PEBC Evaluating Exam case studies
PEBC Evaluating Exam · Put your knowledge to work in context.
The Evaluating Examination is a computer-based, multiple-choice examination administered by The Pharmacy Examining Board of Canada (PEBC), the national certification body for the profession of pharmacy in Canada. Historically it formed part of the certification pathway for internationally educated pharmacy graduates, assessing whether a candidate's knowledge base is comparable to that expected of a graduate of a Canadian pharmacy program before the candidate proceeds to the pharmacist Qualifying Examination. The PEBC Evaluating Exam case studies are 5 cases and about 4,055 words.
1Confusion and Severe Hyponatremia in an Older Adult on Two New Medications
A 72-year-old woman is brought to the emergency department by her daughter with 3 days of worsening confusion and unsteadiness. She began sertraline 50 mg daily 6 weeks ago for depression and hydrochlorothiazide 25 mg daily 3 weeks ago for hypertension.
799 words, about 4 min2Low Phenytoin Level in a Patient Receiving Nasogastric Tube Feeding
A 58-year-old man with generalized tonic-clonic seizures is admitted with aspiration pneumonia. A nasogastric tube is placed for feeding and continuous enteral formula is running at 60 mL/h.
770 words, about 4 min3INR 6.2 After a Course of Trimethoprim–Sulfamethoxazole
A 74-year-old woman with atrial fibrillation has taken warfarin 4 mg daily for 3 years with stable INRs between 2.1 and 2.8 (target 2.0–3.0). Four days ago her family physician started trimethoprim–sulfamethoxazole DS twice daily for 7 days for dysuria.
750 words, about 4 min4An HbA1c of 9.4% and a 50% Refill Record
A 62-year-old man with type 2 diabetes attends a pharmacist-led review. HbA1c is 9.4% (up from 8.6% six months ago).
821 words, about 4 min5Valproate in a Newly Pregnant Patient With Epilepsy
A 27-year-old woman presents to the pharmacy 8 weeks pregnant (confirmed by ultrasound) with a 6-year history of juvenile myoclonic epilepsy. She takes valproate 500 mg twice daily and has been seizure-free for 2 years.
915 words, about 5 min