A 79-year-old self-identified male presents to your pharmacy…

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?   

An adult in their 20s asks you (their pharmacist) what they…

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? 

EXTRA CREDIT (optional) Think about all the lecture topics…

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)