PEBC Calculations Practice Questions
Calculations come up all over the PEBC exam: dosing, concentrations and dilutions, IV flow rates, compounding, and pharmacokinetics. They are also some of the most learnable marks on the test, because once you know the method it works the same way every time.
Work through the questions below. Each one shows you why the right answer is right and why every wrong answer is wrong, so you can find the exact step you missed instead of just checking a final number.
Written and reviewed against current Canadian guidelines and references.
How to approach a PEBC calculation
- 1Start by writing down exactly what the question asks for, including the units of the final answer. Half of all calculation errors are answering the wrong question.
- 2Carry your units through every line and cancel them as you go. If the units left at the end are not the units the answer needs, your setup is wrong, even if the arithmetic is clean.
- 3Convert percentages and ratio strengths into mg/mL before you do anything else. Most concentration and dilution mistakes happen because the strength was never translated first.
- 4Know the classic traps: using total body weight when the question wants ideal body weight, forgetting to split a daily dose into individual doses, and swapping the two stock concentrations in an alligation.
- 5Estimate the rough size of the answer before you calculate. If your final number is ten times bigger or smaller than your estimate, you caught a decimal error before it cost you a mark.
Practice questions
Tap an answer to see why each option is right or wrong.
Estimate the osmolarity of D5W using dextrose molecular weight 180 and no dissociation.
An 18 kg child is prescribed amoxicillin 45 mg/kg/day divided TID. The suspension is 250 mg/5 mL. What volume is needed per dose?
Which expression is NOT equivalent to a 1:500 w/v solution?
A TPN provides 150 g dextrose, 70 g amino acids, and 50 g lipid. Using 3.4, 4, and 10 kcal/g, what total kcal is provided?
A physician orders vancomycin 1 g in 250 mL normal saline to infuse over 2 hours. The IV set delivers 15 drops/mL. What is the required drip rate in drops per minute?
Eye drops are prescribed 1 drop OU TID for 28 days. If 1 mL contains 20 drops and each bottle is 5 mL, how many bottles are needed?
How much 30% ointment and plain base are needed to prepare 120 g of 10% ointment?
A pharmacist is preparing a compounded ointment. The formula calls for 120 g of an ingredient with a specific gravity of 0.85. What volume of this liquid ingredient should be measured?
A pharmacist needs to prepare 200 mL of a 3% w/v hydrocortisone cream using a 5% w/v stock cream and a 1% w/v diluting cream. Using the alligation method, what volume of the 5% stock cream is required?
A pharmacist must prepare 250 mL of a 15% v/v ethanol solution. The pharmacy stocks 95% v/v ethanol and purified water. What volume of the 95% ethanol is needed?
Sample full case
One patient with several linked questions, the format the real exam uses for case clusters.
You are a pharmacist at a hospital compounding pharmacy. A physician orders a 2% lidocaine solution for a series of nerve block procedures. Your pharmacy stocks a 10% lidocaine solution (50 mL vials) and sterile normal saline (0.9% NaCl) as the diluent. The order is for 200 mL of 2% lidocaine. The pharmacy also has a supply of 4% lidocaine solution available on the shelf, and the procedure room has requested that 15 mL be set aside as a flush — this volume is separate from the 200 mL order and is not part of this calculation.
How many millilitres of the 10% lidocaine stock solution are required to prepare exactly 200 mL of 2% lidocaine solution?
A compounding order requires 500 mL of a 35% dextrose solution. The pharmacy stocks 70% dextrose (in 500 mL bags) and 5% dextrose (in 1,000 mL bags). Using the alligation method, how many millilitres of 70% dextrose and how many millilitres of 5% dextrose are needed?
A topical solution contains 0.025% w/v triamcinolone acetonide. Which expression is equivalent?
The compounding pharmacist prepares a water-containing oral suspension of metronidazole 50 mg/mL. The preparation is stored in the refrigerator (2–8°C). The pharmacist prepares a batch of 300 mL but anticipates that 60 mL will be wasted during the compounding process. The preparation is completed on April 9, 2026. According to NAPRA guidance for non-sterile water-containing oral formulations stored at controlled cold temperatures, what is the latest acceptable beyond-use date, and how many millilitres of usable product are available to dispense?
Frequently asked questions
- Does the PEBC exam include pharmacy calculations?
- Yes. Calculation questions are mixed in throughout the multiple-choice exam rather than grouped into one section. They usually cover dosing (including weight-based and pediatric dosing), concentrations and dilutions, alligation, IV flow rates, compounding, and pharmacokinetic values like creatinine clearance and ideal body weight.
- What types of calculations are tested on the PEBC?
- The most common types are weight-based and pediatric dosing, percentage strength and dilution problems (% w/v, ppm, alligation), IV infusion and drip rates, compounding math (specific gravity, aliquots), and pharmacokinetic calculations like creatinine clearance and body weight. The practice set above samples across these.
- How many calculation questions are on the PEBC exam?
- There is no fixed number. The exam is randomized, so the amount of calculation questions changes from one sitting to the next. You might get only a few, or you might get a lot, and there is no guaranteed minimum. What stays consistent is that calculations usually make up a meaningful chunk of the exam, so they are always worth drilling.
- How should I study for PEBC calculations?
- Drill one calculation type at a time until the setup is automatic, and always write your units out and cancel them to catch mistakes. Review the full reasoning for every question, not just the final number. The explanations on this page are built for that: they show where each wrong answer comes from, which is usually one predictable slip like the wrong base weight or a missed unit conversion.