PEBC Clinical Assessment Methods 4

Question 1

A pharmacist is conducting a medication review and notices a patient taking warfarin has an INR of 4.8 with no active bleeding. The most appropriate immediate action is:

Accepted Answer

Hold warfarin and recheck INR in 1–2 days

Answer

For asymptomatic supratherapeutic INR (4.5–10), holding warfarin and monitoring closely is appropriate before deciding on further intervention.

Question 2

When assessing a patient's functional status, the Barthel Index measures:

Accepted Answer

Activities of daily living and independence

Answer

The Barthel Index assesses a patient's ability to perform activities of daily living (ADLs) such as feeding, bathing, and mobility.

Question 3

A pharmacist uses the Naranjo Algorithm to assess adverse drug reactions. A total score of 7 classifies the reaction as:

Accepted Answer

Probable

Answer

Naranjo scores of 5–8 classify the ADR as 'Probable'; scores ≥9 = Definite, 1–4 = Possible, ≤0 = Doubtful.

Question 4

During a comprehensive geriatric assessment, the Timed Up and Go (TUG) test is used primarily to evaluate:

Accepted Answer

Fall risk and mobility in elderly patients

Answer

The TUG test measures time to rise from a chair, walk 3 meters, return, and sit — predicting fall risk in older adults.

Question 5

A pharmacist assesses a patient's alcohol use using the AUDIT-C tool. A score of 5 in a male patient suggests:

Accepted Answer

Hazardous or harmful alcohol use

Answer

AUDIT-C scores ≥4 in men and ≥3 in women indicate hazardous or harmful alcohol use warranting further assessment.

PEBC - Pharmacy Examining Board of Canada Practice Test

PEBC - Pharmacy Examining Board of Canada Practice Test

PEBC Clinical Assessment Methods 4