PHR-913 Wellness and Health Promotion I Block 1 Exam

What are the three categories of products available for self-care use?

-dietary supplements

-complementary health therapies

-nonprescription medications

What is the most frequent counseling activity pharmacists provide to patients seeking self-care with non-prescription medications

product selection based on patient symptoms

What does QuEST/SCHOLAR-MAC stand for?

Qu-Quickly and accurately assess the patient

E-Establish that the patient is an appropriate self care candidate (assess)

S-Suggest appropriate self care strategies

T-Talk with the patient

S-Symptoms

C-Characteristics

H-History

O-Onset

L-Location

A-Aggravating Factors

R-Remitting Factors

M-Medications

A-Allergies

C-Conditions

What is the difference between Plan and Implement

Plan is when you develop a selection of medications for the patient, Implement is when you have already identified one appropriate recommendation.

What step of the PPCP process involves the presentation of a selected nonprescription product to the patient and providing education regarding its use

implement

For nonprescription medications, what is not a required section on the label:

1. Directions

2. Inactive Ingredients

3. Uses

4. Drug Pregnancy Category

Drug Pregnancy Category

Typical treatment time for resolution of most fungal skin infections should be expected to take

2-4 weeks

A patient with the following fungal skin infection should be referred to a primary care provider for treatment:

1. Tinea unguium (nail)

2. Tinea pedis (foot)

3. Tinea corporis (body)

4. Tinea cruris (groin)

Tinea unguium

To prevent the spread of a fungal skin infection to other parts of the body, one should

Use a separate towel to dry the affected area or dry the affected area last

define pruritus

severe itching

What is the most common symptom a patient with a cutaneous fungal infection experiences?

pruritus (severe itching)

An astringent may be used to treat tinea pedis prior to an anti-fungal product in

weeping lesions

Which of the following is an appropriate nonprescription recommendation for Allergic Contact Dermatis?

1. topical anti-histamine (diphenhydramine)

2. topical antibiotic (neosporin)

3. topical steriod (hydrocortisone)

4. topical anesthetic (lidocaine)

topical steriod (hydrocortisone)

Which of the following would require medical referral for Allergic Contact Dermatitis

1. 3yr old

2. weeping blisters

3. involvement inside the mouth and nose

4. involvement of approx 10% of the body area

involvement inside the mouth and nose

What should you do as non-pharmacologic measure for diaper dermatitis

increase the amount of time the affected area is exposed to air

Which patient is a candidate for self-care of diaper dermatitis

1. 7-month-old with areas of broken skin due to incessant scratching

2. 3-month-old with dermatitis past the diaper region

3. 5-month-old who has reddened, purple lesions present

4. 6-month-old with dermatitis in combination with fever and diarrhea

5 month old who has reddened purple lesions present

Which of the following is an appropriate nonprescription medication to recommend for diaper dermatitis:

1. neosporin

2. topical diphenhydramine

3. benzocaine

4. zinc oxide (skin protectant)

zinc oxide

Which of the following is a common cause of scaly dermatoses

1. Malassezia

2. Candida

3. Staphylococcus

4. Streptococcus

5. Pseudomonas

Malassezia

what is Malassezia

Fungus that causes dandruff

what is candida

yeast infection

what is Pseudomonas

a bacterial infection that is very difficult to treat

Shampoos containing this ingredient should be avoided in patients with dermatitis

1. selenium sulfide

2. sodium lauryl sulfate

3. ketoconazole

4. pyrithione zine

sodium lauryl sulfate

which of the following is NOT an important counseling point for medicated dandruff shampoo

1. rinse hair at least twice after using

2. only use once weekly to avoid skin irritation

3. if using a product with selenium sulfide, ensure to rinse well to prevent discoloration of light colored hair

4. massage into scalp for 3-5mins

only use once weekly to avoid skin irritation

which of the following is the best option to treat inflammation associated with seborrheic dermatitis and psoriasis

1. hydrocortisone

2. ketoconazole

3. zinc oxide

4. acetaminophen

5. salicylic acid

hydrocortisone

Which of the following would warrant a medical referral

1. patient with yellow, greasy lesions around nasolabial folds

2. 5 yr old

3. patient with small, pin-point bleeding when removing scales

4. patient asking for another treatment option after experiencing no improvement from what you gave her 2 weeks ago

patient asking for another treatment option after experiencing no improvement from what you gave her 2 weeks ago

By what virus are warts caused by

Human Papillomavirus (HPV)

Which of the following is an exclusion criterion for self-treatment of warts

1. patient less than 12 years of age

2. patient with poorly controlled chronic diabetes

3. patient with plantar warts

4. patient who previously self-treated a wart

patient with poorly controlled chronic diabetes

which of the following is an important counseling point

1. you may use a file to lightly remove the surface of the plantar wart while using cryotherapy

2. do not apply cryotherapy directly to the wart itself. apply to the surrounding areas

3. self-treatment should not continue past a maximum of 8 treatments

4. save the applicator to use for subsequent applications you may need, as it may not resolve after the first treatment.

you may use a file to lightly remove the surface of the plantar wart while using cryotherapy

The hallmark characterization of warts include

rough cauliflower-like lesions

Patients should always do what to their warts

keep them covered and avoid sharing/reusing socks or shoes

Which medication class is preferred over acetaminophen for minor burn pain management and why?

NSAIDs because they treat pain and inflammation

Which of the following represents the correct sequence of wound healing phases?

Inflammatory →Proliferative → Maturation

What is the most effective primary prevention strategy for avoiding sunburn?

Avoid sun exposure between 10 AM - 4 PM

According to the ABCDE rule for melanoma detection, which characteristic describes the "B" criterion?

Borders that are uneven, scalloped, or poorly defined

According to the Rule of Nines, what percentage of total body surface area (BSA) does the entire right leg (front and back) represent?

18%