interactions
a) I only
b) III only
c) I and II
d) II and III
e) I, II and III
Answer: (c)
Ques. A 60 yo patient came to emergency and the doctor diagnosed STEMI and ordered Alteplase injection. Currently patient blood pressure is 190/110. What is the drug related problem?
A) Patient is receiving medication which is NOT indicated for this therapy
B) Patient is receiving medication have adverse drug reaction
C) Patient is receiving medication that is under dose
D) Patient is receiving medication that is overdose
E) Patient is Not receiving indicated therapy for indication
Answer: (a)
Ques. A 66 yo male in warfarin treatment for deep vein thrombosis. A doctor calls and tells you that one of your mutual patients has taken too many warfarin tablets in error and has an INR value of 5.2 without any symptoms of problems. She would like to be treated with vitamin K to lower the INR promptly (within 24 hrs). Do you have any recommendations?
A) Low dose oral vitamin K therapy promptly reduces elevated INR
B) Skip dose of warfarin for a day and monitor INR
C) Continue warfarin therapy increase frequency of monitoring INR
D) Low dose of vitamin K injections promptly reduces elevated INR
E) It is not a concern, so continue therapy without interruption
Answer: (a)
Ques. A 64 yo man weighing 115 kg, and tall 60 inches, presents to his physician after a long international flight complaining of pain, swelling of his right lower leg. The patient had knee surgery a month before he travelled. His medication profile includes, CHF (ejection fraction < 15%), remission from lymphoma, MI. His father, mother, and sister are all diseased from stroke, pulmonary embolism. Given his profile. Patient most likely suffering from?
Which of the following are NOT risk factors of DVT?
A) Knee surgery
B) overweight
C) long flight
D) family history
E) Gender
Answer: (e)
Ques. What is the most important recommendation that should be provided to decrease risk of deep vein thrombosis?
A) Avoid taking flights
B) Increase mobility of legs
C) Avoid physical activity
D) Avoid vitamin K intake
E) Avoid dark green vegetables
Answer: (b)
Ques. Patient is hospitalized. Drs initiated heparin infusion. What is incorrect about heparin?
A) Heparin dose is based on body weight
B) Loading dose is 80 units/kg and maintenance dose is 15 to 25 units/kg/hr.
C) Heparin is slower onset than LMWH
D) LMWH has longer half-life
E) LMWH have predictable response thus not monitored
Answer: (c)
Ques. Which of the following low molecular weight heparin has higher selectivity to factor Xa.
A) Enoxaparin
B) Dalteparin
C) Nadroparin
D) Tinzaparin
E) Heparin
Answer: (a)