PEBC (Cardiovascular and CNS) Sample Questions

20 October, 2022

Categories: PEBC Canada

Ques. A 58 year-old woman presents you with a prescription for simvastatin (10 mg daily). She is also taking atenolol (50 mg daily) having suffered a heart attack last year. Are you happy to dispense the simvastatin? Justify your decision.

A. There is no interaction with atenolol.

B. There is drug interactions with atenolol

C. Atenolol decrease effect of simvastatin

D. None of the above

Answer: (a)

Ques. Which of the following factors cause statin induced myopathy?

A) men

B) using cholestyramine

C) use of fluroquinolone

D) Chronic renal insufficiencies

E) using long duration

Answer: (d)

In these questions inclusive refer to the following:

MP is a 62 year-old male, presents with the following prescriptions after being discharged from hospital: nitroglycerin patch (Nitro-Dur®) 0.4mg daily, ASA (Aspirin) 81 mg daily and metoprolol (Lopressor®) 25mg twice daily. Past Medical History indicates Stable angina x 2 years, no known allergies, current medication Nitroglycerin (Nitrostat) sublingual tablets 0.6 mg prn.

Ques. What is the recommended length of time that AA should go without wearing the nitroglycerin patch daily to avoid tolerance?

A) 2-4 hours

B) 10-12 hours

C) 6-8 hours

D) 14-16 hours

Answer: (b)

Ques. What is an important point to discuss with the MP regarding nitroglycerin patch use?

I) Rotate the application site regularly and remove patches for 10-12 hr daily.

II) Redness at application site requires drug discontinuation

III) Remove patch while bathing or showering and occlusive dressings may increase absorption.

A) I only

B) III only

C) I and II only

D) II and III only

E) I, II, III

Answer: (a)

Ques. Which side effects MP has the most at risk of experiencing?

A) Hyperkalemia

B) Hypotension

C) Cough

D) Dry mouth

E) Irritation

Answer: (b)

Ques. Which of the following counselling tips regarding nitroglycerin sublingual tablet use is NOT appropriate to provide MP

A) Tablets should be stored tightly capped glass bottle

B) Discard cotton plug from bottle.

C) Persistent chest pain after using 3 doses in a 15-minute interval should prompt to seek immediate medical attention

D) A tingling or burning sensation when dissolved under the tongue is a reliable test for potency.

E) Tablets should not be chewed or crushed.

Answer: (d)

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