PEBC (Cardiovascular and CNS) Sample Questions
Categories: PEBC Canada
Ques. Multiple issues often underlie the inadvertent administration of high-concentration heparin. What are the examples of contributing factors to such incidents include:
A) The storage of high-concentration heparin vials close to low-concentration heparin flush products.
B) Confirmation bias that can cause a healthcare professional to read a label or select a drug product and “see” what they expect to see, rather than what is actually selected.
C) Often, more concentrations than necessary are present in both the pharmacy and patient care area stock.
D) Incomplete communication between physicians and nurses at the time of gathering drugs and supplies for central vascular line (CVL) insertion and during procedure
E) All of the above
Answer: (e)
Ques. GS is a 49 year old woman. Her physician had prescribed morphine ‘.5 mg’ IV for the management of post-operative pain. However, a unit secretary did not see the decimal point and transcribed the order by hand onto a medication administration record (MAR) as ‘5 mg.’ An experienced nurse followed the directions on the MAR without question and gave the 5 mg of IV. Morphine initially and another 5 mg dose two hours later.
Which of the following serious symptoms could be associated with fatal error?
A) Mydriasis
B) Severe constipation
C) Respiratory depression
D) Bleeding
E) All of the above
Answer: (c)
Ques. BN is a 91kg, 52-year old female who was recently diagnosed with type 2 diabetes. On the physical exam her BP was 190/94, serum creatinine was 150umol/L, K was 4.5mmol/L.
11) The recommended BP target for BN is?
A) <130/80
B) >130/80
C) 140/90
D) <140/90
E) >140/90
Answer: (a)
Ques. What is the target waistline circumference?
A) <99 cm
B) <102
C) <88 cm
d) >88 cm
e) >102 cm
Answer: (c)
Ques. What is the initial therapy?
A) Ramipril 5 mg
B) Verapamil/Losartan
C) Atenolol
D) metoprolol
E) Hydrochlorothiazide 50 mg
Answer: (b)
Ques. After 6 months, she still has high blood pressure 155/90, what to do?
A) Increase dose to Ramipril 10 mg
B) Check the compliance of medication
C) Change Ramipril 2.5 mg to Losartan
D) Change Ramipril 2.5 mg to Hydrochlorothiazide 25 mg
E) Change Ramipril 2.5 mg to Metoprolol 50 mg
Answer: (b)
Ques. 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: (d)
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)