PEBC OSCE case studies
PEBC OSCE · Put your knowledge to work in context.
The PEBC Pharmacist Qualifying Examination – Objective Structured Clinical Examination (OSCE), often called PEBC Part II, is the performance-based half of the Canadian pharmacist licensure sequence. It is aimed at internationally educated pharmacy graduates and Canadian graduates who have already cleared the multiple-choice qualifying exam and now need to demonstrate that they can practise safely in a Canadian setting. The PEBC OSCE case studies are 5 cases and about 3,075 words.
1Warfarin and a New Antibiotic in a Patient with Recent GI Bleed
A 74-year-old man on warfarin 4 mg daily (INR stable at 2.4 for three months) presents with a 3-day history of productive cough, fever 38.4°C, and pleuritic chest pain. He was diagnosed in the emergency department with community-acquired pneumonia and sent to your pharmacy with a prescription for levofloxacin 750 mg daily for 7 days.
725 words, about 4 min2Pediatric Amoxicillin Dose and Penicillin Allergy History
A mother brings in a prescription for her 4-year-old daughter weighing 16 kg: amoxicillin 400 mg/5 mL suspension, 5 mL PO TID for 10 days, for acute otitis media. The child has no fever now but had ear pain for two days.
687 words, about 3 min3Methotrexate Weekly Dosing Error Caught at Verification
A handwritten prescription arrives for a 62-year-old woman with rheumatoid arthritis: "Methotrexate 2.5 mg tablets - take 3 tablets daily." The prescription is signed by a rheumatologist and dated today. The patient's profile shows methotrexate 2.5 mg, 3 tablets once weekly, with the last fill 5 weeks ago, plus folic acid 1 mg daily and etanercept 50 mg weekly.
603 words, about 3 min4Insulin Pen Technique and Hypoglycemia in a Newly Discharged Patient
A 58-year-old man with type 2 diabetes is discharged after a 4-day admission for cellulitis. His discharge prescription is insulin glargine 20 units subcutaneously at bedtime, plus metformin 1,000 mg BID.
605 words, about 3 min5Refusal to Fill and Conscientious Objection in a Small Pharmacy
You are the only pharmacist on duty at a small community pharmacy. A 29-year-old woman presents with a prescription for mifepristone and misoprostol for a medically induced abortion at 7 weeks' gestation, prescribed by a physician at a clinic 30 km away.
455 words, about 2 min