PEBC (Cardiovascular and CNS) Sample Questions
Categories: PEBC Canada
Ques. Factors contributing to acetaminophen overdose and liver toxicity include?
I) ingesting more than the maximum recommended total daily dose (4 g in 24 hours),
II) taking multiple acetaminophen formulations for different conditions or symptoms.
III) consuming three or more alcoholic drinks per day while taking acetaminophen.
A) I only
B) III only
C) I and II only
D) II and III only
E) I, II, III
Answer: (e)
Ques. If IBs doctor considering to prescribe diclofenax gel (Voltaren gel) what risk factors you consider? Except
A) Age > 65 yo
B) GI bleeding
C) Renal disease < CrCl 30 ml/min
D) If already using oral NSAIDs
Answer: (a)
Ques. A patient has been taking an opioid analgesic for the past three months for back pain resulting from a workplace injury. All of the following behaviors could be indicators of a developing addiction disorder, EXCEPT:
a) Incidents of lost prescriptions.
b) Frequent requests for early refills.
c) Prescriptions from multiple family physicians.
d) Patient concerns regarding side effects.
e) Patient concerns regarding lack of efficacy.
Answer: (d)
In these questions inclusive refer to the following:
FG is a 65-year-old war veteran with a 40-year history of paranoid schizophrenia. His symptoms include poor personal hygiene, blunted affect, and delusions, accompanied by auditory and visual hallucinations. His delusional symptoms relate to his wartime experiences. His visual hallucinations involve enemy soldiers from the war who he believes are stalking him. FG's auditory hallucinations include the sounds of war, accompanied by enemy soldiers threatening to end his life if he does not keep his guard up. FG has been unable to maintain a job or adequate housing for many years. He currently lives under a bridge "in case he needs to make a getaway down the river." When workers from the free clinic are able to locate him, they attempt to provide medical care and evaluate his schizophrenia. If sample medications are available, they provide him with them. According to their records, FG was given haloperidol 15 mg 3 times daily and benztropine 1 mg 3 times daily when they last evaluated him. He was given enough medication for a few weeks so that they could evaluate the effectiveness and any adverse effects. During previous trials with other neuroleptic agents, extrapyramidal side effects have limited the dose FG could tolerate.
The physician on the team would like to discontinue the haloperidol and initiate an agent with fewer extrapyramidal side effects. He searches the medication supply and finds that he has samples of olanzapine, quetiapine, aripiprazole, and risperidone, ziprasidone.
Ques. Which agent is least likely to cause extra pyramidal side effects?
A) olanzapine
B) quetiapine
C) Aripaprazole
D) Risperidone
E) Ziprasidone
Answer: (b)
Ques. Which agent is most likely to cause QT prolongation side effects?
A) olanzapine
B) quetiapine
C) Aripaprazole
D) Risperidone
E) Ziprasidone
Answer: (e)
Ques. Which agent causes the highest weight gain side effects?
A) Olanzapine
B) Quetiapine
C) Aripaprazole
D) Risperidone
E) Ziprasidone
Answer: (a)