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Self Care II - Exam 2

Total questions: 70

Worksheet time: 2hrs 9mins

Name
Class
Date
1.

Which of the following is not true?

a)

Mosquitoes are found in warm, humid climates.

b)

Flea bites present in clusters.

c)

Bed bugs can be found in floors, walls, and furniture.

d)

Chiggers are small red bugs that burrow under the skin.

2.

Which of the following is not suitable for self-treatment? Select all that apply.

a)

scabies

b)

fleas

c)

ticks

d)

spiders

3.

Which of the following are exclusion criteria for insect bites? Select all that apply.

a)

<2 years old

b)

local symptoms

c)

redness and inflammation

d)

signs of secondary bacterial infection

4.

Which of the following are exclusion criteria for insect stings? Select all that apply.

a)

hypersensitivity

b)

previous reaction to insect bites

c)

family history of allergic reaction

d)

symptoms away from bite

5.

The first step in treating someone having an allergic reaction to an insect bit or sting is:

a)

call 911

b)

lie the person down

c)

give epinephrine injection

d)

massage the thigh where the injection will be given

6.

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.

a)

ice the site right away

b)

rinse the site with antiseptic

c)

avoid scratching the site

d)

refer to PCP

7.

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.

a)

hydrocortisone applied to affected area 3-4x per day

b)

one dose of epinephrine to the outer thigh and massage for 10 seconds

c)

ammonia and baking soda applied to affected area as needed

d)

skin protectants such as zinc oxide or calamine applied to affected area as needed

8.

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.

a)

avoid perfumes, scented lotions, and brightly colored clothes

b)

using insect repellents

c)

wear shoes and protective clothing outdoors

d)

destroy nests near living areas

9.

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.

a)

hydrocortisone applied to affected area 3-4 times per day

b)

rinse the area with an antiseptic such as alcohol or hydrogen peroxide

c)

picaridin 10-20% applied to affected area as needed

d)

refer to PCP

10.

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.

a)

apply ice pack to affected area in 10 minute intervals

b)

avoid scratching and keep fingernails trimmed

c)

keep the area covered with clothing

d)

apply DEET to the affected area 3-6 times per day

11.

Which of the following are not exclusion criteria for acne? Select all that apply.

a)

moderate or severe acne

b)

rosacea

c)

mixed comedones

d)

exacerbating factors

12.

Which of the following are appropriate non-pharm treatments for acne? Select all that apply.

a)

staying well-hydrated

b)

eliminating or cutting back on high glycemic index foods

c)

wash hands before and after treating or touching acne

d)

cleanse skin with mild soap or non-soap cleanser at least two times a day

13.

Which of the following physical treatments for acne are appropriate? Select all that apply.

a)

light therapy

b)

cleansing cloths

c)

heating devices

d)

cosmetic abrasive pads

14.

Which of the following pharm treatments are not appropriate for acne? Select all that apply.

a)

adapalene 0.3%

b)

salicylic acid 17%

c)

benzoyl peroxide 10%

d)

resorcinol monoacetate 3%

15.

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.

a)

AHA hydroxy acids

b)

BHA hydroxy acids

c)

benzoyl peroxide

d)

adapalene

16.

Which of the following are exclusion criteria for self treatment of warts? Select all that apply.

a)

unresolved wart after 10 days of treatment

b)

bleeding, pain, or discoloration

c)

pregnancy or breastfeeding

d)

multiple warts in one area

17.

Which of the following non-pharm treatment for warts are appropriate? Select all that apply.

a)

keep the wart covered

b)

have a designated towel to dry wart-affected areas

c)

use lamb's wool or moleskin to relieve discomfort

d)

avoid cutting, shaving or picking at warts

18.

Which of the following statements are false? Select all that apply.

a)

Patients of advanced age may use wart products in the same manner as younger patients.

b)

Topical salicylic acid may be used in patients who are at least 3 years of age.

c)

Cryotherapy may be used in patients who are at least 3 years of age.

d)

Wart treatments should be avoided in patients with diabetes.

19.

Which of the following pharm treatments are appropriate for self treatment for warts? Select all that apply.

a)

nitrous oxide

b)

liquid nitrogen

c)

dimethyl ether and propane

d)

salicylic acid

20.

What is the first step you should advise patients to take when treating a wart?

a)

wash and dry the affected area

b)

wash hands

c)

soak the affected area

d)

lightly abrade the surface of the wart

21.

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.

a)

stress

b)

sweating

c)

dirt exposure

d)

friction from his hat

22.

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?

a)

benzoyl peroxide

b)

salicylic acid

c)

adapalene

d)

refer to PCP

23.

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.

a)

use a designated towel to wipe the area

b)

keep the area covered

c)

avoid washing the area with harsh soaps

d)

eliminate or avoid any exacerbating factors

24.

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.

a)

This condition is probably caused by the HPV-4 virus.

b)

In order to cure this condition, the lesion must be removed.

c)

Low immuno-competence may affect the clearance of this condition.

d)

If any discoloration or pain occurs, he should see a PCP instead.

25.

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?

a)

salicylic acid gel

b)

salicylic acid strips

c)

cryotherapy

d)

reefer to PCP

26.

Which of the following is not a prevention strategy for STIs? Select all that apply.

a)

using barrier contraceptives such as condoms and sponges

b)

using a new condom for each episode of intercourse

c)

examine partner and self for genital lesions

d)

avoid sexual activity that has direct contact with body fluids

27.

Which forms of contraception can be purchased over the counter (OTC)? Select all that apply.

a)

vaginal spermicide

b)

levonorgestrel

c)

diaphragm

d)

patch

28.

Which of the following lubricants are compatible with latex condoms? Select all that apply.

a)

contraceptive gels

b)

vaginal creams

c)

body lotions

d)

glycerin

29.

In what time frame after unprotected sex is an emergency contraceptive most effective?

a)

72-120 hours

b)

<72 hours

c)

24-72 hours

d)

<120 hours

30.

What are some of the benefits of fertility awareness contraception? Select all that apply.

a)

follows the body's natural cycle so other contraceptives are not needed

b)

presents less health risks to the couple and the potential fetus

c)

higher efficacy than most other methods

d)

compatible with some religious beliefs

31.

Which of the following statements about the symptothermal contraceptive method are true? Select all that apply.

a)

BBT and cervical mucus are used to determine the start and end of the fertile period respectively.

b)

At least 7 hours of uninterrupted sleep is needed to ensure accurate temperature readings.

c)

Small temperature changes must be noted when doing daily temperature checks.

d)

Onset of ovulation may be detected by a rise in BBT 12 to 24 hours before ovulation.

32.

What factors are necessary for effectiveness of the lactational amenorrhea method? Select all that apply.

a)

infant <6 months old

b)

supplementing the infant's diet

c)

suckling or pumping of breasts at regular intervals

d)

lack of menstrual periods

33.

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.

a)

What are your current medications?

b)

How long has it been since your most recent intercourse?

c)

How many days have past since your missed menstruation?

d)

Have you had any difficulties with pregnancy tests in the past?

34.

Which of the following does not contribute to a false negative pregnancy test?

a)

use of certain medications

b)

testing prior to missed period

c)

low hCG concentration

d)

incorrect use of pregnancy test

35.

What is the first step to using a pregnancy test?

a)

remove the cap from the absorbent tip

b)

remove the test stick from the package

c)

lay the test down on a flat surface

d)

check the expiration date

36.

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.

a)

natural membrane condom

b)

female condom

c)

polyisoprene male condom

d)

polyurethane male condom

37.

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.

a)

Additional lubrication may help to decrease breakage, irritation, and unpleasant sounds.

b)

Female condoms may be inserted up to 4 hours before intercourse.

c)

Male and female condoms should not be used together.

d)

All condoms are designed for one time use only.

38.

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.

a)

levonorgestrel

b)

vaginal gel spermicide

c)

vaginal film spermicide

d)

refer to PCP

39.

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.

a)

Use the first morning urine when testing.

b)

If it is past the morning, you must wait until the next morning to test.

c)

Testing should be done as soon as menstruation is late.

d)

Consult a PCP if you receive two negative results and menstruation is still not present.

40.

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?

a)

take another test one week after missed period

b)

take another test one week after initial test

c)

assume patient is not pregnant based on the reult

d)

refer to PCP

41.

Which of the following is not a common clinical presentation of STIs?

a)

erythema

b)

itching

c)

dysuria

d)

urethritis

42.

Which of the following is not typically caused by sexual activity?

a)

urinary tract infection

b)

trichomoniasis

c)

vulvovaginal candidiasis

d)

bacterial vaginosis

43.

Which of the following is incorrectly paired in regards to the Gardasil 9 vaccine?

a)

2 dose series = 9-14 years old

b)

3 dose series = 15+ years old

c)

catch up dose = 13-26 years old

d)

consult PCP = immuno-compromised

44.

Which of the following are appropriate preventative measures for urinary tract infections? Select all that apply.

a)

drinking plenty of fluid

b)

clean genital area before and after sex

c)

reduce number of sex partners

d)

avoid spermicides and diaphragms

45.

Clinical presentation of UTIs include all of the following except:

a)

pain/burning while urinating

b)

blood in urine

c)

malodorous, cloudy urine

d)

itching in genital area

46.

Which of the following factors may contribute to a disruption in the vaginal ecosystem? Select all that apply.

a)

number of sex partners

b)

drug therapy

c)

hormonal fluctuations

d)

glycogen concentrations

47.

What colors of vaginal discharge are considered normal and healthy? Select all that apply.

a)

clear

b)

white

c)

red

d)

pink

48.

Which of the following statements about bacterial vaginosis are false?

a)

results from imbalances of normal vaginal flora

b)

"fishy" odor becomes more prominent after sex

c)

can spontaneously occur in non-sexually active women

d)

pregnancy may reduce the likelihood of occurrence

49.

In which vaginal infection are about 50% of women asymptomatic, and men are usually asymptomatic but serve as reservoirs?

a)

trichomoniasis

b)

vulvovaginal candidiasis

c)

bacterial vaginosis

d)

none of the above

50.

Which of the following statements about vulvovaginal candidiasis and treatment is false? Select all that apply.

a)

benzocaine and resorcinol is not the first line treatment but may sometimes be used

b)

antifungals can be used during menstruation

c)

a sanitary pad may be used to catch leakage from creams and ointments

d)

symptom relief should occur after about 48 hours of treatment

51.

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?

a)

phenazopyridine

b)

tioconazole

c)

benzocaine and resorcinol

d)

refer to PCP

52.

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?

a)

2 dose

b)

3 dose

c)

cannot be determined

53.

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?

a)

vaginal antifungal

b)

use vaginal pH strips to determine the condition

c)

refrain from sexual intercourse until symptoms resolve

d)

refer to PCP

54.

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?

a)

Monistat 1

b)

Vagistat 3

c)

Gyne-Lotrimin 7

d)

refer to PCP

55.

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.

a)

Tablet should not be taken orally.

b)

Lay on back during application to reduce possible leakage.

c)

Wash reusable applicators with warm water and soap.

d)

Douche the vagina to clean the area before application.

56.

Which of the following may be indications of secondary dysmenorrhea? Select all that apply.

a)

cramp-like lower abdominal pain

b)

appearance of symptoms within 2 years after menarche

c)

symptoms occur during ovulatory cycles

d)

primarily affects teens and those in their early 20s

57.

Which of the following is not a risk factor for dysmenorrhea?

a)

age <30 years old

b)

PMS

c)

stress

d)

BMI >20 kg/m²

58.

Which of the following characteristics are helpful in diagnosing primary dysmenorrhea? Select all that apply.

a)

mild-moderate pain intensity

b)

pain that radiates to the lower back and thighs

c)

a dull, continuous aching pain

d)

responds well to NSAID therapy

59.

Which of the following is not an exclusion to self treating primary dysmenorrhea?

a)

history of infertility

b)

dizziness

c)

irregular menstrual cycles

d)

bleeding disorder

60.

Which of the following statements about dysmenorrhea treatment is false?

a)

omega-3 fatty may reduce symptoms by reducing proinflammatory cytokines

b)

vitamin D2 may be used in adjunct to drug therapy and helps to decrease prostaglandins

c)

acetaminophen is less effective than ibuprofen in relieving pain

d)

aspirin in trials for dysmenorrhea was no better than placebo and may increase bleeding

61.

Which of the following may be risk factors for premenstrual syndrome? Select all that apply

a)

oral contraceptives

b)

hormone therapy

c)

stress

d)

genetics

62.

Which of the following pharm treatment options should not be recommended for premenstrual syndrome? Select all that apply.

a)

vitamin E

b)

Pamprin

c)

Pamabrom

d)

caffeine

63.

Which of the following complimentary medicines should be used with caution due to potential risk of bleeding?

a)

chasteberry

b)

St. John's Wort

c)

ginkgo

d)

saffron

64.

Which maximum daily doses are incorrect? Select all that apply.

a)

ibuprofen = 1200 mg

b)

acetaminophen = 4000 mg

c)

ammonium chloride = 3000 mg

d)

pyridoxine = 1000 mg

65.

Which of the following counselling points for premenstrual syndrome is true?

a)

Vitamins and herbs are generally compatible with breastfeeding.

b)

Caffeine my help with anxiety and restlessness associated with PMS.

c)

Though there is limited evidence, a balanced diet may reduce PMS symptoms.

d)

High dietary intake of calcium and vitamin E may prevent development of PMS symptoms.

66.

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.

a)

18 years old

b)

heavy menstrual flow

c)

stress and anxiety

d)

regular menstrual cycle

67.

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?

a)

ibuprofen

b)

acetaminophen

c)

omega-3 fatty acids

d)

refer to PCP

68.

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?

a)

heat treatment

b)

exercise

c)

sleep

d)

balanced diet

69.

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?

a)

ibuprofen

b)

pyridoxine

c)

diet and exercise

d)

refer to PCP

70.

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?

a)

Tracking and logging symptoms may help to identify causes.

b)

Avoid products that contain aspirin.

c)

Discontinue vitamin B immediately if neurologic symptoms develop.

d)

PMS treatments have limited evidence as far as efficacy goes.