Otc Ex Final Part 1

Front 1

What is Fem V?

Back 1

Simple OTC Self Test (Can tell if symptoms are from Bacterial Vaginosis or Trichomniasis OR if they are from Vaginal Candidiasis.)

Front 2

_____ is the only vaginal infection for which OTC treatment is currently available.

Back 2

Vaginal Cadidiasis

Front 3

Vaginal Cadidiasis is also called what?

Back 3

Yeast infection or Candida Vulvovaginitis

Front 4

What do you recommend for the following pts?
a.) Symptoms returned 6 months after previous yeast infection diagnosed by physician.
b.) 1st time experiencing vaginal symptoms
c.) Diagnosed w/ yeast infection about 1.5-2 months ago, now symptoms back.
d.) Pt complains of smelly discharge w/ some back pain.
e.) Pregnant pt asks what she can use for yeast infection
f.) Mom comes in w/ 11 y/o daughter. She had a diagnosed yeast infection about 1 year ago.

Back 4

Treatment:
a.) OTC anti-fungal treatment
b.) Refer to physician
c.) Refer to a physician (symptoms returned w/in 2 months of original diagnosis)
d.) Refer to physician (NOT yeast infection symptoms, could be more serious)
e.) Refer to physician (b/c she’s pregnant)
f.) Refer to physician (even tho physician diagnosed previous infection, she is < 12 y/o)

Front 5

if recommending an anti-fungal treatment for vagin. yeast, what ingredient should it contain?

Back 5

Imidazole (there’s lots, see notes if you care)

Front 6

Can yeast infection treatments be used when pt is menstruating?

Back 6

Yes! Avoid using tampons though!!

Front 7

Can a pt have intercourse when being treated for a Vaginal Candidiasis?

Back 7

Technically they can, but shouldn’t (can interfere w/ tx & may be painful)

Front 8

What should you tell a pt if they tried OTC anti-fungal therapy but the symptoms persist or worsen

Back 8

See MD!

Front 9

PRODUCTS: Menstruation & PMS

List them: (8)

Back 9

~Midol Menstrual Complete (APAP 500mg, Caff. 60mg, Pyrilamine maleate 15mg)
~Midol Teen Formula (APAP 500mg, Pamabrom 25mg)
~Midol Pre-menstrual Syndr. (APAP 500, Pamabrom 25, Pyrilamine maleate 15mg)
~Pamprin Multi-Symptom (APAP 500mg, Pamabrom 25mg, Pyrilamine maleate 15mg) *same as Midol PMS

~Pamprin Maximum Cramp Relief (APAP 250, Mg salicyl. 250mg, Pamabrom 25mg)

~Midol Extended Relief (Naproxyn Sodium 220mg)
~Pamprin All Day Relief (Naproxen sodium 220mg)

~Midol Cramps & Body Aches (IBU 200mg)

Front 10

_____ is INEFFECTIVE for relief of menstrual cramps. *KNOW*

Back 10

APAP! (Only NSAIDs such as Ibuprofen, Naproxyn, etc… are effective – MUST have anti-inflammatory properties!!)

Front 11

Elisekaviche, a Russian tourist, comes to your pharmacy counter w/ Midol Menstrual Complete & Midol Cramps & Body Aches. She asks which is better. What r u gonna tell her?

Back 11

Depends on her symptoms. So you say, “Well, what symptoms are you experiencing?” (preferably in Russian )

Front 12

She bursts into tears! Why is everyone picking on me today! My stomach is hurting so bad I’m going to die! (cramps!) What do you say?

Back 12

Recommend Midol Cramps & Body Aches OR (better yet) advise her that Advil Liquid Gels are the same thing (IBU 200mg) & probably cheaper
*DON’T give her APAP!!!

Front 13

Your mom comes into the pharmacy and asks what she can take for her cramps & bloating. She is allergic to aspirin. What can she NOT take?

Back 13

Pamprin Maximum Cramp Relief (why? b/c contains a salicylate – Magnesium salicylate!)

Front 14

Which OTC products can treat dark / brown skin? (5)

Back 14

~Esoterica (means “my secret”)
~Eldopaque, Eldoquin, Solaquin
~Porcelana

Front 15

What is the active ingredient in lighters?

Back 15

Hydroquinone (2%)

Front 16

Pharmacists in FL can prescribe _____ for head lice only. *KNOW*

Back 16

SHAMPOO! (Gamma Benzene Hexachloride) – this is an Rx product that we can prescribe.

Lindane

Front 17

T or F? Pharmacists in FL can prescribe lotion for head lice.

Back 17

No! Just said SHAMPOO ONLY!! Wake up! 

Front 18

What OTC products are available for Head Lice treatment?

Back 18

~Nix Cream Rinse (1% Permethrin)
~Rid (Pyrethrins plus piperonyl butoxide)

Front 19

T or F? Nix should be applied to wet hair and then allowed to dry.

Back 19

False! Apply it to clean, DRY hair, then wash it off after 10 minutes.

Front 20

What Rx product is available for Scabies treatment (pediculosis on the body).

Back 20

Elimite Cream (5% Permethrin)

Front 21

What is an OTC treatment for both male & female hair loss?

Back 21

Rogaine (Minoxidil 2%)
Men = blue box
Women = Pink box

Front 22

MOA of minoxidil?

Back 22

Powerful vasodilator (↑hair shaft diameter, stimulates follicular hypertrophy, prolongs growth phase of follicle, causes hypertrichosis)

Front 23

T or F? Rogaine can re-grow lost hair.


T or F? ↑ blood flow = ↑ hair growth

Back 23

False! It just slows the losing process


b)True!

Front 24

Why is OTC Rogaine a better option for young men? (as opposed to Rx Propecia)

Back 24

B/c Propecia has sexual side effects – bigger deal if male is young

Front 25

Depilatories What are they?

Back 25

Chemicals that remove hair @ the surface

Front 26

T or F? Depilatories, They are classified as cosmetics.

b) Pediculosis A.k.a what?

Back 26

True! (even tho they alter body hair & can produce adverse reactions)


b) Lice

Front 27

Depilatories MOA? *KNOW*


Depilatories Products? (1 main one) *KNOW*

Back 27

Alkaline (↑ pH) breaks protein of the hair

Nair

Front 28

____ condoms are more effective for preventing HIV or AIDS. *KNOW*

Back 28

Latex!

Front 29

2.) T or F? Lambskin condoms are best b/c they are all natural and will encourage your partner to make animal noises during intercourse.

Back 29

False! (Who wants animal noises during intercourse… freaks?! ) They are NOT GOOD!

Front 30

What is special about Trojan-Enz?

Back 30

They have receptacle ends/reservoir ends which function to avoid the pressure of ejaculation (prevent rupture of condom during ejaculation)

Front 31

Name 2 OTC Lubes for vagin.:

Back 31

~KY Jelly
~Astroglide

Front 32

Why should Vaseline NOT be used for lubrication?

Back 32

B/c it can eat through condoms (same for most oil-based products: baby oil, massage oils, cold cream, mineral oil, etc…)

Front 33

What OTC products can you recommend for insufficient vaginal lubrication?

Back 33

~Replens (very effective!!)
~KY Jelly

Front 34

Name 2 OTC Vaginal Douching Products:

Back 34

~Massengill
~Summer’s Eve (Caution: NOT for every day use!)

Front 35

Name the ONLY safe & effective Spermicide. *KNOW*

Back 35

Nonoxyl-9

Front 36

T or F? Nonoxyl-9 effectively kills sperm, HIV, and herpes viruses.

Back 36

False!! ONLY anti-sperm (so if you rather get HIV than have a baby, this is the product for you! )

Front 37

How does Nonoxyl-9 work? *KNOW*

Back 37

Detergent (nonionic surface action) & Renders sperm immobile (so technically, it doesn’t kill sperm, it just makes them unable to swim)

Front 38

T or F? Smoking can increase the effects of caffeine.

Back 38

False! ↓ caffeine’s effect by inducing CYP450’s (don’t have to know, just thot it was interesting)

Front 39

Lethal Dose of nicotine = ____. *KNOW*

Back 39

60mg (1 cigarette = 1-3 mcg)

Front 40

List the NRT (Nicotine Replacement Therapy) products which are OTC:

Back 40

~Nicorette Gum
~Commit Lozenges (suck, Don’t Swallow!
~Nicotrol Patches
~NicoDerm CQ (patch)

Front 41

What is the difference between a wheel chair and a Transport chair?

Back 41

They both have wheels, they both transport! IDK!! Wheelchair = big side wheels Transport chair = smaller, no big side wheels

Front 42

A person can wheel themselves around in which?

Back 42

Wheelchair

Front 43

A person must be pushed (transported) in which?


b) What’s a Texas catheter?

Back 43

Transport chair


b) External (used for male incontinence) Attached to leg or bed bag.

Front 44

For a catheter, a HIGHER size # means ____.

Back 44

Larger size catheter

Front 45

You are having a catheter put in b/c Walgreens is making you work 20hrs straight w/ NO bathroom breaks. You have 2 size choices, which are you going to pick? Size 3 or Size 34?

Back 45

Size 3 (b/c it is smallest)

Front 46

An elderly woman comes in and mumbles something about a “rosebud”. What do you do?

Back 46

She is probly asking about STOMA treatment. (“rosebud” = stoma)

Front 47

What is a stoma? *KNOW*


b) What can you recommend?

Back 47

Opening in skin following a procedure known as an Ostomy (intestine sutured thru abdominal wall).


b) Maybe anti-fungal (if she has a reaction surrounding the rosebud)

Front 48

Name 2 Anti-embolism products: *KNOW*

Back 48

~T.E.D. Stockings (thrombo-embolic Deterrent)
~Jobst Stockings

Front 49

Must be certified to sell these?

Back 49

Masectomy supplies (breast implant products)