PEBC (Cardiovascular and Metabolic Syndrome) Sample Questions
Categories: PEBC Canada
Ques. Ted is a 55 year-old male, and a new patient to your pharmacy. 163 cm, 86 kg He suffered a non-ST elevation myocardial infarction 1 week ago. He tells you that he had PCI in hospital, with a bare metal stent to his proximal LAD. What are the clinical features used to calculate TIMI risk score?
A) Age >65 y
B) hypertension
C) high cholesterol
D) any ASA use within 7 d
E) all of the above
Answer: (e)
Ques. AB is 72 kg. 50 y/o woman who was recently diagnosed with type 2 diabetes. On the physical exam her BP is 120/80. Her family doctor told her the results of her 24hour urine collection showed a normal amount of protein in the urine. Which of the following interventions should be implemented to decrease Ms AB’s chance of developing renal disease?
A) Initiation of an ACE inhibitor
B) Initiation of an ARB
C) Optimal blood glucose control
D) Reduction of protein intake to 0.6 g/kg/day
Answer: (c)
Ques. A patient was taking Dimicron 180 mg (glicalizide) dose recently decreased to 80 mg BID. also the patient. The patient was supposed to be given 1 box of Diovan (valsartan) 80 mg and boxes of Dimicron; the label of Diovan was wrongly placed on Dimicron and vice versa. The patient is advised to take 1 pill of Diovan and 2 pills of Dimicron. Because of wrong labeling, which symptoms patients experience initially?
A) Increased pulse rate
B) decrease pulse rate
C) Decrease systolic pressure
D) decrease diastolic pressure
E) Hypoglycemia
Answer: (c)
Ques. MP is a 50 year old man. His medical history started with hydrochlorothiazide (HCTZ) 25 mg po qd 2 months ago. After 4 months HCTZ increased 25 mg po because his BP was uncontrolled. He is diabetic, has hypercholesterolemia. MP had anaphylactic reaction with amoxicillin in childhood. He smokes half a pack a day. Which section of SOAP we have to write about this allergy?
A) Subjective
B) Objective
C) Assessment
D) Plan
E) Follow up
Answer: (a)
Ques. Which of the following is the next most appropriate step in treating MP?
a. Discontinue HCTZ and re-evaluate blood pressure.
b. Adding lisinopril 10 mg po qd to HCTZ 25 mg po qd
c. Adding Atenolol 100 mg po qd to HCTZ 25 mg po qd
d. Increase HCTZ to 50 mg po qd
e. Lifestyle changes require and discontinue HCTZ
Answer: (b)
Ques. Counseling on hydrochlorothiazide 25 mg po qd includes:
A. Do not wear contact lenses
B. Take it in the morning
C. Take with a glass of orange juice or banana (K+ supplement)
D. All of the above
E. B and C
Answer: (b)
Ques. A 75 year old female patient on lansoprazole tablet, and ASA 81mg, admitted to the ICU experiencing DVT. She was given streptokinase, and her condition was stable and discharged then from the hospital. Best prophylactic therapy for her is:
(A) Continuous infusion of heparin + warfarin
(B) Warfarin
(C) Subcutaneous dalteparin + warfarin
(D) Subcutaneous dalteparin
(E) Continuous heparin infusion
Answer: (c)
Ques. In the above question, if the patient developed GIT hemorrhage, What laboratory test is monitored in patients taking heparin and warfarin?
A) aPTT
B) INR
C) no test is required
D) aPTT and INR
E) blood pressure
Answer: (d)