PEBC (Cardiovascular and CNS) Sample Questions
Categories: PEBC Canada
Ques. MM is currently stabilized on Warfarin 2.5 mg QD treatment. Which of the following drugs may decrease warfarin levels
A) Carbamazepine
B) Clarithromycin
C) Cotrimoxazole
D) Ciprofloxacin
E) Digoxin
Answer: (a)
Ques. A 50 years old man presented to the emergency ward with a swollen right leg and may have been diagnosed with deep vein thrombosis. The best initial treatment for this patient is:
A. Give ASA 325 mg po, to act as antiplatelets
B. Give enoxaparin 4000 IU sc q24 hour
C. Give warfarin 3 mg to maintain INR 2 to 3
D. Give enoxaparin + warfarin
E. Give streptokinase 1.5 million IU i.v. is over 1hour
Answer: (d)
In these questions inclusive refer to the following:
BM, a 60 year –old male, diagnosed with hypertension for the past 30 years and 10 year history of Ischemic heart disease (IHD), poorly controlled due to poor compliance. He has no family history of heart disease and social history includes smoking for the past 40 years; currently smoke 1-2 packs per week and on average drinks a six pack of beer per week.
Current medications include: Hydrochlorothiazide 25 mg PO daily, nitroglycerin 0.4 mg PRN for chest pain, Ketoprofen, 75 mg PO TID
No known medical allergies, physical examination includes anxious male, BP 125/90, HR 105, wt 68 kg, 1+ ankle edema, bluish-gray skin discoloration on sun – exposed areas. Lab values Na 134, K 3.9, Cl 102, HCO3 28, BUN 6.1, Cr 106, Hct 0.38, Hgb 140, MCV 88, AST 0.70, ALT 0.64, LDH 3.18, Alk Phos 0.8, Alb 38 & ESR 43 mm/hr.
Ques. Which of the following monitoring parameters is NOT important in the early assessment of ACE inhibitor therapy in BM?
A) Serum K+
B) Serum creatinine
C) Renal function test
D) Liver function test
E) Serum Na+
Answer: (e)
Ques. Which of the following ACE inhibitors works best if you take it on an empty stomach?
A) Lisinopril
B) Captopril
C) Enalapril
D) Ramipril
E) All of the above
Answer: (b)
Ques. Which of the following antihypertensive should NOT be used in a patient with systolic dysfunction?
A) Ramipril
B) Felodipine
C) Amlodipine
D) Verapamil
E) Atenolol
Answer: (d)
Ques. Which of the following in BM profile is objective according to the SOAP note?
A) ACE i Side effects
B) Cardiovascular laboratory values
C) Patient symptoms
D) all of the above
Answer: (b)
Ques. Overwhelming data in patients with established CAD supporting the benefits of anticholenesterase drugs in mortality, cardiovascular mortality and stroke. What is the drug of choice recommended above for patients to achieve target LDL ?
A) Rosuvastatin
B) Ramipril
C) Niacin
D) Fenofibrate
E) Beta blockers
Answer: (a)
Ques. 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) Ticlid (Ticlopidine)
(B) Clopidogrel (Plavix 75mg)
(C) Dipyridamole 400mg/day
(D) Dipyridamole plus Warfarin
(E) None of the above
Answer: (d)