PEBC (Cardiovascular and Metabolic Syndrome) Sample Questions
Categories: PEBC Canada
Ques. KM a 60 yo MI patient had bypass surgery 4 months ago using ASA 325 mg daily, clopidogrel 75 mg daily, rosuvastatin 10 mg daily, nodolol 80 mg daily and salbutamol PRN, budesonide daily. Now hospitalized with severe asthma. What is the pharmacist concern in KM?
A) drug and drug interactions
B) drug and disease interactions
C) drug and food interactions
D) Drug & drug interaction and drug & disease interaction
E) Drug & drug interaction and drug & food interaction
Answer: (d)
Ques. KT is an 80 yo patient who came to emergency and the doctor diagnosed STEMI. Her CK-MB, Troponin and ECG were positive. KT arrived after 6 hours of myocardial infarction symptoms. Currently patient blood pressure is 190/110. KT recently a month had been discharged from emergency after treatment of intracranial hemorrhagic stroke. Now KT surgeons are reluctant to treat with Alteplase. Which of the following could be KTs absolute contraindication of Alteplase?
A) High blood pressure 190/110
B) Previous intracranial hemorrhagic stroke
C) KT age > 78 year old
D) Arriving to emergence after 6 hours
E) KT is not suitable for Alteplase
Answer: (b)
Ques. Streptokinase has least selectivity to fibrin however also has the least intracranial bleeding side effect compared to alteplase. All of the following are the clinical approved indications of Streptokinase. Except?
A) Deep vein thrombosis
B) pulmonary embolism
C) Myocardial infarctions
D) Acute stroke
E) All of the above
Answer: (d)
Ques. A 64 yo man weighing 115 kg, and tall 60 inches, presents to his physician after a long international flight complaining of pain, swelling of his right lower leg. The patient had knee surgery a month before he travelled. His medication profile includes, CHF (ejection fraction < 15%), remission from lymphoma, MI. His father, mother, and sister are all diseased from stroke, pulmonary embolism. Given his profile. Patient most likely suffering from?
Which of the following are NOT risk factors of DVT?
A) Knee surgery
B) overweight
C) long flight
D) family history
E) Gender
Answer: (e)
Ques. What is the most important recommendation that should be provided to decrease risk of deep vein thrombosis?
A) Avoid taking flights
B) Increase mobility of legs
C) Avoid physical activity
D) Avoid vitamin K intake
E) Avoid dark green vegetables
Answer: (b)
Ques. Patient is hospitalized. Drs initiated heparin infusion. What is incorrect about heparin?
A) Heparin dose is based on body weight
B) Loading dose is 80 units/kg and maintenance dose is 15 to 25 units/kg/hr.
C) LMWH pharmacokinetics are predictable and easy for dose administration
D) LMWH has short half-life and the drug of choice in patient with renal clearance<30 ml/min
E) LMWH have predictable response thus not monitored
Answer: (c)
Ques. Which of the following low molecular weight heparin has higher selectivity to factor Xa.
A) Enoxaparin
B) Dalteparin
C) Nadroparin
D) Tinzaparin
E) Heparin
Answer: (a)
Ques. MP is a 72 years old patient diagnosed for systolic congestive heart failure after his LVEF is ≤ 40%. MPs blood pressure reading are 130/85 Doctor categorized MP symptoms according to NYHA class 2. Doctor considering prescribing Ramipril 5 mg as initial therapy to CHF? What are the therapeutic benefits of ACEi treatment for patients of CHF?
A) Reduce mortality
B) Reduce readmission in hospital for heart failure
C) Improve symptoms and improve ejection fraction
D Decrease the rate of reinfarction in patients with coronary artery disease
E) all of the above
Answer: (e)