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00 OTC Flashcards

1
Q

What is a Class I drug recall?

A

Use or exposure will cause serious adverse health consequences or death

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2
Q

What is the classification of Premature?

A

< 38 weeks

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3
Q

What is the classification of Newborn/Neonate?

A

Birth - 1 month

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4
Q

What is the classification of Infant/Baby?

A

1 - 12 months

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5
Q

What is the classification of Toddler?

A

1 - 3.5 years

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6
Q

What is the classification of Preschool?

A

3.5 - 6 years

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7
Q

What is the classification of Older Child?

A

6 - 12 years

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8
Q

What is the classification of Adolescent?

A

13 - 18 years

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9
Q

At what age do packages for cough/cold products say “do not use”?

A

< 4 years (FDA recommends < 2 years)

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10
Q

At what age does the FDA say “do not use” for antihistamines?

A

< 2 years

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11
Q

How do basal thermometers work for ovulation?

A

Resting BBT below normal during first part of reproductive cycle. After ovulation, BBT raises 0.4-1 degree F d/t increase in progesterone. Most fertile period X24-36 hours after BBT rises

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12
Q

What hormone do female ovulation products detect?

A

Changes in LH, which increases sharply just prior to ovulation (~12-36 hours before)

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13
Q

What are some ovulation detection products?

A

Clearblue easy, First response, OvuQuick

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14
Q

What is considered a Low Sperm Count?

A

< 20 million/mL

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15
Q

What hormone do home pregnancy tests detect?

A

hCG in urine, usually detectable 1-2 weeks following conception. Use AM urine

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16
Q

What hormone do menopausal tests detect?

A

FSH in urine. Perimenopausal FSH in urine: 110, Positive result: > 25

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17
Q

What are some menopause test products?

A

Menocheck, Estroven, Menopause monitor

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18
Q

What product can be used for home HIV testing?

A

Home Access kits

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19
Q

What do Fecal Occult Blood Tests detect?

A

Detect occult blood in feces with a colorimetric assay for Hgb (blue-green +). Can get false positive d/t red meat and iron supplements

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20
Q

What are some Fecal Occult Blood Test products?

A

ColoCare, EZ Detect

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21
Q

What products detect Ketones in the Urine?

A

Ketostix, Acetest, Chemstrip K. This is good during sick days in DM patients

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22
Q

What types of samples can be used for at home drug tests?

A

Urine or Hair. Usually mail in sample and wait for results

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23
Q

What are the names of the different B vitamins?

A

The Rabbit Needs Prayer For Comfort: Thiamine (B1), Riboflavin (B2), Niacin (B3), Pyridoxine (B6), Folic acid (B9), Cyanocobalamin (B12)

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24
Q

Which calcium has the highest % elemental calcium?

A

Carbonate (needs to be taken with food)

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25
Q

Which calcium has the highest bioavailability?

A

Citrate (can take without meals)

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26
Q

What are the different Irons and their % of elemental iron?

A

Fumarate (33%), Sulfate (22%), Gluconate (11%)

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27
Q

What is Bitter Orange?

A

Herbal stimulant, used for weight loss

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28
Q

What herbals are often used to help with sleep?

A

Valerian, melatonin

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29
Q

What are the most common herbals that INCREASE anti-coagulant effect, increase INR?

A

(4 Gs): Garlic, Ginger, Ginko, Glucosamine

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30
Q

What are the most common herbals that DECREASE anti-coagulant effect, decrease INR?

A

Ginseng, Green Tea

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31
Q

How do you decide which strength nicotine gum to use?

A

1st cig < 30 min after waking: 4mg. If its > 30 min after waking: 2mg

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32
Q

What is the generic name of Nicorette?

A

Nicotine gum or Lozenge

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33
Q

What is the max amount of nicotine gum that can be chewed in a day?

A

Do NOT exceed 24 pieces/day

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34
Q

How do you decide which strength nicotine lozenge to use?

A

1st cig < 30 min after waking: 4mg. If its > 30 min after waking: 2mg

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35
Q

What is the max amount of nicotine lozenge that can be used in a day?

A

Max: 20 lozenges/day

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36
Q

What is the generic name of Nicoderm CQ?

A

Transdermal nicotine

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37
Q

How do you decide the dosing schedule for transdermal nicotine?

A

> 10 cigs/day: 21mg x6 weeks, 14mg x2 weeks, 7mg x2 weeks. If < 10 cigs/day: 14mg x6 weeks, 7mg x2 weeks

38
Q

What are the Rx Smoking Cessation products?

A

Nicotrol NS (Nasal Spray, 1 spray in each nostril). Nicotrol Inhaler (10mg/puff, ~4mg delivered). Zyban. Chantix

39
Q

What premixed insulins can you buy OTC?

A

Humulin 70/30, Humulin 50/50, Novolin 70/30

40
Q

What is the MOA of decongestants?

A

Alpha-adrenergic agonists (sympathomimetics). Constrict blood vessels in nasal passages to reduce blood flow to sinuses and associated pressure

41
Q

What is a common topical nasal decongestant?

A

Oxymetazoline (Afrin)

42
Q

What caution should be used with nasal decongestants?

A

Rebound congestion: Limit use to < 72 hours duration

43
Q

What is a common topical ophthalmic decongestant?

A

Oxymetazoline

44
Q

What is the OTC Pseudoephedrine Federal Law?

A

Maximum 3.6g/day; 9g in 30 days (7.5g mail-order)

45
Q

What is the MOA of Dextromethorphan?

A

Antitussive: decreases medullary cough center signals in CNS, interrupts cough impulse transmission

46
Q

When should you use caution with systemic antihistamines?

A

Narrow angle glaucoma, BPH. Caution: Elderly, CVD/arrhythmia, MAOIs, Asthma, Hyperthyroidism

47
Q

What are the common ophthalmic antihistamine agents?

A

Ketotifen (Zaditor), Pheniramine, Antazoline

48
Q

What are the OTC antihistamines used as sleep aides?

A

Doxylamine, Diphenhydramine. Can also be used for motion sickness

49
Q

What is the brand name for OTC Intranasal steroids (INS)?

A

Nasacort Allergy 24hr (Triamcinolone) - for allergic rhinitis

50
Q

At what age should you refer to MD if fever present?

A

Infants < 3 months, see MD if temp > 100F

51
Q

If someone has an ASA allergy, what can they use from a similar class?

A

Non-Acetylated Salicylates (Magnesium salicylate, Sodium salicylate)

52
Q

What are the choices for Urinary Analgesics?

A

Phenazopyridine (Azo, Prodium, Uristat). Sodium salicylate (Cystex)

53
Q

What is the best protectant to apply to avoid diaper rash?

A

Zinc oxide (need at least 25%): Desitin Ointment

54
Q

Which UV rays are the most harmful?

A

UVA > UVB > UVC

55
Q

What chemical should you always look for in sunscreen?

A

Avobenzone (covers full UVA spectrum): absorbs UV light so skin doesn’t

56
Q

What is the active ingredient found in Lotrimin AF?

A

Clorimazole 1%

57
Q

What is the active ingredient found in Micatin?

A

Miconazole 2%

58
Q

What is the active ingredient found in Tinactin?

A

Tolnaftate 1%

59
Q

What is the active ingredient found in Lamisil AT?

A

Terbinafine 1%

60
Q

What is the active ingredient found in Lotrimin Ultra?

A

Butenafine 1%

61
Q

What is the active ingredient found in Monistat-3 and -7?

A

Miconazole

62
Q

What is the active ingredient found in Monistat-1?

A

Tioconazole

63
Q

What is the active ingredient found in Gyn-Lotrimin 3 and 7 day?

A

Clotrimazole

64
Q

What is the active ingredient found in Polysporin?

A

Polymyxin and Bacitracin

65
Q

What is the active ingredient found in Neosporin?

A

Neomycin, Polymycin, and Bacitracin

66
Q

What Antacids have Magnesium as an active ingredient?

A

Maalox, Mylanta (combo w/ aluminum). Avoid CrCl < 30, causes diarrhea

67
Q

What Antacids have Aluminum as an active ingredient?

A

AlternaGel, Amphojel

68
Q

What is found in Gaviscon?

A

Alginic acid combined with sodium bicarb and other antacids to relieve GERD symptoms

69
Q

What is the generic name of Pepcid AC?

A

Famotidine

70
Q

What is the generic name of Zantac?

A

Ranitidine

71
Q

What is the generic name of Axid AR?

A

Nizatidine

72
Q

What is the generic name of Cimetidine?

A

Tagamet HB (MANY DDIs!!!)

73
Q

What is the generic name of Prilosec OTC?

A

Omeprazole

74
Q

What is the generic name of Zegerid OTC?

A

Omeprazole + Sodium bicarb

75
Q

What is the generic name of Prevacid 24HR?

A

Lansoprazole

76
Q

What is the generic name of Nexium?

A

Esomeprazole

77
Q

What are two commonly used products for diarrhea?

A

Loperamide. Bismuth subsalicylate

78
Q

What is the DOC in pediatrics for constipation?

A

Glycerin suppositories

79
Q

What is the generic name of Miralax?

A

Polyethylene Glycol (Hyperosmotic laxative)

80
Q

What is the generic name of Senokot?

A

Senna (Stimulant laxative)

81
Q

What is the generic name of Ex-Lax?

A

Senna (Stimulant laxative)

82
Q

What is the generic name of Dulcolax?

A

Bisacodyl (Stimulant laxative)

83
Q

Why type of laxative is Castor Oil?

A

Stimulant laxative

84
Q

What is the generic name of Oxytrol for Women?

A

Oxybutynin OTC patch for overactive bladder in WOMEN ONLY

85
Q

What is the generic name of Abreva?

86
Q

What is the generic name of Nix?

A

Permethrin (DOC for lice). No repeat needed. Use like conditioner (after shampoo)

87
Q

What is the generic name of Rid?

A

Pyrethrin/Piperonyl butoxide (Repeat/Dry hair)

88
Q

What is the active ingredient found in emergency contraception?

A

Levonorgestrel 1.5mg

89
Q

What is Simethicone?

A

Used to alleviate symptoms of gas (Phazyme, Gas-X, Mylanta Gas)

90
Q

What is the only approved OTC agent for the removal of cerumen (ear wax)?

A

Carbamide peroxide

91
Q

Beriberi is caused by a deficiency in what vitamin?

A

Thiamine (B1)

Board Study Topics (38 decks)

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