PEBC Clinical Assessment Methods 3

Question 1

Which component of a comprehensive pain assessment is best captured by the 'Q' in the OPQRSTU mnemonic?

Accepted Answer

Quality of pain (e.g., burning, stabbing)

Answer

'Q' in OPQRSTU stands for Quality, describing the character of pain such as burning, aching, or stabbing.

Question 2

A pharmacist uses the Morisky Medication Adherence Scale (MMAS-8). A score of 6 out of 8 indicates:

Accepted Answer

Medium adherence

Answer

MMAS-8 scores of 6–7 indicate medium adherence; scores of 8 indicate high adherence, and below 6 indicate low adherence.

Question 3

When assessing a patient for potential opioid misuse, which validated screening tool is most commonly recommended?

Accepted Answer

ORT (Opioid Risk Tool)

Answer

The Opioid Risk Tool (ORT) is specifically validated to stratify patients' risk of opioid misuse before initiating opioid therapy.

Question 4

A patient's eGFR is reported as 28 mL/min/1.73m². According to KDIGO staging, this patient has:

Accepted Answer

CKD Stage 4

Answer

KDIGO Stage 4 CKD corresponds to an eGFR of 15–29 mL/min/1.73m², indicating severely decreased kidney function.

Question 5

During auscultation training, a pharmacy student hears a high-pitched wheeze over the lung bases bilaterally. This finding is most consistent with:

Accepted Answer

Bronchospasm from asthma or COPD

Answer

Bilateral expiratory wheezes indicate airway narrowing from bronchospasm, characteristic of asthma or COPD exacerbation.

PEBC - Pharmacy Examining Board of Canada Practice Test