PEBC (Cardiovascular and Metabolic Syndrome) Sample Questions
Categories: PEBC Canada
Ques. MJ is an 82 year old woman who has been a customer at your pharmacy for many years. When her son PK comes to pick her blister pack. She is currently using hydrochlorothiazide/candesartan 12.5 mg/35 mg, metoprolol 50 mg bid, amlodipine 10 mg daily, metformin 500 mg tid, glyburide 2.5 mg bid, gliclazide MR 60 mg daily, clonazepam 0.25 mg tid, metoclopramide PRN for nausea. Recently her metformin dose was increased to 1000 mg bid to manage her high HbA1c > 9%. MJ caregiver says her patient sometimes gets sweating, feels dizziness and confused specially after taking her diabetic medications. Which of the following medications is most likely associated with high hypoglycemia?
A) Gliclazide
B) Glyburide
C) Metformin
D) Glyburide + gliclazide
E) Metformin+glyburide
Answer. (d)
Ques. MJs caregiver wants to know which of her patient medications should be taken with meals.
Which of the following medications should be taken with meals?
A) metformin, glyburide, gliclazide, metoclopramide, metoprolol
B) metformin, glyburide, gliclazide and metoprolol
C) metformin, glyburide, gliclazide and hydrochlorothiazide/candesartan
D) metformin, glyburide, gliclazide and metoprolol, hydrochlorothiazide /candesartan
E) metformin, glyburide, gliclazide
Answer. (e)
Ques. Metformin should be taken with meals, because?
A) increase bioavailability
B) decrease hypoglycemia
C) mask taste disturbances
D) decrease gastrointestinal side effects
E) decrease lactic acidosis side effects
Answer. (d)
Ques. To minimize the highs and lows of blood glucose levels in MJs pharmacotherapy. Which of the following medications is the least suitable?
A) gliclazide
B) glyburide
C) Metformin
D) regular insulin
E) sitagliptine
Answer. (b)
Ques. As part of inter professional collaboration in diabetes care, a pharmacy may consider referring to diabetic patients to all of the following professionals?
A) Physicians, nurse practitioners, dieticians, chiropodists, and optometrists.
B) Physicians, nurse practitioners, physiotherapist, chiropodists, and podiatrist
C) Physicians, nurse practitioners, psychiatrist, physiotherapist and podiatrist
D) Physicians, nurse practitioners, dieticians, social worker, and personal support worker
E) Physicians, nurse practitioners, dieticians, social workers, and optometrists.
Answer. (a)
Ques. KP is a 53 year old patient who had hypertension, came to the pharmacy and had a prescription of rosuvastatin 10 mg daily as the doctor diagnosed him to use hyperlipidemia. He told the pharmacist do not want to start medication. I Want to try lifestyle changes. Pharmacist started talking to him about his condition and explained to him the benefit of using medication but also after the patient wanted to go lifestyle modification first. What should a good pharmacist do in this situation?
A) Respect patient autonomy and give him right to decide
B) Ask patient to see different doctor for second opinion
C) Ask patient to start after trying lifestyle modifications
D) Provide patient more evidence base documents to show benefit of medication and dangers of hyperlipidemia.
E) Ask the patient what your doctor tells you.
Answer: (d)