913 block 3 pt 2

Insomnia

100

What is the number of stages of sleep

5

200

This is the only FDA approved treatment for insomnia (include dose)

diphenhydramine 25-50mg daily at bedtime

300

How many days should diphenhydramine be used and/or paused

Use for 2-3 days, then stop for 1 day, for a total of 10 days

400

These ages are an exclusion factor to insomnia treatment

<12 years or >65 years

500

A patient with frequent nocturnal awakenings is seeking treatment. What do you recommend

See a Dr

Drowsiness / Fatigue

100

Drowsiness and fatigue present as... (don't overthink it)

yawning, nodding, decreased ability to focus

200

This is the only FDA approved OTC stimulant 

caffeine 

300

This age is an exclusion factor

Children <12 years old

400

What is the "dose" for caffeine

100-200 mg every 3-4 prn

500

Roughly how many sleep cycles do people go through during a nights rest

5-6

Otic

100

This disorder is characterized by logged or wedged cerumen in the external auditory canal

what is excessive / impacted cerumen

200

This disorder is characterized by excessive moisture in the external auditory canal

water-clogged ears

300

what is the pharmacological treatment for excessive / impacted cerumen (drug and dose)

carbide peroxide 6.5% in anhydrous glycerin. use 5-10 drops up to twice daily for 4 days

400

_____ weeks prior ear surgery is an exclusion for otic self care

6 weeks

500

what is the treatment for water clogged ears

isopropyl alcohol 95% in anhydrous glycerin 5%

Cough

100

List the duration of symptoms that classifies a cough as acute, subacute, or chronic

acute = <3 weeks; subacute = 3-8 weeks; chronic = >8 weeks

200

DOUBLE JEOPARDY! 2X POINTS POSSIBLE! What is the dose of codeine for a cough

10-20mg every 4-6 hours prn; max 120mg/day

300

What is the fraction of adult dose that a child from ages 6-12 years can take for guaifenesin and dextromethorphan

Kids 6-12 years can take 1/2 of the adult dose

400

This cough treatment should be avoided or cautioned with CNS depressants, MAOIs, and SSRIS

Dextromethorphan

500

For an acute cough from the common cold, what is the 1st line treatment recommendation

Nondrug therapy

Mystery

100

Primary dysmenorrhea should be referred if there is an inadequate response to self-care after ___ to ____ months of treatment

3 to 6 months

200

Children under this age are excluded from self care if their fever persists for >24 hours

children under 2 years old

300

This PMS treatment may cause neuropathy if 100mg/day is exceeded

Pyridoxine

400

A pregnant woman complaining of the common cold is looking for treatment. What is the first line recommendation

Nondrug measures

500

What are the 2 first line intranasal corticosteroids for allergic rhinitis

Budesonide and Triamcinolone Acetonide