Exam 1 Therapy

Multiple Choice

Which is considered objective information?

• Social history

• Blood pressure measurement

• Family history

• Past medical history

Multiple Choice

Which is the THIRD step in the pharmacist's patient care process?

• Implement

• Assess

• Follow-up

• Plan

Multiple Choice

An ambulatory care pharmacist takes a patient's blood pressure and notes that it is 138/84. What step in the pharmacists' patient care process is this?

• Collect

• Assess

• Plan

• Implement

• Follow-up

Multiple Choice

After completing SCHOLAR-MAC, a pharmacist decides that she is going to recommend acetaminophen to a patient. What step in the pharmacists' patient case process is this?

• Collect

• Assess

• Plan

• Implement

• Follow-up

Multiple Choice

Now, the same pharmacist recommends and counsels a patient on acetaminophen. What step in the pharmacists' patient care process is this?

• Collect

• Assess

• Plan

• Implement

• Follow-up

Multiple Choice

Which is NOT a characteristic of an OTC?

• Must be adequately labeled

• Benefits outweigh risks

• Does not require access to healthcare provider for use

• Moderate potential for misuse and abuse

Multiple Select

Where does SCHOLAR-MAC fit in with QuEST & the pharmacists' patient care process? (MULTIPLE CORRECT ANSWERS)

• Collect

• Assess

• Plan

• "Qu"

• "E"

Multiple Choice

Which of the following specifically required that the EFFICACY of a drug must be proved?

• Food Drug and Cosmetic Act

• Pure Food and Drug Act

• Kefauver-Harris Amendment

• Durham-Humphrey Amendment

Multiple Choice

Based on the attached drug facts label, how many mLs should be given for a 7 year old weighing 65lbs?

• 15 mL
• 12.5 mL

• 5 mL
• 0 mL

Multiple Choice

What is the pediatric dosing of APAP?

• 5-10 mg/kg/dose

  MAX 4 doses per day

• 5-10 mg/kg/dose

  MAX 5 doses per day

• 10-15 mg/kg/dose

  MAX 4 doses per day

• 10-15 mg/kg/dose

  MAX 5 doses per day

Multiple Select

A parent of an 8yo comes to the pharmacy seeking OTC pain medications. Which of the following can the 8yo patient NOT use based on age alone? (SELECT ALL THAT APPLY)

• Acetaminophen

• Aspirin

• Ibuprofen

• Naproxen

Multiple Select

Which of the following are side effects of non-salicylated NSAIDs? (SELECT ALL THAT APPLY)

• Nephrotoxicity

• Hepatotoxicity

• GI upset

• Increased blood pressure

• Fatigue

Multiple Select

Which of the following patients need to be REFERRED (i.e., cannot self-treat)? (SELECT ALL THAT APPLY)

• 8yo child with a rectal temperature of 102F with a stiff neck

• 18 month child with a rectal fever of 100.2F for 2 days

• 32yo with fever (rectal equivalent = 103.1F) with sore throat and cough

• 3yo child with rectal temperature of 100.6F for 2 days

Multiple Select

Which of the following non-pharm tx would you recommend to our 3yo patient with the fever? (SELECT ALL THAT APPLY)

• Drink lots of water!

• Comfortable room temperature

• Ice water bath

• RICE therapy

Multiple Choice

A patient comes in looking for an OTC to help with her bilateral severe headache. She says she has never experienced a headache like this before. After completing SCHOLAR-MAC, you learn that the patient was recently in a MVA. What do you recommend?

• Non-pharm only, including an ice pack

• Excedrin (APAP, ASA, caffeine)

• Ibuprofen

• Refer to doctor

Multiple Choice

Emily is a third-year student pharmacist with a bilateral headache after studying pharmacotherapy all of last night. She has previously tried an appropriate dose of APAP but did not find it be effective in the past. What do you recommend?

• Ibuprofen 200mg q6h

• Aspirin 81mg

• APAP 500mg q6h

• Refer to physician

Multiple Select

A patient reports having moderate (5/10) pain on her knee after falling while going for a cross-country run. Her knee is red & swollen. Which non-pharm options would be appropriate? (SELECT ALL THAT APPLY)

• RICE

• Heat therapy

• Epsom salt bath

• Warm up and stretch before future runs to prevent re-injury

Multiple Choice

Erica is a third-year student pharmacist with terrible menstrual pain. She is looking for something OTC. What do you recommend?

• Ibuprofen 200mg q6h

• Aspirin 650mg q6h

• APAP 325mg q4h

• Naproxen 220mg q6h

Multiple Choice

How many grams of pseudoephedrine can a patient buy in one day?

• 1.2g

• 3.0g

• 3.6g

• 9.0g

Multiple Choice

Dylan is a third-year student pharmacist with complaints of a cold. His symptoms include congestion and muscle aches & pains. He has a hard time swallowing pills so he would like to minimize the number of pills he has to take. What is your recommendation?

• Advil Cold & Sinus (ibuprofen + pseudoephedrine)

• Advil Multi-Symptom Cold & Flu (ibuprofen + phenylephrine + chlorpheniramine)

• Tylenol Sinus Severe (APAP + phenylephrine + guaifenesin)

• Refer to PCP

Multiple Choice

A parent of an 8-month-old seeks your recommendation for an OTC to help her baby stop coughing. She says her baby sounds very congested every time he coughs, and he has been very fussy. What do you recommend?

• Dextromethorphan

• Guaifenesin

• Honey

• Nasal bulb

Multiple Choice

A 67 year old man with HTN, dyslipidemia, and COPD presents to the pharmacy looking for a OTC to help. He has been coughing so much that his ribs hurt. He reports coughing up mucus and has a headache, muscle aches, and a runny nose.

• Guaifenesin + APAP

• Dextromethorphan + Ibuprofen

• Guaifenesin

• Refer to PCP

Multiple Choice

How would you classify this patient's allergy symptoms:

Minh is a third-year pharmacy student complaining of allergy symptoms (runny nose, sneezing, itchy eyes) for the past 3 weeks since school started. She says these symptoms are affecting her ability to pay attention in class.

• Intermittent Mild

• Intermittent Moderate/Severe

• Persistent Mild

• Persistent Moderate/Severe

Multiple Choice

A woman who is 3 months pregnant is seeking your recommendation for an OTC to help with her allergy symptoms. What is the best recommendation for her?

• Intranasal cromolyn

• Intranasal fluticasone propionate

• Loratadine

• Diphenhydramine

Open Ended

Please write out at least 3 recommendations for a patient to improve their sleep hygiene.

Multiple Choice

Paolo is a third-year student pharmacist having a hard time staying awake in class every day. What would be the BEST recommendation to help him stay awake?

• Caffeine 200mg q3-4h

• Melatonin 10mg

• Diphenhydramine 25mg

• Refer to PCP

Multiple Choice

Classify the major MRP:

Minh is taking 500mg of APAP q6h for menstrual pain. She is still in a lot of pain (5 out of 10).

• Efficacy: Ineffective medication

• Indication: Needs additional therapy

• Efficacy: Dose too low

• Convenience: Underuse

Multiple Choice

When taken together, rifampin can make oral contraceptives less effective (i.e., higher risk of unplanned pregnancy). What kind of drug interaction is this?

• Efficacy Drug Interaction

• Safety Drug Interaction