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WorksheetsSelf Care II - Exam 2
Total questions: 70
Worksheet time: 2hrs 9mins
Which of the following is not true?
Mosquitoes are found in warm, humid climates.
Flea bites present in clusters.
Bed bugs can be found in floors, walls, and furniture.
Chiggers are small red bugs that burrow under the skin.
Which of the following is not suitable for self-treatment? Select all that apply.
scabies
fleas
ticks
spiders
Which of the following are exclusion criteria for insect bites? Select all that apply.
<2 years old
local symptoms
redness and inflammation
signs of secondary bacterial infection
Which of the following are exclusion criteria for insect stings? Select all that apply.
hypersensitivity
previous reaction to insect bites
family history of allergic reaction
symptoms away from bite
The first step in treating someone having an allergic reaction to an insect bit or sting is:
call 911
lie the person down
give epinephrine injection
massage the thigh where the injection will be given
SM walks into the pharmacy complaining of a painful spot on his arm. He was taking a walk in the park when he noticed the pain, and noticed a spot of reddened, raised skin with a single puncture in the middle. What non-pharm options would you recommend? Select all that apply.
ice the site right away
rinse the site with antiseptic
avoid scratching the site
refer to PCP
SM walks into the pharmacy complaining of a painful spot on his arm. He was taking a walk in the park when he noticed the pain, and noticed a spot of reddened, raised skin with a single puncture in the middle. What pharm options would you recommend? Select all that apply.
hydrocortisone applied to affected area 3-4x per day
one dose of epinephrine to the outer thigh and massage for 10 seconds
ammonia and baking soda applied to affected area as needed
skin protectants such as zinc oxide or calamine applied to affected area as needed
SM walks into the pharmacy complaining of a painful spot on his arm. He was taking a walk in the park when he noticed the pain, and noticed a spot of reddened, raised skin with a single puncture in the middle. What are some appropriate preventative measures that SM could take into account? Select all that apply.
avoid perfumes, scented lotions, and brightly colored clothes
using insect repellents
wear shoes and protective clothing outdoors
destroy nests near living areas
RY's dog got lost a few weeks ago and he was recently returned. Since his dog came home, he's started to notice some red itchy lesions on his skin. They tend to appear in clusters, some of which appear to look like a "bull's-eye." The main symptom he's been experiencing is itching and was wondering what he could do to relieve the itching. What options are appropriate? Select all that apply.
hydrocortisone applied to affected area 3-4 times per day
rinse the area with an antiseptic such as alcohol or hydrogen peroxide
picaridin 10-20% applied to affected area as needed
refer to PCP
RY's dog got lost a few weeks ago and he was recently returned. Since his dog came home, he's started to notice some red itchy lesions on his skin. They tend to appear in clusters, some of which appear to look like a "bull's-eye." The main symptom he's been experiencing is itching and was wondering what he could do to relieve the itching. What non-pharm options are appropriate? Select all that apply.
apply ice pack to affected area in 10 minute intervals
avoid scratching and keep fingernails trimmed
keep the area covered with clothing
apply DEET to the affected area 3-6 times per day
Which of the following are not exclusion criteria for acne? Select all that apply.
moderate or severe acne
rosacea
mixed comedones
exacerbating factors
Which of the following are appropriate non-pharm treatments for acne? Select all that apply.
staying well-hydrated
eliminating or cutting back on high glycemic index foods
wash hands before and after treating or touching acne
cleanse skin with mild soap or non-soap cleanser at least two times a day
Which of the following physical treatments for acne are appropriate? Select all that apply.
light therapy
cleansing cloths
heating devices
cosmetic abrasive pads
Which of the following pharm treatments are not appropriate for acne? Select all that apply.
adapalene 0.3%
salicylic acid 17%
benzoyl peroxide 10%
resorcinol monoacetate 3%
Which of the following are appropriate options for a patient with mild acne and low tolerance to many topical acne products? Select all that apply.
AHA hydroxy acids
BHA hydroxy acids
benzoyl peroxide
adapalene
Which of the following are exclusion criteria for self treatment of warts? Select all that apply.
unresolved wart after 10 days of treatment
bleeding, pain, or discoloration
pregnancy or breastfeeding
multiple warts in one area
Which of the following non-pharm treatment for warts are appropriate? Select all that apply.
keep the wart covered
have a designated towel to dry wart-affected areas
use lamb's wool or moleskin to relieve discomfort
avoid cutting, shaving or picking at warts
Which of the following statements are false? Select all that apply.
Patients of advanced age may use wart products in the same manner as younger patients.
Topical salicylic acid may be used in patients who are at least 3 years of age.
Cryotherapy may be used in patients who are at least 3 years of age.
Wart treatments should be avoided in patients with diabetes.
Which of the following pharm treatments are appropriate for self treatment for warts? Select all that apply.
nitrous oxide
liquid nitrogen
dimethyl ether and propane
salicylic acid
What is the first step you should advise patients to take when treating a wart?
wash and dry the affected area
wash hands
soak the affected area
lightly abrade the surface of the wart
KM walks into your pharmacy complaining of acne. He states he's had acne before, but lately he's been breaking out much more than usual. Upon further questioning, you find that he is a busy college student on the baseball team at his university. He practices outside in the hot sun on a daily basis so he always wears a hat to protect his face. Which of the following factors may be exacerbating his condition? Select all that apply.
stress
sweating
dirt exposure
friction from his hat
KM walks into your pharmacy complaining of acne. He states he's had acne before, but lately he's been breaking out much more than usual. Upon further questioning, you find that he is a busy college student on the baseball team at his university. He practices outside in the hot sun on a daily basis so he always wears a hat to protect his face. Since his acne has never bothered him until now, he's never tried any treatments before. What pharm treatment would you recommend?
benzoyl peroxide
salicylic acid
adapalene
refer to PCP
ZN comes into the pharmacy complaining of a weird bump on his heel, which he describes to look somewhat like a callus and has been causing him some discomfort, especially while walking. He states that he's never had any skin conditions before so he is unsure of how he should get rid of it. Which non-pharm treatments are appropriate for ZN? Select all that apply.
use a designated towel to wipe the area
keep the area covered
avoid washing the area with harsh soaps
eliminate or avoid any exacerbating factors
ZN comes into the pharmacy complaining of a weird bump on his heel, which he describes to look somewhat like a callus and has been causing him some discomfort, especially while walking. He states that he's never had any skin conditions before so he is unsure of how he should get rid of it. Which of the following statements are false in regards to treating this condition? Select all that apply.
This condition is probably caused by the HPV-4 virus.
In order to cure this condition, the lesion must be removed.
Low immuno-competence may affect the clearance of this condition.
If any discoloration or pain occurs, he should see a PCP instead.
ZN comes into the pharmacy complaining of a weird bump on his heel, which he describes to look somewhat like a callus and has been causing him some discomfort, especially while walking. He states that he's never had any skin conditions before so he is unsure of how he should get rid of it. Which pharm treatment would probably be the most effective for ZN?
salicylic acid gel
salicylic acid strips
cryotherapy
reefer to PCP
Which of the following is not a prevention strategy for STIs? Select all that apply.
using barrier contraceptives such as condoms and sponges
using a new condom for each episode of intercourse
examine partner and self for genital lesions
avoid sexual activity that has direct contact with body fluids
Which forms of contraception can be purchased over the counter (OTC)? Select all that apply.
vaginal spermicide
levonorgestrel
diaphragm
patch
Which of the following lubricants are compatible with latex condoms? Select all that apply.
contraceptive gels
vaginal creams
body lotions
glycerin
In what time frame after unprotected sex is an emergency contraceptive most effective?
72-120 hours
<72 hours
24-72 hours
<120 hours
What are some of the benefits of fertility awareness contraception? Select all that apply.
follows the body's natural cycle so other contraceptives are not needed
presents less health risks to the couple and the potential fetus
higher efficacy than most other methods
compatible with some religious beliefs
Which of the following statements about the symptothermal contraceptive method are true? Select all that apply.
BBT and cervical mucus are used to determine the start and end of the fertile period respectively.
At least 7 hours of uninterrupted sleep is needed to ensure accurate temperature readings.
Small temperature changes must be noted when doing daily temperature checks.
Onset of ovulation may be detected by a rise in BBT 12 to 24 hours before ovulation.
What factors are necessary for effectiveness of the lactational amenorrhea method? Select all that apply.
infant <6 months old
supplementing the infant's diet
suckling or pumping of breasts at regular intervals
lack of menstrual periods
Which of the following are appropriate questions to ask a patient in order to determine if a pregnancy test is appropriate? Select all that apply.
What are your current medications?
How long has it been since your most recent intercourse?
How many days have past since your missed menstruation?
Have you had any difficulties with pregnancy tests in the past?
Which of the following does not contribute to a false negative pregnancy test?
use of certain medications
testing prior to missed period
low hCG concentration
incorrect use of pregnancy test
What is the first step to using a pregnancy test?
remove the cap from the absorbent tip
remove the test stick from the package
lay the test down on a flat surface
check the expiration date
RS comes into the pharmacy looking for some form of contraception. She states that she would like something effective in contraception, protects against STIs, and is compatible with any type of lubricant. She also states that her partner has a latex allergy. Which of the following products could you recommend to RS? Select all that apply.
natural membrane condom
female condom
polyisoprene male condom
polyurethane male condom
RS comes into the pharmacy looking for some form of contraception. She states that she would like something effective in contraception, protects against STIs, and is compatible with any type of lubricant. She also states that her partner has a latex allergy. Which of the following counselling points about condoms are true? Select all that apply.
Additional lubrication may help to decrease breakage, irritation, and unpleasant sounds.
Female condoms may be inserted up to 4 hours before intercourse.
Male and female condoms should not be used together.
All condoms are designed for one time use only.
FY and HR rush into the pharmacy in a panic, asking for some kind of emergency contraceptive. The couple states that they had unprotected sex some time ago, but can't remember how long ago it was. HR also mentions that her period is late, and has still yet to come. What will you recommend to them? Select all that apply.
levonorgestrel
vaginal gel spermicide
vaginal film spermicide
refer to PCP
TK walks into the pharmacy seeking guidance about pregnancy tests and how they work. She states this is her first time trying to conceive so she is unsure of how to go about the process. Which of the following counselling points is false? Select all that apply.
Use the first morning urine when testing.
If it is past the morning, you must wait until the next morning to test.
Testing should be done as soon as menstruation is late.
Consult a PCP if you receive two negative results and menstruation is still not present.
TK walks into the pharmacy seeking guidance about pregnancy tests and how they work. She states this is her first time trying to conceive so she is unsure of how to go about the process. After further questioning, she tells you she had just taken a pregnancy test after a week of waiting for her period to come, but it came back negative. She worries that the result may be wrong because she still hasn't started menstruation. What is the next step you would advise TK to take?
take another test one week after missed period
take another test one week after initial test
assume patient is not pregnant based on the reult
refer to PCP
Which of the following is not a common clinical presentation of STIs?
erythema
itching
dysuria
urethritis
Which of the following is not typically caused by sexual activity?
urinary tract infection
trichomoniasis
vulvovaginal candidiasis
bacterial vaginosis
Which of the following is incorrectly paired in regards to the Gardasil 9 vaccine?
2 dose series = 9-14 years old
3 dose series = 15+ years old
catch up dose = 13-26 years old
consult PCP = immuno-compromised
Which of the following are appropriate preventative measures for urinary tract infections? Select all that apply.
drinking plenty of fluid
clean genital area before and after sex
reduce number of sex partners
avoid spermicides and diaphragms
Clinical presentation of UTIs include all of the following except:
pain/burning while urinating
blood in urine
malodorous, cloudy urine
itching in genital area
Which of the following factors may contribute to a disruption in the vaginal ecosystem? Select all that apply.
number of sex partners
drug therapy
hormonal fluctuations
glycogen concentrations
What colors of vaginal discharge are considered normal and healthy? Select all that apply.
clear
white
red
pink
Which of the following statements about bacterial vaginosis are false?
results from imbalances of normal vaginal flora
"fishy" odor becomes more prominent after sex
can spontaneously occur in non-sexually active women
pregnancy may reduce the likelihood of occurrence
In which vaginal infection are about 50% of women asymptomatic, and men are usually asymptomatic but serve as reservoirs?
trichomoniasis
vulvovaginal candidiasis
bacterial vaginosis
none of the above
Which of the following statements about vulvovaginal candidiasis and treatment is false? Select all that apply.
benzocaine and resorcinol is not the first line treatment but may sometimes be used
antifungals can be used during menstruation
a sanitary pad may be used to catch leakage from creams and ointments
symptom relief should occur after about 48 hours of treatment
TK enters the pharmacy looking for some relief of her recent symptoms. She says that she constantly feels the urge to urinate and when she does, she experiences a burning sensation. What is the most appropriate treatment recommendation for TK?
phenazopyridine
tioconazole
benzocaine and resorcinol
refer to PCP
TS comes into the pharmacy with his 16 year old son inquiring about the HPV vaccine. He states that his son has taken one dose already, but he is unsure if it was the 2 or 3 dose regiment. TS believes his son got the first dose a little less than a year ago. Which series did TS's son likely receive?
2 dose
3 dose
cannot be determined
JN comes into your pharmacy asking for possible treatment options for her suspected infection. She's mentions she's been experiencing some itching in her vaginal area and has noticed a whitish discharge that seems unlike her usual vaginal discharge. Though she states it may not be related, she also informs you that she's noticed a foul odor after having sex. What is the next step you would recommend to JN regarding her condition?
vaginal antifungal
use vaginal pH strips to determine the condition
refrain from sexual intercourse until symptoms resolve
refer to PCP
ST comes into the pharmacy with her 12 year old daughter looking to treat her vaginal symptoms. She states her daughter has been complaining of itching in her vaginal area and discomfort while urinating. ST mentions that her daughter has had something similar before, but does not remember what treatment the doctor told them to buy. She also mentions that her daughter is a busy student and would like a treatment option that is convenient. What would you recommend?
Monistat 1
Vagistat 3
Gyne-Lotrimin 7
refer to PCP
HF comes into your pharmacy asking for assistance with purchasing and using a vaginal antifungal. She just came from the doctor, who recommended some kind of tablet and cream, but she doesn't remember the details. What counselling points can you offer to HF? Select all that apply.
Tablet should not be taken orally.
Lay on back during application to reduce possible leakage.
Wash reusable applicators with warm water and soap.
Douche the vagina to clean the area before application.
Which of the following may be indications of secondary dysmenorrhea? Select all that apply.
cramp-like lower abdominal pain
appearance of symptoms within 2 years after menarche
symptoms occur during ovulatory cycles
primarily affects teens and those in their early 20s
Which of the following is not a risk factor for dysmenorrhea?
age <30 years old
PMS
stress
BMI >20 kg/m²
Which of the following characteristics are helpful in diagnosing primary dysmenorrhea? Select all that apply.
mild-moderate pain intensity
pain that radiates to the lower back and thighs
a dull, continuous aching pain
responds well to NSAID therapy
Which of the following is not an exclusion to self treating primary dysmenorrhea?
history of infertility
dizziness
irregular menstrual cycles
bleeding disorder
Which of the following statements about dysmenorrhea treatment is false?
omega-3 fatty may reduce symptoms by reducing proinflammatory cytokines
vitamin D2 may be used in adjunct to drug therapy and helps to decrease prostaglandins
acetaminophen is less effective than ibuprofen in relieving pain
aspirin in trials for dysmenorrhea was no better than placebo and may increase bleeding
Which of the following may be risk factors for premenstrual syndrome? Select all that apply
oral contraceptives
hormone therapy
stress
genetics
Which of the following pharm treatment options should not be recommended for premenstrual syndrome? Select all that apply.
vitamin E
Pamprin
Pamabrom
caffeine
Which of the following complimentary medicines should be used with caution due to potential risk of bleeding?
chasteberry
St. John's Wort
ginkgo
saffron
Which maximum daily doses are incorrect? Select all that apply.
ibuprofen = 1200 mg
acetaminophen = 4000 mg
ammonium chloride = 3000 mg
pyridoxine = 1000 mg
Which of the following counselling points for premenstrual syndrome is true?
Vitamins and herbs are generally compatible with breastfeeding.
Caffeine my help with anxiety and restlessness associated with PMS.
Though there is limited evidence, a balanced diet may reduce PMS symptoms.
High dietary intake of calcium and vitamin E may prevent development of PMS symptoms.
MG is a 18 year old female asking for possible treatment options for her dysmenorrhea. She sates her menstrual flow is typically heavy and she has been feeling very stressed and anxious lately because of school. She denies any GI or bleeding problems, has always had a regular cycle, and has never tried any treatment before. Which of the following are possible risk factors for her condition? Select all that apply.
18 years old
heavy menstrual flow
stress and anxiety
regular menstrual cycle
MG is a 18 year old female asking for possible treatment options for her dysmenorrhea. She sates her menstrual flow is typically heavy and she has been feeling very stressed and anxious lately because of school. She denies any GI or bleeding problems, has always had a regular cycle, and has never tried any treatment before. What pharm treatment would you recommend?
ibuprofen
acetaminophen
omega-3 fatty acids
refer to PCP
MG is a 18 year old female asking for possible treatment options for her dysmenorrhea. She sates her menstrual flow is typically heavy and she has been feeling very stressed and anxious lately because of school. She denies any GI or bleeding problems, has always had a regular cycle, and has never tried any treatment before. Which of the following is not a typical non-pharm treatment for this condition?
heat treatment
exercise
sleep
balanced diet
KM, a 21 year old female comes into the pharmacy asking for some recommendations for her PMS. She states that she is experiencing emotional symptoms such as irritability and anxiety, but is also experiencing physical symptoms like headaches and bloating. She wants to know if there are any medications that relieve all these symptoms. What would you recommend?
ibuprofen
pyridoxine
diet and exercise
refer to PCP
KM, a 21 year old female comes into the pharmacy asking for some recommendations for her PMS. She states that she is experiencing emotional symptoms such as irritability and anxiety, but is also experiencing physical symptoms like headaches and bloating. She wants to know if there are any medications that relieve all these symptoms. Which of the following is not an appropriate counseling point for KM?
Tracking and logging symptoms may help to identify causes.
Avoid products that contain aspirin.
Discontinue vitamin B immediately if neurologic symptoms develop.
PMS treatments have limited evidence as far as efficacy goes.
