PEBC (Cardiovascular and Metabolic Syndrome) Sample Questions

23 October, 2022

Categories: PEBC Canada

Ques. What is the target waistline circumference?

A) <99 cm

B) <102

C) <88 cm

d) >88 cm

e) >102 cm

Answer: (c)

Ques. What is the initial therapy?

A) Ramipril 5 mg

B) Verapamil/Losartan

C) Atenolol

D) metoprolol

E) Hydrochlorothiazide 50 mg

Answer: (b)

Ques. After 6 months, she still has high blood pressure 155/90, what to do?

A) Increase dose to Ramipril 10 mg

B) Check the compliance of medication

C) Change Ramipril 2.5 mg to Losartan

D) Change Ramipril 2.5 mg to Hydrochlorothiazide 25 mg

E) Change Ramipril 2.5 mg to Metoprolol 50 mg

Answer: (b)

Ques. BB is a 55year old obese man who has been a patient at your pharmacy for many years. He is receiving atenolol 50 mg OD for hypertension, atorvastatin 20 mg OD and glyburide 5 mg BID for blood glucose control. He smoked a pack of cigarettes a day for the last 38 years. His lipid profile is under control. For some reason he started to take herbal products containing niacin and find problems with muscular pain. This pain was not continuous. What should the patient do?

A. Take Tylenol on prn base

B. Refer to his physician

C. Ask for creatine kinase test

D. Patients need not to worry as this pain subsides after discontinuation of herbal products.

E. Use antidote of niacin

Answer: (d)

Ques. A 65-year-old man with a history of hypertension, atrial fibrillation, hypercholesterolemia, and a right middle cerebral artery stroke 6 months previous reports 3 separate episodes of head deviation to the left with rhythmic jerking of the left arm and left side of his face lasting approximately 1 minute. He is taking warfarin, atenolol, and atorvastatin. What is the drug of choice for epilepsy?

A) Lamotrigine (monotherapy)

B) Gabapentin,

C) Valproic acid

D) Phenytoin

E) Carbamazepine

Answer: (a)

Ques. A pharmacist is working as a relief in another pharmacy. A patient came with a prescription of Ativan 1 mg. The pharmacist remembered that the same patient came with another prescription of the same drug two days ago in the other pharmacy where he worked. What should the pharmacy do?

A. Call the police

B. Refuse to fill the new prescription

C. Discuss the matter with the patient

D. Call the doctor and tell him that the patient is addictive

Answer: (c)

Ques. A 58-year-old female Janna is patient with a weight of 52 kg. Her creatinine clearance 40mL/min has MI., Angina, atrial fibrillation, CHF and hypercholesterolemia. KCl = 4 meq/L (normal value 3.5 to 5 meq/L). Current her CrCl is <30

Current medication: Digoxin 0.125 mg po QD, Furosemide 40 mg po QD, Warfarin 5 mg po QD, Lovastatin 20mg po initiated 1 month ago, Captopril 12.5 mg po tid, Kcl, 20 meq po BID, Nitroglycerin 0.4mg SL prn, Nitroglycerin patch 0.4mg/hr q 24h. Hydrochlorothiazide 25 mg daily,

Which of the following medications is most likely concerned in patient profile due to low CrCl, Except?

A) ACEi

B) Hydrochlorothiazide

C) Digoxin

D) Captopril

E) Lovastatin

Answer: (e)

Ques. A patient was on lovastatin for the last six months. His lipid profile is under control. For some reason he started to take herbal products containing niacin and find problems with muscular pain. This pain was not continuous. What should the patient do?

A) Take Tylenol on PRN base

B) Contact to doctor

C) Contact to doctor and ask for CK-MM tests

D) Patient need not to worry

Answer: (c)

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