PEBC (Cardiovascular and CNS) Sample Questions
Categories: PEBC Canada
Ques. A 16-year-old high school student currently on insulin treatment for his type I diabetes. Current reading for insulin for a patient is:
At 7 am 12 units NPH (70/30), 6 units regular insulin
At 5 pm 12 units NPH (70/30), 6 units regular insulin
Reading at 7 am (2-3 mmol/L)
Reading at 5 pm (2-3 mmol/L)
Target blood sugar levels (5.8 mmol/L) should be between 5 am to 7 pm. What would you do?
I) Decrease both time NPH (basal) and maintain regular (prandial) insulin
II) Decrease regular insulin, increase NPH
III) Increase NPH morning and evening, decrease regular
a. I only
b. III only
c. I and II
d. II and III
e. I, II and III
Answer: (a)
Ques. Concomitant use of diuretics and ACEI, especially in whom diuretic therapy was recently instituted, may experience hypotension effects after the first dose of ACEI. This can be minimized by:
a) Discontinue ACEI
b) loop diuretics
c) Discontinue diuretics
d) Discontinue diuretic for few days
e) All of the above
Answer: (d)
Ques. You are a new pharmacist practicing in a community pharmacy setting. A patient John Mikhel, comes into the pharmacy to get a new prescription filled for Dimicron MR 30 mg (glicalizide), In checking her patient profile, you learn that she is long-time patron of the pharmacy, is 60 yo, is 6'.1 tall and weighs 200 lbs. His father passed away at young age from juvenile diabetes (type I DM) He has a refill history for Rosuvastatin that indicates a pattern of late refills, in fact, the last refill should have run out of two weeks ago. She got a new prescription for ramipril filled three weeks ago and one for clarithromycin two weeks ago. The rosuvastatin, ramipril and Dimicron MR (gliclizide) are prescribed by Dr AM and the clarithromycin by Dr. PM.
What additional information should be obtained from John in future interactions? except?
A) Obtain information of current prescription and non-prescription medication to ensure profile is complete.
B) Obtain information of chronic use of medications
C) Assess understanding about acute care medications
D) Possible presence of other medical problems that are not being treated or his physician is unaware of
E) None of the above
Answer: (e)
Ques. What barrier do you think might keep you from getting a complete picture of her medication therapy?
A) Lack of self confidence and anxiety of her father death with type I DM
B) Environmental barrier because he is tall
C) Administrative barrier at pharmacy
D) Poor communication skills of patient
E) Pharmacist barrier
Answer: (d)
Ques. PK is a 80 year-old woman with osteoporosis, osteoarthritis, chronic UTIs, essential tremor, and mild cognitive impairment, who has recently been diagnosed with depression with anxious features. PKs appetite has significantly diminished and is skipping several meals of the day. He is currently sleeping only for 1 hour. Current medications include calcium with D 500 mg/400 IU tid, alendronate 70 mg weekly, and prn acetaminophen extra strength. Which of the following is a most likely antidepressant to give PK?
a. Citalopram or sertraline
b. Sertraline or Paroxetine
c. Paroxetine or Fluoxetine
d. Venlafaxine or Duloxetine
e. Amitriptyline or bupropion
Answer: (a)