PEBC Clinical Assessment Methods 5

Question 1

A pharmacist counsels a patient newly prescribed a statin. Which laboratory value should be established as a baseline before initiating therapy?

Accepted Answer

Creatine kinase (CK) and liver enzymes (ALT)

Answer

Baseline CK and hepatic transaminases (ALT) should be measured before statin initiation to detect pre-existing myopathy or liver disease.

Question 2

When assessing for signs of dehydration in a pediatric patient, which clinical sign is most reliable?

Accepted Answer

Capillary refill time greater than 2 seconds

Answer

Prolonged capillary refill time (>2 seconds) is a reliable clinical indicator of dehydration and reduced peripheral perfusion in children.

Question 3

A pharmacist performing a comprehensive medication review uses the Beers Criteria. This tool is specifically designed to identify:

Accepted Answer

Potentially inappropriate medications in older adults (≥65 years)

Answer

The Beers Criteria identifies potentially inappropriate medications that carry greater risk than benefit in adults aged 65 and older.

Question 4

A patient reports taking their antihypertensive medications only on days they 'feel their blood pressure is high.' This pattern indicates:

Accepted Answer

Intentional non-adherence based on health beliefs

Answer

Taking medications only when symptomatic reflects intentional non-adherence driven by health beliefs, as hypertension is typically asymptomatic.

Question 5

In clinical assessment documentation, a SOAP note's 'O' section should contain:

Accepted Answer

Objective findings including vital signs, lab results, and physical exam findings

Answer

The 'O' (Objective) section includes measurable, observable data such as vital signs, laboratory values, and physical examination findings.

PEBC - Pharmacy Examining Board of Canada Practice Test