PEBC questions with verified answers
83. Lipid profile screening is important in all patients who have a history of:
a. COPD.
b. GERD.
c. diabetes.
d. liver disease. Ans✓✓✓ c
84. Which of the following is the primary assessment tool recommended to
quantify a patient's 10-year risk for total cardiovascular disease?
a. Framingham risk score
b. SCORE risk estimator
c. TIMI risk score
d. CHADS2 score Ans✓✓✓ a
A 27 year old patient presents to a community pharmacy for the first time and
tells the pharmacist that he experienced an allergy to a penicillin product as a
child. His symptoms included hives, wheezing and facial swelling, which resulted
in hospitalized care. Which of the following is the most important reason for a
community pharmacist to document this type of information in a patient's
medication profile record?
a. To provide drug allergy information to the patient's insurance provider
b. To encourage the patient to fill future prescriptions at this pharmacy
c. To enhance continuity of patient care regardless of the prescriber
,d. To provide a record of cognitive services for insurance reimbursement
Ans✓✓✓ c
A biological safety cabinet would be the best choice for preparing a parenteral
formulation of:
a. alteplase.
b. doxorubicin.
c. nitroglycerin.
d. penicillin. Ans✓✓✓ b
A community pharmacist decides to collaborate with the local health department
to offer expanded services for geriatric patients. Which of the following is the
most appropriate first step to take?
a. Hire an additional registered pharmacy technician to assist with the increased
workload.
b. Arrange for a meeting with the local public health nurses.
c. Seek financial sponsorship from pharmaceutical manufacturers.
d. Gather information about geriatric issues in the community. Ans✓✓✓ d
A community pharmacy provides prescriptions for elderly patients in a nearby
long-term care facility where the nursing staff administer medications. When
processing the monthly refills for NR, an 83 year old female resident, the
pharmacist notices that NR's lorazepam refills have been ordered several days
early on the last 2 occasions. Which of the following is the most appropriate
action for the pharmacist to take?
,a. Ask NR if there has been a dosage change with her lorazepam.
b. Ask the nurse at the residence to check NR's medication administration
records.
c. Alert the prescribing physician that NR is taking more lorazepam than
prescribed.
d. Report the nursing staff at the residence for a fraudulent diversion of
medication. Ans✓✓✓ b
A drug is being evaluated for the risk of hyperkalemia. A large retrospective, case
control study has provided the following information:
Cases: 5250
Controls: 5000
Number with hyperkalemia
22 (cases)
7 (controls
What is the odds ratio for hyperkalemia with this drug?
a. 1
, b. 2
c. 3
d. 4 Ans✓✓✓ c
A family health team is reviewing recent guidelines for dyslipidemia and
cardiovascular risks. Physician colleagues ask the pharmacist for information on
the recommendations for monitoring patients in various categories.
82. The current recommendation for performing a baseline plasma lipid profile in
men is to screen all males over the age of:
a. 35 years.
b. 40 years.
c. 50 years.
d. 55 years. Ans✓✓✓ b
A male patient weighing 165 pounds is brought to the Emergency Room
approximately 6 hours after ingestion of an overdose of acetaminophen.
Acetylcysteine IV will be administered according to the following dosing regimen:
Total IV dose = 300 mg/kg given over 20 hours, as follows:
Loading Dose:150 mg/kg in 250 mL D5W IV given over 15 minutes, followed by:
First infusion: 50 mg/kg in 500 mL D5W IV given over 4 hours, followed by:
Second infusion: 100 mg/kg in 1 L D5W given over 16 hours.
83. Lipid profile screening is important in all patients who have a history of:
a. COPD.
b. GERD.
c. diabetes.
d. liver disease. Ans✓✓✓ c
84. Which of the following is the primary assessment tool recommended to
quantify a patient's 10-year risk for total cardiovascular disease?
a. Framingham risk score
b. SCORE risk estimator
c. TIMI risk score
d. CHADS2 score Ans✓✓✓ a
A 27 year old patient presents to a community pharmacy for the first time and
tells the pharmacist that he experienced an allergy to a penicillin product as a
child. His symptoms included hives, wheezing and facial swelling, which resulted
in hospitalized care. Which of the following is the most important reason for a
community pharmacist to document this type of information in a patient's
medication profile record?
a. To provide drug allergy information to the patient's insurance provider
b. To encourage the patient to fill future prescriptions at this pharmacy
c. To enhance continuity of patient care regardless of the prescriber
,d. To provide a record of cognitive services for insurance reimbursement
Ans✓✓✓ c
A biological safety cabinet would be the best choice for preparing a parenteral
formulation of:
a. alteplase.
b. doxorubicin.
c. nitroglycerin.
d. penicillin. Ans✓✓✓ b
A community pharmacist decides to collaborate with the local health department
to offer expanded services for geriatric patients. Which of the following is the
most appropriate first step to take?
a. Hire an additional registered pharmacy technician to assist with the increased
workload.
b. Arrange for a meeting with the local public health nurses.
c. Seek financial sponsorship from pharmaceutical manufacturers.
d. Gather information about geriatric issues in the community. Ans✓✓✓ d
A community pharmacy provides prescriptions for elderly patients in a nearby
long-term care facility where the nursing staff administer medications. When
processing the monthly refills for NR, an 83 year old female resident, the
pharmacist notices that NR's lorazepam refills have been ordered several days
early on the last 2 occasions. Which of the following is the most appropriate
action for the pharmacist to take?
,a. Ask NR if there has been a dosage change with her lorazepam.
b. Ask the nurse at the residence to check NR's medication administration
records.
c. Alert the prescribing physician that NR is taking more lorazepam than
prescribed.
d. Report the nursing staff at the residence for a fraudulent diversion of
medication. Ans✓✓✓ b
A drug is being evaluated for the risk of hyperkalemia. A large retrospective, case
control study has provided the following information:
Cases: 5250
Controls: 5000
Number with hyperkalemia
22 (cases)
7 (controls
What is the odds ratio for hyperkalemia with this drug?
a. 1
, b. 2
c. 3
d. 4 Ans✓✓✓ c
A family health team is reviewing recent guidelines for dyslipidemia and
cardiovascular risks. Physician colleagues ask the pharmacist for information on
the recommendations for monitoring patients in various categories.
82. The current recommendation for performing a baseline plasma lipid profile in
men is to screen all males over the age of:
a. 35 years.
b. 40 years.
c. 50 years.
d. 55 years. Ans✓✓✓ b
A male patient weighing 165 pounds is brought to the Emergency Room
approximately 6 hours after ingestion of an overdose of acetaminophen.
Acetylcysteine IV will be administered according to the following dosing regimen:
Total IV dose = 300 mg/kg given over 20 hours, as follows:
Loading Dose:150 mg/kg in 250 mL D5W IV given over 15 minutes, followed by:
First infusion: 50 mg/kg in 500 mL D5W IV given over 4 hours, followed by:
Second infusion: 100 mg/kg in 1 L D5W given over 16 hours.
