OSCE Flashcards

1
Q

When would you use motivational interviewing?

A

Smoking
Physical inactivity
Unhealthy eating habits
Alcohol misuse
Unsafe sex
Poor self care

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2
Q

What is the spirit of MI?

PACE

A

Partnership
Autonomy
Compassion
Evocation

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3
Q

How would you show partnership for motivational interviewing?

A

Use Cooperative conversation

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4
Q

How would you show autonomy for MI?

A

Acknowledge the freedom to choose

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5
Q

How would you show compassion during Mi?

A

Give priority to the patients needs

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6
Q

How would you show evocation during Mi?

A

Envoke their own motivations

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7
Q

What are the strategies of MI?

A

Open ended questions
Affirmation
Reflective listening
Summarizing

OARS

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8
Q

What are the principles of MI?

A

Express empathy
Devolop discrepancy
Avoid argumentation
Roll with resistance
Support self efficacy

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9
Q

How would you express empathy during MI?

A

Seek first to understand

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10
Q

How would you develop discrepancy during MI?

A

Active listening

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11
Q

How would you avoid argumentation during MI?

A

Remain calm and use reflective statements and know that it is a protective response

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12
Q

How would you roll with resistance during MI?

A

Know resistance is natural and affirm the patient’s autonomy

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13
Q

How would you support self efficacy during MI?

A

Build confidence, let the patient know you believe in them

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14
Q

What does SBAR stand for?

A

Situation
Background
Assessment
Reccomendation

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15
Q

What would you say in the S of an SBAR?

A

Your name, your title and work, doctors name, patients name and date of birth of whom you are calling about and what you are calling to do

Hi my name is Sarah Holmes. I am the Pharmacist here at WCU Pharmacy calling for Dr. X. I am calling in regards to patients name DOB.

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16
Q

What would you put in the B of SBAR?

A

The background information, the patients information, if she has any allergies, the background of the situation like what the problem is

I see here the patient is allergic to penicillin and Amoxil was prescribed for the patient.

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17
Q

What would you put in the A of SBAR?

A

What your thoughts of the situation are

Amoxil is a derivative of penicillin in which the patient would have a reaction to this medication.

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18
Q

What would you put in the R in SBAR?

A

What you think should be done to clear up the situation as well as your number

I reccomend prescribing Clindamycin in replacement for this therapy. Please give me a call back at 9999999999

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19
Q

What three questions must you ask during counseling?

A

What did the prescriber tell you this medication is for?
How did the prescriber tell you to take this medication?
What did the prescriber tell you to expect from this medication in terms of side effects and outcome?

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20
Q

What is the first thing you should do during counseling?

A

Greet the patient and introduce yourself as a student pharmacist
Confirm the patients name and date of birth and allergies

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21
Q

What must you obtain in order to counsel a patient?

A

Consent to counsel

22
Q

What must you provide when closing the consultation?

A

Contact information for follow up questions and ask if they have any comments or concerns

23
Q

What are some things that should be included about the patient medication history during an interview?

A

Allergies
Adverse reactions
Date of birth
Current medications

24
Q

What is the brand name of Tramadol?

A

Ultram

25
Q

What is tramadol used for?

A

Pain reliever

26
Q

What is the normal dose for tramadol?

A

50-100mg by mouth every 4-6 hours as needed for pain (max dose of 400 mg a day)

27
Q

Should tramadol be taken with food?

A

Does not matter

28
Q

What should you tell the patient about a missed dose of Tramadol?

A

Skip the missed dose and return to regular scheduling. DO NOT DOUBLE DOSE

29
Q

What are the side effects of Tramadol?

A

dizziness, headaches, drowsiness
Seretonin syndrome and seizures (altered mental status)

30
Q

How should you store tramadol?

A

Store at room temperature
Dispense in a tight container

31
Q

What is the brand name for Celecoxib?

A

Celebrex

32
Q

What is celebrex used for?

A

What is the reccomended dosing for celebrex 100 or 200 mg twice daily with or without food

33
Q

What to do if you miss a dose of celebrex?

A

Take the dose as soon as possible unless it is near your next dose. do not double dose

34
Q

What are the adverse effects of celebrex?

A

Hypertension
Edema
stroke

35
Q

How should you store celebrex?

A

Room temperature but cooler conditions are permitted

36
Q

What is the brand name of HCTZ?

A

Microzide

37
Q

What is hctz used for?

A

reduce blood pressure and relieve symptoms of fluid retention

38
Q

What is the dose for HCTZ?

A

12.5-100 mg once daily
in the morning with or without food no later than 6pm

39
Q

What should you do if you miss a dose of HCTZ?

A

Take as soon as possible if not near next dose do not double dose

40
Q

What are the side effects of HCTZ?

A

Orthostatic hypotension
Nausea
Diarrhea

41
Q

How should you store HCTZ?

A

room temp
tight light resistant container with child resistant closure

42
Q

What is the brand name for risedronate?

A

Actonel

43
Q

What is actonel used for?

A

Reduce bone resorption due to osteoporosis to improve bone health

44
Q

What is the reccomended dose for actonel?

A

5-150 mg take with water at 30 min before the first food or drink of the day do not lie down for 30 min after

45
Q

What are the side effects of actonel?

A

Back pain
Abdominal pain
difficulty breathing

46
Q

How do you store actonel?

A

store at room temperature

47
Q

What is the brand name for sertraline?

A

Zoloft

48
Q

What is the use of zoloft?

A

mental conditions

49
Q

What is the dose for zoloft?

A

25-100 mg once daily with or without food morning or evening

50
Q

What to do if you miss a dose of sertraline?

A

Take as soon as possible unless near the next dose do not double dose

51
Q

What are the adverse effects of zoloft?

A

Nausea, loss of appetite, anxiety, change in mood

52
Q

How do you store zoloft?

A

at room temperature