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A 68-year-old female has a medical history significant for hypertension and anemia. Her home medications include losartan 50 mg daily (for hypertension), vitamin D 1000 units daily, and ferrous sulfate 325 mg once daily (for anemia). She was diagnosed with a urinary tract infection and started on levofloxacin 500 mg (fluoroquinolone antibiotic) once daily for 5 days.  Which of the following micronutrient-drug interactions would you want to caution her about?

An adult asks you for advice about tooth whitening products. He thinks his tooth discoloration is due to a longstanding habit of drinking a pot of coffee per day, and he’d like to make his teeth whiter because he’s going to be the best man in a wedding in a few months.  Which of the following would be INCORRECT to include in your consult with this man?

EXTRA CREDIT Think about all the lecture topics for this exam:   Oral care  Poisoning/abuse & misuse of OTCs  Heartburn & dyspepsia  Infant & child nutrition  Gas/hemorrhoids/motion sickness/gastroenteritis  Essential nutrients/vitamins (Hanke)  Functional foods/meal replacements  Sunscreen & photoaging (Eisch) Supplements & natural products (Hutson)  What is ONE THING you learned (from any one of the above lecture topics) that you have (1) already applied to your own life, (2) shared with another person for use in their life/self-care, (3) plan to use in your life OR (4) plan to share with another person? (Note: only the first item typed will be considered, so ONLY TYPE 1 THING) 

Which of the following statements about infant formula storage is INCORRECT?

Pretend it is summer in Wisconsin, and temperatures permit the wearing of shorts and short-sleeved shirts.  An older adult asks for your recommendation regarding an appropriate sunscreen product to use.  Which of the following would be the MOST APPROPRIATE for this person?

An adult who appears to be in their early 20s asks for your recommendation for heartburn. SCHOLAR-MAC information: S burning in the upper stomach and sometimes in the lower chest; C discomfort rating of 3 or 4 on a scale of 0 to 10; H tried drinking milk when the symptoms happened which wasn’t helpful; O a couple months ago; L points to the area just below the bottom of the sternum; A laying down or eating a heavy meal like lasagna; R drinking water and waiting for the sensation to go away; M no prescription medications but does use acetaminophen once every couple weeks for a headache; A hives with penicillin; C none.  They also tell you have developed a nagging cough but aren’t sick otherwise.  What would be the MOST appropriate recommendation for this person?

An older adult with a very limited income had a dental procedure yesterday, and one of the dentist’s implements/tools slipped off the tooth surface and injured the inside of the older adult’s cheek.  Which of the following would be a reasonable recommendation for the older adult to treat this oral injury? (SELECT ALL THAT APPLY)

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?