PEBC (Cardiovascular and CNS) Sample Questions

21 October, 2022

Categories: PEBC Canada

Ques. A 30 yo maniac patient on lithium 600 mg q8h admitted to hospital with hallucination and disorientation. What is the better explanation or drug related problem?

A) non adherence

B) taking too much medication

C) Taking too little dose

D) toxicity of lithium

E) Need additional drug therapy

Answer: (e)

Ques. A 25 year old student is taking paroxetine daily for the treatment of depression for the past 3 months. Currently the doctor diagnosed the patient as a maniac. What is appropriate to do?

A) Continue paroxetine and start lithium

B) Discontinue paroxetine and start lithium

C) Continue paroxetine and add haloperidol and lithium

D) Discontinue paroxetine and add haloperidol

E) Increase dose of lithium

Answer: (b)

Ques. A patient with neuropathic pain was prescribed carbamazepine by his doctor, with some relief of his signs and symptoms but with more side effects that are bothering the patient. Which of the following symptoms are not dose dependent?

A) Rash

B) Dizziness

C) Visual disturbances

D) GI upset

Answer: (a)

Ques. A 10 years child with ADHD. His doctor diagnosed his condition and prescribed methylphenidate CR capsule 10 mg twice daily. Best thing the pharmacist should do is

A) Call the doctor to switch the patient to methylphenidate CR tab 20 mg/dose since the latter is given in divided doses.

B) Call the doctor to ensure him that methylphenidate CR is given once daily and not twice daily

C) Dispense the prescription as it is

D) Call the doctor to prescribe him methylphenidate since the capsule can be opened and sprinkled on soft foods

E) None of the above

Answer: (b) methylphenidate CR is given as 20 mg/dose 8 hours apart and controlled release as a single dose

Ques. What is monitored in 10-year-old using methylphenidate, except?

A) Weight loss

B) Insomnia

C) Constipation

D) Reduce hyperactivity

E) Attention in his studies

F) Suicidal plans

Answer: (c)

Ques. KM is A 41 year old male using antihypertensive captopril bid and indomethacin for treatment of acute gout attacks and ASA 81 mg for primary prevention of cerebrovascular risk. What are the interactions between captopril and indomethacin?

A) Increase in prostaglandin and Na/water retention

B) Decrease in prostaglandin and Na/Water retention

C) Increase risk of anti inflammatory effect of indomethacin

D) Increase risk of gastrointestinal bleeding

E) Decrease risk of gastrointestinal bleeding

Answer: (b)

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