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    Exam Review

    1. "There are two questions associated with this case." "Insomnia-Fatigue Case 2." A regular patron of the grocery store pharmacy comes to pick up his monthly refill for temazepam (Restoril), which is a long-acting benzodiazepine. He also wants to ring out a 4-pack of Corona Light and 4 sugar-free Red Bulls. He seems out of it - you ask him for his birthday multiple times and each time he gives you his address Question 1 of 2: Which of the following causes of daytime sleepiness can be treated with self-care measures like drinking a Red Bull?
      A)
      Short-term, transient insomnia due to lifestyle changes
      B)
      Narcolepsy
      C)
      Restless leg syndrome
      D)
      Obstructive sleep apnea
    2. Which of the following medications should be avoided in children < 16 years old with symptoms of viral infection due to the risk of developing Reye's Syndrome?
      A)
      Acetaminophen (APAP)
      B)
      Aspirin (ASA)
      C)
      Naproxen (NSAID)
      D)
      Ibuprofen (NSAID)
    3. A patient who presents to your pharmacy complaining of the following symptoms: mild sore throat, runny nose, and cough that started 2 days ago is likely experiencing
      A)
      Strep throat symptoms
      B)
      Cold symptoms
      C)
      Allergic Rhinitis symptoms
      D)
      Asthma symptoms
    4. All of the following are considered self-care strategies EXCEPT
      A)
      Drinking hot tea for a cold
      B)
      Annual check up with primary care provider
      C)
      Using a nonprescription medication to treat a headache
      D)
      Maintaining a healthy lifestyle by taking vitamins
    Page 1 of 10

    Exam Review

    1. Which of the following is NOT an appropriate nonpharmacologic recommendation for a cough?
      A)
      Take nonmedicated lozenges or candies
      B)
      Use a humidifier or vaporizer
      C)
      Get adequate rest
      D)
      Limit water intake
    2. Which of the following are not acetylcholinergic side effects of diphenhydramine?
      A)
      Paradoxical excitation
      B)
      Dry mouth
      C)
      Blurry vision
      D)
      All of these are acetylcholinergic side effects of diphenhydramine
    3. A mother walks into your pharmacy and wants you to recommend an over-the-counter product for her baby's symptoms of diarrhea. When you ask her for more information she tells you that her 4-month-old baby has had diarrhea for the past 10 hours. The baby also has a fever of 103 F (rectally). Everyone (mom, dad, older brother) also have been bothered with diarrhea. The baby has no known allergies and takes no medications on a regular basis. What would be the BEST recommendation for this parent?
      A)
      Recommend the BRAT (bananas, rice, applesauce, and toast) to rest the baby's GI tract
      B)
      A baby less than 6 months of age with diarrhea and a high fever should not be treated with self-care contact the healthcare provider
      C)
      Recommend Imodium (loperamide) liquid by mouth 2 mg after each loose stool
      D)
      Recommend an oral rehydration solution (ORS) like Pedialyte for two days
    4. Which of the following criteria is necessary to establish that a patient is a candidate for self-care?
      A)
      The patient cannot self-treat to avoid medical treatment
      B)
      The patient cannot experience persistent symptoms or symptoms without a known cause
      C)
      The patient cannot have severe symptoms
      D)
      All of the above are necessary to determine that a patient is a candidate for self-care
    Page 2 of 10

    Exam Review

    1. Which of the following is an appropriate ibuprofen dose for a 9-year-old patient weighing 49 lb? Hint: Children's ibuprofen dose-5-10 mg/kg every 6-8 hours
      A)
      200 mg every 6-8/tmos
      B)
      250 mg every 6-8hopss
      C)
      100 mg every 6-8
      D)
      75 mg every 6-8 hours
    2. A cold is a self-limiting viral infection most commonly caused by Rhinovirus
      A)
      True
      B)
      False
    3. All of the following statements are true regarding nonprescription drugs EXCEPT:
      A)
      The FDA requires a Drug Facts label on packaging to standardize content and formatting for nonprescoption labels
      B)
      Packaging must be tamper-resistant
      C)
      Health care providers are needed to counsel patients on the safe and effective use of the products
      D)
      Consumers can use them for self-diagnosed conditions
    4. Exercise can be beneficial in patients with mild symptoms of the common cold.
      A)
      True
      B)
      False
    Page 3 of 10

    Exam Review

    1. Patient NJ is a 35-year-old female who comes to your pharmacy complaining of new red, itchy, watery eyes that started as the weather began to change 1 week ago. She has allergy symptoms from time to time and takes a daily antihistamine. She tried Gen Teal Tear Drops 3x a day, but had no success. Rubbing her eyes makes it worse. She states that her symptoms are mild and that this is not a daily occurrence. NJ has no known drug allergies and takes a multivitamin daily and loratadine 10 mg daily. Which of the following OTC options would you recommend to use for her intermittent symptoms?
      A)
      Theratears Gel CMC 1%, sodium bicarbonate
      B)
      Opticrom-cromolyn sodium
      C)
      Refresh Tears-carboxymethylcellulose 0.5%
      D)
      Opcon-A-naphazoline 0.02675% and pheniramine 0.315%
    2. You have been asked by one of the clinic nurse practitioners that you work with to give a recommendation for the treatment of acute diarrhea. The patient, JW, is a 27-year- old female, is not pregnant, and has no known allergies to medications or foods. She has not been diagnosed with any chronic diseases and thus does not take prescription medications. JW attended a picnic with her classmates and has had frequent, watery stools. She estimates she has had at least four stools within the past 24 hours Several other people had the same symptoms. What do you recommend that JW do to treat her symptoms of diarrhea?
      A)
      Loperamide 2 mg tablets - She should take 4 mg x 1 dose by mouth then 2 mg for each loose stool, do not exceed 8 mg/day, duration of use 48 hours
      B)
      Bismuth subsalicylate liquid or tablets - She should take 525 mg every 30-60 minutes up to 4200 mg/day, duration of use 48 hours
      C)
      A or B
      D)
      There are no appropriate recommendations for JW's diarrhea given in the options listed
    3. Which of the following OTC products' mechanism of action has noncompetitive H1-receptor antagonist and mast cell stabilizer properties?
      A)
      Naphazoline/pheniramine
      B)
      Ketotifen
      C)
      Tetrahydrozoline
      D)
      Phenylephrine
    4. Which of the following is an EXCLUSION for the self-care treatment of musculoskeletal pain?
      A)
      Patient is 13 years old
      B)
      Arm pain that has lasted 5 days
      C)
      Pelvic pain for 3 days
      D)
      Pain Scale Score 4/10
    Page 4 of 10

    Exam Review

    1. All of the following are non-pharmacologic options for self-treatment for water-clogged ears, EXCEPT
      A)
      Using a blow dryer on a low setting (cool or warm) around the ear to air dry, avoiding blowing directly into the ear
      B)
      Tilting the ear downward and gently manipulate the auricle to allow the water to flow from the ear
      C)
      Using water absorbent ear plugs, after exposure to water, to dry the fluid accumulation in the ears for ages 17 and up
      D)
      Using a cotton-tipped applicator to clean and soak up the moisture and cerumen from the ear
    2. Of the drug categories listed below, which would be the BEST choice to use to treat constipation for up to two weeks in a pregnant female?
      A)
      Emollient laxatives
      B)
      Stimulant laxatives
      C)
      Saline laxatives
      D)
      None of these categories of laxatives would be safe to use in a pregnant female
    3. What type of headache is classified by unilateral pulsating, throbbing pain that can last from hours to days?
      A)
      Sinus
      B)
      Migraine
      C)
      Aggravating
      D)
      Tension
    4. You have been invited to go camping in Central America. You will be traveling with 20 people from all over the world and will share meal preparation, clean up, etc. with them. One of your friends is an Eagle Scout and suggests that you be prepared in the event that you become ill with diarrhea. Which of the following products should you put in your backpack to take with you? SELECT ALL THAT APPLY.
      A)
      Imodium (loperamide)
      B)
      Bottled water
      C)
      Bismuth subsalicylate
      D)
      A generic brand of digestive enzymes
      E)
      A thermometer
    Page 5 of 10

    Exam Review

    1. Dextromethorphan is an effective over-the-counter (OTC) option for the treatment of which of the following conditions/symptoms?
      A)
      Coronavirus
      B)
      Allergic rhinitis
      C)
      Nonproductive cough
      D)
      Ineffective productive cough
    2. In regards to musculoskeletal injury treatment, R.I.C.E. stands for.
      A)
      Rest, Incubation, Circulation, Elevation
      B)
      Rest, Ice, Compression, Elevation
      C)
      Rest, Incubation, Compression, Elevation
      D)
      Rest, Ice, Circulation, Exercise
    3. Which of the following is an EXCLUSION for the self-care treatment of headaches??
      A)
      Patient is 12 years old
      B)
      Patient has had the headache for 1 day
      C)
      Patient drinks occasionally, 1 alcoholic beverage every weekend
      D)
      Patient also has a high fever (102.5°F)
    4. True or False: When counseling patients on the proper use of medicated nasal sprays, direct the patient to blow their nose immediately before and after the dose is administered
      A)
      True
      B)
      False
    Page 6 of 10