Allergic Rhinitis, Cough & Cold
Random
Common Conditions of the Eyes and Ears
Common Skin Conditions
Bonus
100

MK is a 52-year-old male who self-medicates for allergy symptoms all year long. He takes OTC Benadryl, Zyrtec and phenylephrine as needed, and uses a "neti pot" in the spring and summer when his symptoms are the worst. He describes his symptoms today as "unbearable and nothing helps." He has no health insurance and wishes to purchase something OTC. Which of the following should the pharmacist recommend?

  1. Xyzal Allergy 24HR
  2. Pataday
  3. Mucinex
  4. Delsym
  5. Rhinocort Allergy

What is Rhinocort Allergy?

100

When FW is picking up his medication refills at the pharmacy, he tells the pharmacist that he cannot find his over-the-counter allergy medication on the usual shelf. The pharmacist confirms that his particular brand is out of stock, but tells FW that he can purchase another brand, or a generic, with the same active ingredient. What ingredient should FW be looking for in the products available?

  1. Triamcinolone
  2. Mometasone
  3. Fluticasone
  4. Budesonide
  5. Ciclesonide
Medications: Complera 1 tablet daily. Warfarin 3 mg daily. Toprol XL 25 mg daily. Bactrim DS 1 tablet daily. Nasacort Allergy 24-HR 1-2 sprays per nostril daily

What is Triamcinolone?

100

Which medication is an ophthalmic antihistamine?

  1. Restasis
  2. Lumigan
  3. Pred Forte
  4. Zaditor
  5. Acular

What is Zaditor?

100

A mother comes to the pharmacy and asks for advice about her son's itchy feet. The mother states that the feet look "burned" and some of the skin is peeling off. There are also some sporadic sores in the main area of the rash. What is the most likely condition and which OTC product should the pharmacist recommend?

  1. Sunburn, aloe vera and calamine lotion
  2. An allergic reaction, hydrocortisone 0.5% cream
  3. Tinea corporis, Abreva cream
  4. Tinea pedis, butenafine cream
  5. Atopic dermatitis, Eucerin cream

What is Tinea pedis, butenafine cream?

100

What is the active ingredient in Preparation H?

  1. Miconazole
  2. Phenylephrine
  3. Imiquimod
  4. Ciclopirox
  5. Adapalene

What is Phenylephrine?

200

A medication labeled as an expectorant will cause which effect?

  1. Reduction in fever
  2. Decreased eye redness
  3. Bronchodilation
  4. Decreased nasal mucosa inflammation
  5. Thinning of mucus



What is Thinning of mucus?

200

MC is an 18-month-old female who is brought to the pediatrician's office due to a 3-day history of significant nasal congestion, cough, and intermittent fever. Which medications should be avoided when selecting supportive care treatments to alleviate this patient's symptoms?  (Select ALL that apply)

  1. Acetaminophen
  2. Codeine
  3. Dextromethorphan
  4. Nasal saline
  5. Phenylephrine

What is Codeine, Dextromethorphan, and Phenylephrine.

200

A patient calls the pharmacy to ask if they have Debrox. What is this product used for?

  1. Cold sores
  2. Conjunctivitis
  3. Cerumen removal
  4. Glaucoma
  5. Eczema

What is Cerumen Removal?

200

A patient treated with minoxidil for hypertension may notice an improvement in which of the following conditions?

  1. Eczema
  2. Acne
  3. Alopecia
  4. Hemorrhoids
  5. Onychomycosis

What is alopecia?

200

A 21-year-old college student asks the pharmacist for advice about a "rash" on his left lower leg and forearms. The pharmacist inspects the rash and notes a small patch on the right forearm (approximately 3 cm square consisting of 4 lesions) and a few lesions on the left lower leg and left forearm. The lesions are in varying states of healing. They are red and circular with an inflamed border. As they spread, the middle heals and becomes clear. What is the most likely condition and which OTC product should the pharmacist recommend?

  1. Poison ivy, imiquimod cream
  2. An allergic reaction, calamine lotion
  3. Tinea corporis, clotrimazole cream
  4. Onychomycosis, terbinafine
  5. Atopic dermatitis, ivermectin lotion

What is Tinea corporis, clotrimazole cream?

300

The FDA recommends avoiding the use of OTC cough and cold products in children:

  1. < 2 years old 
  2. < 4 years old
  3. < 6 years old 
  4. < 12 years old
  5. < 18 years old


What is < 2 years old ?

300

What is the active ingredient in the medication SM uses to treat his periodic nasal congestion?

  1. Levocetirizine
  2. Budesonide
  3. Olopatadine
  4. Oxymetazoline
  5. Benzonatate

Medications:
Truvada 1 tablet PO daily
Tivicay 50 mg PO daily
Albuterol MDI 1-2 inhalations 3-4 times daily, as needed
Afrin 2-3 sprays in each nostril twice daily, as needed
Simvastatin 20 mg PO QHS


What is Oxymetazoline?

300

A patient is starting a new medication for glaucoma. The pharmacist includes the following statement when counseling the patient: "this medication can cause a darkening of eyelid skin and eyelashes." Which medication has been prescribed?

  1. Lumigan
  2. Timoptic
  3. Cosopt PF
  4. Pataday
  5. Alaway


What id Lumigan?

300

Lindane, a topical product for lice, is no longer recommended due to the risk of which adverse effect?

  1. Melanoma
  2. Flammability
  3. Fungal sores
  4. Neurotoxicity
  5. Arthralgias

What is neurotoxicity?

300

Which medication can be purchased over-the-counter for the treatment of cold sores (herpes simplex labialis)?

  1. Propecia
  2. Differin
  3. Abreva
  4. Lamisil
  5. Nizoral

What is Abreva?

400

A patient approaches the pharmacist for advice on over-the-counter cough and cold products. Her physician recommended that she purchase a decongestant for her symptoms. Which product contains a decongestant?

  1. Flonase Allergy Relief
  2. Mucinex D
  3. Claritin Reditabs
  4. G Tussin AC
  5. Robitussin DM


What is Mucinex D?

400

A 26-year-old female is prescribed Absorica for severe refractory nodular acne. Which of the following measures are required to decrease the risk of pregnancy and subsequent fetal abnormalities? (Select ALL that apply.)

  1. Evidence of two negative pregnancy tests before starting treatment
  2. Routine use of a progestin-only pill during treatment
  3. Preventing pregnancy for 1 month before, during, and 1 month after treatment
  4. Routine use of two forms of birth control during treatment
  5. Dispensing pharmacy registration with the iPLEDGE program

What is 1,3,4,5?

400

Which medications are known to cause vision changes or damage? (Select ALL that apply.)

  1. Vancomycin
  2. Voriconazole
  3. Hydroxychloroquine
  4. Linezolid
  5. Doxycycline


What is Voriconazole, Hydroxychloroquine, and Linezolid?

400

A pharmacist in a family medicine clinic overhears a provider ordering a potassium hydroxide smear for a patient. What does this test diagnose?

  1. Vaginal fungal infections
  2. Genital warts
  3. Onychomycosis
  4. Cold sores
  5. Pinworm

What is Onychomycosis?

400

Which medications can cause the urine to be discolored red? (Select ALL that apply.)

  1. Mitoxantrone
  2. Rifampin
  3. Levodopa
  4. Nitrofurantoin
  5. Doxorubicin

What is Rifampin and Doxorubicin?

500
Medications: Levothyroxine daily (cannot recall dose)HCTZ 25 mg PO dailyAcetaminophen 650 mg PO Q6-8H PRN painRhinocort Allergy, 2 sprays per nostril dailyVoltaren 1%, apply 2 g of gel to affected area 4 times dailyCalcium citrate 1,040 mg, 3 tablets daily.

What is the active ingredient in the medication MP uses for allergies?

  1. Triamcinolone
  2. Budesonide
  3. Mometasone
  4. Ciclesonide
  5. Beclomethasone




What is Budesonide?

500

AT is a 24-year-old female with acne. She brings a prescription for Atralin gel to the pharmacy. Important counseling points for the use of this medication include: (Select ALL that apply).

  1. Your acne may get worse before it gets better.
  2. Apply a pea-sized amount to the face once daily at bedtime.
  3. This medication is safe to use if you become pregnant.
  4. If your skin becomes red and dry, use this medication every other day until you get used to it.
  5. This medication can make it easier for you to get a sunburn.

What is 1,2,4,5?

500

The pharmacist receives the following new prescription:

Latanoprost (Xalatan) ophthalmic solution 0.005%
Disp: one bottle (2.5 mL)
Sig: 1 gtt OD QHS

The bottle lists the following inactive ingredients: sodium chloride, sodium phosphate dibasic (anhydrous), sodium phosphate monobasic monohydrate, benzalkonium chloride 1:5000 (w/v) and water for injection.

The patient mentions to the pharmacist that she wears contact lenses.  What counseling should be provided?

  1. It is safe to instill the medication while wearing contact lenses.
  2. Avoid wearing contact lenses during the entire course of treatment with this medication.
  3. Remove contact lenses before using the medication and re-insert them immediately after.
  4. Remove contact lenses before using the medication and wait at least 15 minutes before re-inserting them.
  5. Place the medication on the contact lens and insert the contact lens.

What is 

  • Remove contact lenses before using the medication and wait at least 15 minutes before re-inserting them.
500

The components of Cortisporin are:

  1. Mupirocin and hydrocortisone
  2. Bacitracin and polymyxin B
  3. Polymyxin B and mupirocin
  4. Polymyxin B, bacitracin and neomycin
  5. Bacitracin, neomycin, polymyxin B and hydrocortisone

What is Bacitracin, neomycin, polymyxin B and hydrocortisone?

500

A 24-year-old female is starting isotretinoin treatment. Which of the following is true? (Select ALL that apply.) 

  1. A consent form warning about birth defects must be signed before starting treatment.
  2. A 3-month supply can be dispensed at one time.
  3. The patient must have two negative pregnancy tests before starting treatment.
  4. Two forms of birth control must be used during treatment.
  5. The patient must wait 6 months after stopping treatment before getting pregnant.


What is 1,3,4?

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