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Clinical Assessment Methods Flashcards

7 cards from real PEBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A pharmacist is assessing a patient's inhaler technique using the INHALER mnemonic. Which step is most critical to evaluate first?

    Answer: Correct device priming

    Priming ensures the device delivers a full dose and must be confirmed before evaluating inhalation technique.

  2. When performing a structured medication history (Scholar MAC), what does the 'M' stand for?

    Answer: Modifying factors

    In SCHOLAR MAC, 'M' refers to modifying factors — what makes the symptom better or worse.

  3. A patient presents with a peak expiratory flow (PEF) reading of 55% of their personal best. According to asthma action plans, this indicates:

    Answer: Red zone — seek immediate medical attention

    A PEF below 60% of personal best places the patient in the red zone, requiring immediate medical attention.

  4. Which validated tool is most appropriate for screening a patient for depression in a community pharmacy setting?

    Answer: PHQ-9

    The PHQ-9 (Patient Health Questionnaire-9) is a validated, widely used tool for screening and monitoring depression severity.

  5. A pharmacist measures a patient's blood pressure as 148/96 mmHg on two separate visits. According to current Canadian guidelines, this is classified as:

    Answer: Grade 1 hypertension

    Sustained readings ≥140/90 mmHg on multiple visits classify as Grade 1 (mild) hypertension per Hypertension Canada guidelines.

  6. During a clinical assessment, a pharmacist uses the ISBAR communication tool. What does the 'A' represent?

    Answer: Assessment

    In ISBAR (Identify, Situation, Background, Assessment, Recommendation), 'A' stands for Assessment — the pharmacist's clinical interpretation.

  7. A patient's random blood glucose is 12.4 mmol/L and they report polyuria and polydipsia. The pharmacist's most appropriate next step is to:

    Answer: Refer urgently to a physician for formal diagnosis and management

    Diagnosis of diabetes requires physician confirmation, and urgent referral is warranted given the symptomatic hyperglycemia.