Question 1. Many patients self-medicate with antacids. Which patients should be counseled to not take calcium carbonate antacids without discussing it with their provider or a pharmacist first?
Patients with kidney stones
Pregnant patients
Patients with heartburn
Postmenopausal women

Question 2.Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide:
Can be given to patients of all ages, including infants and children, for viral gastroenteritis
Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
Is the treatment of choice for the diarrhea associated with E. coli 0157
May be used in pregnancy and by lactating women

Question 3.Josie is a 5-year-old patient who presents to the clinic with a 48-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her last recorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie?
Prochlorperazine (Compazine)
Meclizine (Antivert)
Promethazine (Phenergan)
Ondansetron (Zofran) I

Question 4.Gastroesophageal reflux disease may be aggravated by the following medication that affects lower esophageal sphincter (LES) tone:
Calcium carbonate
Estrogen
Furosemide
Metoclopramide

Question 5. Metoclopramide improves gastroesophageal reflux disease symptoms by:
Reducing acid secretion
Increasing gastric pH
Increasing lower esophageal tone
Decreasing lower esophageal tone

Question 6. Antacids treat gastroesophageal reflux disease by:
Increasing lower esophageal tone
Increasing gastric pH
Inhibiting gastric acid secretion
Increasing serum calcium level

Question 7. Erik presents with one golden-crusted lesion at the site of an insect bite consistent with impetigo. His parents have limited finances and request the least expensive-treatment. Which medication would be the best choice for treatment?
Mupirocin (Bactroban)
Bacitracin and polymixin B (generic double antibiotic ointment)
Retapamulin (Altabax)
Oral cephalexin (Keflex)

Question 8. Juakeem is a nasal methicillin resistant staphylococcus aureus (MRSA) carrier. Treatment to eradicate nasal MRSA is mupirocin. Patient education regarding treating nasal MRSA includes:
Take the oral medication exactly as prescribed.
Insert one-half of the dose in each nostril twice a day.
Alternate treating one nare in the morning and the other in the evening.
Nasal MRSA eradication requires at least 4 weeks of therapy, with up to 8 weeks needed in some patients.

Question 9. When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red, itchy rash consistent with a hypersensitivity reaction. He now has athlete's foot again. What would be a good choice of antifungal for Sam?
Miconazole (Micatin) powder
Ketoconazole (Nizoral) cream
Terbinafine (Lamisil) cream
Griseofulvin (Grifulvin V) suspension

Question 10. Long-term treatment of moderate atopic dermatitis includes:
Topical corticosteroids and emollients
Topical corticosteroids alone
Topical antipruritics
Oral corticosteroids for exacerbations of atopic dermatitis

Question 11. Josie has severe cystic acne and is requesting treatment with Accutane. The appropriate treatment for her would be:
Order a pregnancy test and if it is negative prescribe the isotretinoin (Accutane).
Order Accutane after educating her on the adverse effects.
Recommend she try oral antibiotics (minocycline).
Refer her to a dermatologist for treatment.

Question 12. Appropriate initial treatment for psoriasis would be:
An immunomodulator (Protopic or Elidel)
Wet soaks with Burrow's or Domeboro solution
Intermittent therapy with intermediate potency topical corticosteroids
Anthralin (Drithocreme)

Question 13. Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:
None, wait for the culture results to determine the course of treatment
Ciprofloxacin (Ciloxan) ophthalmic drops
IM ceftriaxone
High-dose oral amoxicillin

Question 14. Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta blockers because:
There may be an antagonistic reaction between the two.
The additive effects may include bradycardia.
They may potentiate each other and cause respiratory depression.
The additive effects may cause metabolic acidosis.

Question 15. David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes:
He should not wear his soft contacts while using the cromolyn eye drops.
Cromolyn drops are instilled once a day to prevent allergy symptoms.
Long-term use may cause glaucoma.
He may experience bradycardia as an adverse effect.