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A 33-year-old adult asks you for a recommendation to treat their heartburn. Upon questioning, they have no alarm or atypical symptoms. They have already tried calcium carbonate chewable tablets without success.  MAC for this person: M rosuvastatin (for cholesterol), lisinopril (for hypertension), acetaminophen (as needed), methotrexate (for rheumatoid arthritis), metformin (for type 2 diabetes), empagliflozin (for type 2 diabetes); A no known medication allergies; C type 2 diabetes, rheumatoid arthritis, hypertension.  Which of the following would NOT be an appropriate recommendation?

The active ingredients in a multi-ingredient OTC hemorrhoid product are glycerin, phenylephrine, pramoxine, and white petrolatum. For which of the following kind/s of hemorrhoids would this product be used?

A 28-year-old person comes into your pharmacy today looking for an over-the-counter medication for their intestinal gas.  They do not describe their symptoms as severe, but they are bothersome, especially after eating certain foods (broccoli, corn, whole grain foods).  They would like something to prevent the symptoms. Which of the following would be the MOST APPROPRIATE recommendation for this person?

Which one of the following herbal dietary supplements would be of greatest concern if taken without medical provider oversight in a person who has received a solid organ transplant?

During the occupational therapy evaluation, the OTR notes that the patient is demonstrating left sided weakness of the face and is having difficulty managing their oral secretions.  The OTR observes that the patient is coughing throughout session and has a ”weak” voice quality when speaking.  The OTR recognizes that a referral to speech language pathology is warranted.    Using the SOAP note format, where should the recommendation or referral to another discipline be recorded?

The intertubercular or bicipital groove is a landmark of what upper extremity bone?

During the morning occupational therapy functional mobility treatment session, your patient complains of pain in their left proximal shoulder while they are performing bed mobility tasks.   Using the SOAP note format, which section is it appropriate for the the OTA to document the patient’s report of pain?  

Please define the concept of scapulohumeral rhythm. Describe the how many degree of motion that the scapula is involved in with shoulder flexion and shoulder abduction during functional use of the upper extremity.  Describe the how many degree of motion that the glenohumeral joint is responsible for during shoulder flexion and shoulder abduction during functional use of the upper extremity.  Why is knowledge of these concepts important for an occupational therapy practitioner to understand when treating patients. (6 points)

The scapula is ______________________________to the ribcage.

Directions: Choose the best answer. Each question is worth 3.5 points. Which of the following is an example of an ingested poison?