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Health Promotion and Disease Prevention Flashcards

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

Read the first 6 Health Promotion and Disease Prevention flashcards as text

  1. A 55-year-old patient asks a pharmacist about colorectal cancer screening. Which recommendation aligns with current Canadian cancer screening guidelines for average-risk adults?

    Answer: Fecal immunochemical test (FIT) every 1–2 years starting at age 50

    Canadian guidelines recommend fecal immunochemical testing (FIT) every 1–2 years for average-risk adults aged 50–74. This is the first-line non-invasive screening method recommended in most provincial programs.

  2. A pharmacist is counselling a patient who wants to quit smoking. The patient smokes 1 pack per day and scores 7 on the Fagerström Test for Nicotine Dependence. Which first-line pharmacotherapy is MOST appropriate?

    Answer: Varenicline (Champix) due to highest efficacy for highly dependent smokers

    Varenicline (Champix) is considered the most efficacious single pharmacotherapy for smoking cessation and is particularly recommended for highly nicotine-dependent smokers (Fagerström score ≥ 6). Nortriptyline is a second-line option, not first-line.

  3. Which vaccine is recommended by the National Advisory Committee on Immunization (NACI) for ALL adults aged 65 years and older in Canada?

    Answer: High-dose or adjuvanted inactivated influenza vaccine

    NACI preferentially recommends high-dose (Fluzone High-Dose) or adjuvanted (FLUAD) inactivated influenza vaccines for adults ≥65 years, as these formulations produce stronger immune responses in older adults compared to standard-dose vaccines. LAIV is contraindicated in adults ≥50 years.

  4. A pharmacist is calculating a patient's BMI as part of a cardiovascular risk assessment. The patient weighs 90 kg and is 1.70 m tall. What is the BMI, and how is it classified?

    Answer: BMI = 31.1 kg/m²; classified as Obesity Class I

    BMI = weight(kg) / height(m)² = 90 / (1.70)² = 90 / 2.89 = 31.1 kg/m². According to Health Canada classification, BMI 30.0–34.9 is Obesity Class I. Overweight is BMI 25.0–29.9.

  5. A parent asks a pharmacist when their healthy 2-month-old infant should receive their first dose of the pneumococcal conjugate vaccine (PCV13) according to the routine Canadian immunization schedule.

    Answer: At 2 months of age

    The routine Canadian immunization schedule recommends the first dose of PCV13 (Prevnar 13) at 2 months of age, with subsequent doses at 4 months and a booster at 12 months, for a standard 3-dose series.

  6. Which of the following best describes the role of the pharmacist in the '5 A's' model for brief health promotion interventions (e.g., smoking cessation)?

    Answer: Ask, Advise, Assess, Assist, Arrange — a structured counselling framework for behaviour change

    The 5 A's framework (Ask about behaviour, Advise change, Assess readiness, Assist with a plan, Arrange follow-up) is a validated, widely-used brief intervention model for health behaviour counselling including smoking cessation, recognized by Health Canada and NACI.