Here are a few examples of mock PEBC exam questions from the various free and paid courses we offer:
1. A 45-year-old patient with a history of hypertension and type 2 diabetes comes to the pharmacy with a new prescription for Metformin 500mg twice daily. The patient is currently taking Lisinopril 20mg once daily. The patient's recent lab results show a serum creatinine of 1.8 mg/dL and an estimated glomerular filtration rate (eGFR) of 45 mL/min/1.73 m^2.
Which of the following is the most appropriate action?
a. Dispense the Metformin as prescribed.
b. Contact the prescriber to discuss the initiation of a lower dose of Metformin.
c. Advise the patient to stop taking Lisinopril immediately.
d. Contact the prescriber to discuss an alternative to Metformin.
Answer:
d. Contact the prescriber to discuss an alternative to Metformin.
Rationale:
Metformin is contraindicated in patients with an eGFR less than 30 mL/min/1.73 m^2 and should be used with caution in patients with an eGFR between 30-45 mL/min/1.73 m^2. Given the patient's eGFR of 45 mL/min/1.73 m^2, it would be prudent to discuss an alternative to Metformin with the prescriber. Lisinopril is an appropriate medication for a patient with hypertension and diabetes, and there is no need to discontinue it based on the information provided..
2. The web site of which of the following would be most appropriate to consult in order to determine whether there are any safety alerts associated with a prescription drug product?
a. Canadian Agency for Drugs and Technologies in Health
b. Health Canada
c. Institute for Safe Medication Practices
d. Canadian Patient Safety Institute
e. Canadian Institute for Health Information
Answer:
b. Health Canada
Rationale:
Health Canada is the federal department responsible for helping Canadians maintain and improve their health. It is the regulatory body that oversees the safety, efficacy, and quality standards for drugs and health products in Canada. This includes issuing safety alerts and recalls for prescription drugs. Therefore, their website would be the most appropriate to consult for safety alerts associated with a prescription drug product.
While the other organizations listed also contribute to health and safety in Canada, they do not have the same regulatory role as Health Canada. For example, the Canadian Agency for Drugs and Technologies in Health provides evidence to help make informed decisions and improve the quality of health care, but it does not issue safety alerts. Similarly, the Institute for Safe Medication Practices and the Canadian Patient Safety Institute work to improve patient safety, but they do not regulate drugs or issue safety alerts. The Canadian Institute for Health Information collects and analyzes information about health and health care in Canada, but it does not issue safety alerts.
3. Which of the following medications is permitted as a verbal prescription?
a. Hydrocodone
b. Mersyndol (doxylamine, codeine, acetaminophen)
c. Suboxone (buprenorphine/naloxone)
d. Morphine
e. Oxycontin
Answer:
c. Suboxone (buprenorphine/naloxone)
Rationale:
Hydrocodone and Morphine are both narcotics, and Mersyndol contains codeine, which is also a narcotic. Therefore, these medications typically require a written prescription. Suboxone (buprenorphine/naloxone) is an exception to this rule. It is used for opioid addiction treatment and can be prescribed verbally because timely access to this medication can be critical for patients. However, the prescriber is required to document the verbal prescription as soon as possible.
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We recommend that you take a look at our free Bronze course to see how the course is structured and the resources we offer.