While completing a medication reconciliation for one of your patients in the dialysis clinic, she asks you about an OTC antihistamine, since allergy season has started. Which is the most appropriate for a patient on dialysis?

Select all that apply: Which of the following max OTC doses are correct?

Your patient calls your clinic to cancel his appointment for today, stating that he has a bad head cold. He also asks you what he should buy for his symptoms. Which of the following is NOT an appropriate recommendation?

You are counseling Leslie Knope in the UI Health Antithrombosis Clinic, who is being initiated on warfarin. Unfortunately, she gets a lot of headaches dealing with the citizens of Pawnee. What would be the most appropriate recommendation for OTC headache relief?

Your patient in the rheumatology clinic bought Voltaren gel for some additional OA pain relief. However, she is worried that the gel could affect her kidneys because she was previously told not to take NSAIDs by her doctor. What should you tell your patient?

Your patient in the urology clinic is being started on Macrobid for 7 days and phenazopyridine for a UTI. Which is the most appropriate counseling point?

Your patient in the neurology clinic has started taking Excedrin for migraines. However, she is also taking Adderall for ADHD. What side effect is she at an increased risk for, and what component of Excedrin is causing this?

While in the endocrinology clinic, you are observing LH, who is at risk for osteoporosis. Which of the following OTC medications should be discontinued in order to mitigate her risk of developing osteoporosis?

LH has taken your recommendation to discontinue omeprazole. Furthermore, she would like to discontinue GERD treatment altogether because she doesn’t get heartburn that often. What non-pharmacologic strategies should you share with LH?

Your patient in the Medication Therapy Management Clinic has purchased Tums because he started feeling heartburn after eating certain foods. Which of the following medications should be separated from Tums? (select all that apply)

You are seeing a patient that has been taking famotidine 20 mg PO bid. You see in his chart that his creatinine clearance has now decreased to 32 mL/min. How should you counsel this patient to take famotidine now?

While in the Women's Health Clinic, your pregnant patient states she is constipated. Which agent is the most appropriate recommendation for an OTC laxative?

In the Pain Management Clinic, you are counseling a patient with opioid-induced constipation. Which agent would be the most useful to treat this?

You are reviewing the medication list for a patient in the Anti-Thrombosis Clinic. This particular patient is really into “natural supplements”. Which of the following herbal supplements may increase the patient’s risk of bleeding?

Which of these patients from the family medicine clinic is most at-risk for an iron deficiency?

While completing a med rec for your patient, you come across pyridoxine (vitamin B6). Your patient is unsure what he takes this for. Which of the following is a possible indication? (select all that apply)

Your patient in the MTM Clinic has been taking an OTC omega-3 fatty acid supplement for about 4 weeks to improve her cholesterol. However, she is disappointed by her most recent lipid panel, which shows no improvement in her LDLs. What should you tell her?

While on rotation in the geriatric clinic, you are reviewing a patient’s medication list. Which of these OTCs appear on the Beer’s List and would be inappropriate for your patient to continue? (select all that apply)

You are completing a medication reconciliation for one of your new patients in the clinic. When you ask about the melatonin on her medication list, she says, “I don’t know what strength I take, I just know I have to take it every night for the past year!” How should you respond?

One of the physicians in the primary care clinic is asking you for a recommendation for her patient, who has mild dry eyes as a result of one of their chronic medications. Which of the following would be most appropriate for initial OTC treatment?

While in the transplant clinic, you are counseling a patient on their new medications after their kidney transplant. They are upset about the magnesium oxide tablets because they are not covered by insurance, and patient must pay the OTC price. How should you respond?