Author: Anonymous

A 79-year-old self-identified male presents to your pharmacy complaining of difficulty initiating sleep over the past 4-5 nights.  He complains of having an active mind once he lies down to go to sleep at night, and it may take him up to 90-120 minutes to fall asleep.  Once asleep, he sleeps well until morning without awakenings.  He has been drinking 3-4 alcoholic drinks prior to bedtime to help him fall asleep (which has only been partially helping). Which of the following is TRUE regarding treatment of his insomnia symptoms?   

Following the RICE acronym recommendations for an acute musculoskeletal injury, what would your recommendation be to a person asking about their recent muscle strain?   

Topical counterirritants can be effective nonprescription medications to help with pain.  Which of the following regarding topical counterirritants is TRUE? 

An adult in their 20s asks you (their pharmacist) what they could use for their annoying runny nose that started last evening.  Several of their co-workers all have “colds” right now.  You ask the SCHOLAR-MAC questions and learn:  S—runny nose and sore throat  C—blowing their nose every 5 to 10 minutes  (“it’s like a faucet that won’t stop”) & secretions are colorless and thin; sore throat “minor” pain (2 on a pain scale of 0 to 10) H—hasn’t tried anything yet for the nose; can’t remember if used anything in the past for this but probably never treated before  O—yesterday at suppertime  L—both nostrils   A—none  R– none   M—escitalopram 10 mg each morning (for depression & anxiety), multivitamin daily  A—amoxicillin (rash)  C—depression, anxiety, eczema (in winter when the air is dry)    Which of the following would be the MOST appropriate recommendation for this person’s rhinorrhea? 

Assess which of the following people would be an APPROPRIATE candidate for self-treatment of insomnia with an OTC antihistamine?

EXTRA CREDIT (optional) Think about all the lecture topics for this exam:   Cold  Cough  Wound care  Pain/inflammation/fever  Insomnia/drowsiness/fatigue   What is ONE SPECIFIC THING/CONCEPT you learned (from any one of the lecture topics) that MOST SURPRISED you? (Note: only the first item typed will be considered, so only type 1 thing) 

Which of the following is TRUE regarding bleeding management in this story? 

Which of the following statements regarding NSAIDS and adverse events is TRUE?

What are 2 exclusions to self-care of minor, acute wounds? 

A 32-year-old self-identified woman is pregnant and experienced an acute musculoskeletal injury while running yesterday.  She has been applying ice and elevating her leg. She reports numbness in her foot after the injury.   She comes into the pharmacy today asking about using OTC therapies to manage her pain.  Here are some characteristics about this person:  Pain score:  8 out of 10  Associated features:  occasional nausea and dizziness after injury, no fever  No deformities or abnormalities apparent with the injury  What is the MOST APPROPRIATE recommendation for this woman?