PEBC (Cardiovascular and CNS) Sample Questions

22 October, 2022

Categories: PEBC Canada

Ques. JP is a 47 year old male diabetes patient taking metformin 850 mg BID. Blood sugar is not controlled. Patient complaining he is not taking medicine regularly due to GI side effects. What to do?

A) Reduce dose of metformin and add gliclazide

B) Reduce dose of metformin and add pioglitazone

C) Reduce dose of metformin and add acarbose

D) Reduce dose of metformin and sitagliptine

E) Reduce dose of metformin and saxigliptine

Answer: (a)

Ques. Consider adding pioglitazone. Which of the following is true about using pioglitazone for type 2 diabetes?

a) It lowers risk of fractures

B) It is associated small risk of bladder cancer

C) It has high risk of hypoglycemia

D) It is likely to cause weight loss

E) It lowers risk of heart failure

Answer: (b)

Ques. Complications of diabetes typically include all of the following except:

a) retinopathy

b) nephropathy

c) pulmonary disease

d) cardiovascular disease

e) high triglycerides

Answer: (c)

Ques. A.H. is a 81 year-old female. A.H. presents with a prescription for warfarin 1 mg tablets to be adjusted based on INR results. AH. Explains the drug is for atrial fibrillation.

Current medications: Hydrochlorothiazide 25 mg daily Metoprolol 50 mg BID

Past medical history: Hypertension x 12 years

Which counseling point would NOT be necessary to discuss with A.H. regarding warfarin use?

I) Avoid taking ibuprofen for pain or fever.

II) Inform all health care providers that you are taking warfarin.

III) Avoid drinking grapefruit juice while taking warfarin.

A) I only

B) III only

C) I and II

D) II and III

E) I, II, III

Answer: (b)

Ques. MN a patient with prosthetic valve replacement in his heart was discharged after having a cerebral ischemic attack. The patient is intolerant to ASA. Best prophylactic treatment to be prescribed for the patient is/are:

(A) Ticlopidine

(B) Clopidogrel 75 mg

(D) Dipyridamole plus Warfarin

(E) ASA 81 mg

Answer: (d)

Ques. Several months later, MN is put on ticlopidine. What must she be aware of to optimize her therapy with this agent?

a. she must ensure that she has her blood tested every week for the first three months of therapy

b. she must take it on an empty stomach to maximize absorption and minimize adverse effects

c. she should report fever and sore throat to her physician.

d. she should continue to take ASA with ticlopidine with added benefits

e. she should be aware that constipation is common but it is a transient effect

Answer: (c)

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