PEBC EXAM QUESTIONS AND ANSWERS LATEST 2023/2024 WITH COMPLETE SOLUTIONS.

PEBC EXAM QUESTIONS AND ANSWERS LATEST 2023/2024 WITH COMPLETE SOLUTIONS. 1. According to the Narcotic Control Regulations of the Controlled Drugs and Substances Act, which of the following practitioners may prescribe narcotic drugs? a. Midwives b. Chiropractors c. Osteopaths d. Pharmacists - Answer A 2. The ethical principle of veracity requires that pharmacists: a. respect the rights of others to make choices. b. do good to patients, placing the benefit of the patient over other factors such as cost. c. act with fairness, to allow people to receive that to which they are entitled. d. act with honesty and without deception. - Answer D 3. After speaking with a patient regarding her questions about weight loss and healthy methods of long term weight maintenance, the customer still wishes to use a herbal remedy recommended by her best friend. Which of the following ethical principles must the pharmacist respect regarding this patient's plan? a. Justice b. Beneficence c. Autonomy d. Confidentiality - Answer c 4. According to federal legislation, which of the following medications requires witnessed destruction in a pharmacy? a. Ketamine b. Tramadol c. Galantamine d. Topiramate - Answer a 5. The Canada Health Act (1984) embodies all of the following principles, EXCEPT: a. affordability. b. accessibility. c. portability. d. universality. - Answer a 6. According to federal legislation, which of the following examples shows a legally correct refill designation on a written prescription for dexamphetamine? a. Repeat twice. b. Repeat monthly. c. Repeat twice as required. d. Repeat twice at 14 day intervals. - Answer d PEBC EXAM QUESTIONS AND ANSWERS!! 7. According to the Benzodiazepine and Other Targeted Substances Regulations, what is the expiry date for refilling a prescription for lorazepam? a. Six months from the date written b. Six months from the date originally filled c. One year from the date written d. One year from the date originally filled - Answer c 8. Which of the following pharmaceuticals is regulated federally under the Precursor Control Regulations of the Controlled Drugs and Substances Act, as a precursor chemical for illicit drug use? a. Dextromethorphan b. Dimenhydrinate c. Diazepam d. Pseudoephedrine - Answer d 9. For a drug undergoing research and development processes in Canada, which of the following statements is true? a. Application for patent protection is granted for a maximum period of three years. b. A New Drug Submission must be filed in order to start clinical trials. c. Clinical trials involve three phases that assess animal safety and efficacy. d. Health Canada under the Food & Drugs Act & Regulations provides Notice of Compliance - Answer d 10. Which of the following is the national voluntary organization for advocacy of pharmacists and patient care? a. Canadian Pharmacists Association b. Canadian Patient Safety Institute c. Institute for Safe Medication Practices d. National Association of Pharmacy Regulatory Authorities - Answer a 11. According to Health Canada, a pharmacist administering a vaccine must document which of the following information in the patient's record of vaccination? a. Date of birth b. List of other medications c. Post-immunization adverse effects d. Drug allergies - Answer c 12. RY is an 85 year old male who lives alone and currently takes 12 different medications. For the past 2 weeks he has telephoned to ask the pharmacist what dose of diuretic he should be taking (this medication looks similar to another tablet that he takes). He calls again today with the same question. After answering his question, the most appropriate pharmacist action should be to: PEBC EXAM QUESTIONS AND ANSWERS!! a. call RY's family doctor to suggest changing the diuretic to something that looks different. b. suggest that RY have the labels on his prescription bottles changed to a bigger font for easier reading. c. recommend that the pharmacy use a blister packaging dosette to dispense RY's medications. d. suggest that RY write down the answer to his question so that he does not need to phone again. - Answer c 13. JQ is a 67 year old male with type 2 diabetes that is controlled with insulin. Today, JQ's wife calls the pharmacist to inquire what to do regarding JQ's very low blood glucose reading (2.8 mmol/L). She also notes that he seems to be confused. JQ's wife should be instructed to: a. take JQ immediately to the nearest emergency department. b. have JQ eat a carbohydrate-rich meal and retest in 1 hour. c. give JQ a 15-20 gram glucose supplement and retest in 15 minutes. d. retest JQ's blood glucose level in 1 hour and phone back if it remains low. - Answer c 14. RF is an 80 year old female who developed CDAD (Clostridium difficileassociated diarrhea) after recent treatment of a urinary tract infection with ciprofloxacin. She is admitted to hospital with severe symptoms including profound diarrhea (8 watery bowel movements per day), severe abdominal pain, fever (39°C) and confusion. Based on her symptoms, which of the following is the most appropriate therapy choice for her? a. Oral fidaxomicin b. Oral metronidazole plus intravenous vancomycin c. Oral cholestyramine d. Oral vancomycin plus intravenous metronidazole - Answer d 15. CC, a 72 year old female, complains to the pharmacist that her stomach has been bothering her recently. Current medications include: levothyroxine 0.1 mg po daily (x 30 years), acetaminophen 500 mg po qid (x 5 months), atorvastatin 40 mg po hs (x 4 years), ibuprofen 400 mg po tid prn for joint pain (x 2 months) and zopiclone 3.75 mg po hs prn (x 3 months). Which of the following drug therapy problems is most likely contributing to CC's recent symptoms? a. Too high a dosage of atorvastatin b. Too high a dosage of zopiclone c. Use of ibuprofen without gastroprotection d. Drug interaction between atorvastatin and zopiclone - Answer c 16. AM has been taking bupropion XL 300 mg po daily for four months for the treatment of depression and reports to the pharmacist that he is not experiencing any improvement in his symptoms. After the pharmacist consults with the prescriber, it is decided to change his medication to citalopram 20 mg po daily. Which of the PEBC EXAM QUESTIONS AND ANSWERS!! following is the recommended method for making this switch in antidepressant therapy? a. Stop bupropion and start citalopram 20 mg daily the next day. b. Stop bupropion and wait 7 days before starting citalopram 20 mg daily. c. Taper bupropion over 7 days and then start citalopram 20 mg daily. d. Start citalopram 20 mg daily and then taper bupropion dose over 7 days. - Answer c 17. The pharmacist fills a prescription for sumatriptan 100 mg tablets for a patient with migraine. Appropriate information to provide to the patient includes which of the following? a. If the sumatriptan does not relieve the headache within four hours, ergotamine may be used. b. If no relief is achieved in two hours, a dose of 200 mg should be taken. c. If the headache returns, a dose of 100 mg can be repeated two hours after the first dose. d. The maximum dosage of sumatriptan 100 mg in any 24 hour period is six tablets. - Answer c 18. JG has been taking metoclopramide 10 mg po q6h for the past 3 days as part of her chemotherapy regimen. She normally takes 4 doses daily, 30 minutes prior to meals and at bedtime. This morning, she forgot to take her morning dose before leaving home for a hospital check-up. When she arrives at the clinic, she asks the pharmacist what she should do about her missed dose, as she expects to be home again around 11:00 am. The pharmacist should advise JG to: a. take the missed dose immediately when she gets home and continue as scheduled. b. take two doses at lunchtime to make up for the missed dose. c. skip the missed dose and take the next scheduled dose at lunchtime. d. space 4 doses into the remaining hours between when JG gets home and her bedtime. - Answer c 19. EK is a 25 year old female who presents to the pharmacy requesting Plan B® (levonorgestrel) for emergency contraception following an episode of unprotected sex 12 hours ago. After speaking with EK, the pharmacist decides she is a good candidate to receive Plan B®. The pharmacist should include which of the following counselling information for EK? a. Take one tablet daily for 3 consecutive days. b. A pregnancy test should be done 5 days after completing Plan B®. c. Plan B® will protect EK from pregnancy due to unprotected intercourse until her next menses. d. EK may experience spotting a few days after taking Plan B®. - Answer d PEBC EXAM QUESTIONS AND ANSWERS!! 20. Following a pharmacist's interview of a patient seen in an asthma clinic, which of the following findings should be documented in the "plan" section of the SOAP format notes? a. Nocturnal symptoms b. Pulmonary test results c. Dyspnea on exertion d. Review of inhaler technique at next visit - Answer d