OTC Flashcards

1
Q

3 complimentary nausea treatments

A

Chamomile, ginger, and peppermint oil

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2
Q

What to eat if nausea / vomiting from stomach bug

A

BRAT diet

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3
Q

70 year old male with bph wants runny nose relief: what drug?

A

Nasal steroid

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4
Q

67 year old with glaucoma needs runny nose relief, which drug?

A

Nasal steroid

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5
Q

Breastfeeding mom needing runny nose relief:

A

Nasal steroid

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6
Q

What drug class should be avoided in BPH, lactation, and glaucoma?

A

Antihistamines

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7
Q

Echinacea indication:

A

Common cold

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8
Q

Patients on a PPI should take which calcium supplement?

A

Citracal

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9
Q

Co-Q-10 is used for

A

Heart disease

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10
Q

CoQ10 dose and frequency

A

100 mg 1 to 3 x daily

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11
Q

Vitamin d RDA ages 0-1

A

400 iu

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12
Q

Vitamin d RDA ages 1-70

A

600 iu

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13
Q

Vitamin d RDA ages 70+

A

800 iu

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14
Q

Vitamin d osteoporosis prevention dose

A

1000 iu

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15
Q

Name 3 stimulant laxatives

A

Castor oil, senna, and bisacodyl

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16
Q

Topical butenafine and terbinafine age limit

A

12 years old and up

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17
Q

Clotrimazole, undecylenic acid, and tolnaftate a topical age limit

A

2 years old and up

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18
Q

Black cohosh 4 indications (SATA)
PMS, dysmenorrhea, dyspareunia, menopause, and rheumatoid arthritis

A

PMS, dysmenorrhea, menopause, and rheumatoid arthritis

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19
Q

Evening primrose indications (SATA):
PMS, menopause, preeclampsia, neuropathy, and atopic dermatitis

A

All

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20
Q

Explain Sudafed interaction with BPH

A

Elevated NE and EPI leads to decreased ability to relax urinary tract sphincter leads to decreased urination

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21
Q

List 2 bulk forming stool agents

A

Methyl cellulose, polycarbophil, and psyllium

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22
Q

A mixture of thyme and ivy in solution has been shown to reduce severity of ____ in patients with _____

A

Cough, bronchitis

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23
Q

Astaxanthin otc use

A

Antioxidant

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24
Q

Lutein indication

A

Prevention of macular degeneration

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25
Q

Fenugreek indications:

A

Cholesterol, diabetes, and lactation stimulation

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26
Q

Antihistamine MOA for treating motion sickness

A

Suppress histamine signaling from vestibular apparatus to medullary vomiting center

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27
Q

Name 2 colonic hyperosmotics

A

Polyethylene glycol and glycerin

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28
Q

Orlistat MOA

A

Reduce fat absorption

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29
Q

Adapalene otc age limit

A

12 years

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30
Q

Use differin in pregnancy?

A

No

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31
Q

Vinegar effect in diabetes

A

Increases post meal insulin sensitivity

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32
Q

Calcium RDA in adults: women 51+ and men 70+

A

1000 mg
1200 mg

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33
Q

Elemental iron amounts:
Ferrous sulfate: ___%
Fumarate ____%
Gluconate ___%

A

20
33
12

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34
Q

Iron RDA males

A

8 mg

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35
Q

Iron RDA females:
Age 14-18:
19-50:
50+:
Pregnant:
Breastfeeding:

A

15 mg
18 mg
8 mg
27 mg
9 mg

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36
Q

Niacin MOA:
___ HDL
___ TG’s
___ LDL

A

Increases
Decreases, decreases

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37
Q

Niacin max daily dose

A

8 grams

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38
Q

Youngest age for Flonase use

A

2

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39
Q

Youngest age for famotidine and tums use

A

12

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40
Q

Youngest age for magnesium citrate use

A

6

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41
Q

Youngest age for guaifenesin use

A

4

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42
Q

Youngest age for loperamide use

A

6

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43
Q

Youngest age for dextromethorphan use

A

4

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44
Q

Youngest age for PPI use

A

18

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45
Q

Drug of choice for corneal edema treatment otc

A

Muro

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46
Q

Drug of choice for constipation in 2-5 year olds

A

Glycerin suppository

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47
Q

Drug of choice for constipation in 6+ year olds

A

Miralax

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48
Q

Saw palmetto indication

A

BPH

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49
Q

Daily dose of folate in pregnancy

A

400 mcg

50
Q

Daily dose of folate in deficiency

A

1 mg

51
Q

Should iron be take with food?

A

Better absorption without food. Take with vitamin c

52
Q

Metformin ____ oral B-12 absorption

A

Decreases

53
Q

How does cinnamon help in diabetes?

A

Decreases A1C by 0.8%

54
Q

Onset and duration of H2RA

A

1 and 4-10 hrs

55
Q

Onset and duration of PPI

A

2-3 and 12-24 hrs

56
Q

What can be used for a food overindulgence in a patient with CKD and a salicylate allergy?

A

Emetrol

57
Q

What is topical coal tar used for?

A

Dandruff

58
Q

What is topical selenium sulfide used for?

A

Dandruff

59
Q

What is pyrithione zinc used for topically?

A

Dandruff

60
Q

Moderate diarrhea is ___% BW loss

A

3-9

61
Q

Severe diarrhea is >___% BW loss

A

9

62
Q

List 3 patient types that should see doctor if they have diarrhea

A

Diabetes, severe CVD, <6 month old, renal disease, and pregnancy

63
Q

How much pedialyte to drink during moderate diarrhea: ___ liters over 3 hours and replace losses

A

2-4

64
Q

How long can pepto bismol or loperamide be used for diarrhea?

A

48 hours

65
Q

Iron supplement dose for breastfed infant daily: ___mg/kg

A

1

66
Q

Iron supplement dose in formula fed infant daily: ___mg/Liter of formula

A

12

67
Q

Iron supplement dose needed daily in pre term breastfed infant: ___mg/kg first 12 months

A

2

68
Q

Iron supplement dose daily in formula fed pre term infant: ___mg/liter of formula

A

14.6

69
Q

2 Saffron uses OTC:

A

Antioxidant, sedative, and expectorant

70
Q

2 selenium oral otc uses

A

Cancer prevention, heart disease, cognitive decline, thyroid disease

71
Q

What should pregnant ladies use for heartburn otc?

A

See Dr.

72
Q

Describe role each system plays in sending signals to the vomiting center of the medulla:
Chemoreceptor trigger zone:
Vestibular apparatus:
Cerebral cortex:
Viscera:

A

Responds to toxins
Motion and body position
Sight, smell, memory, anxiety
Gut distention

73
Q

Benadryl dosing for 2-6 year olds (fda label says not to use till 6)

A

6.25 mg every 4 hours

74
Q

1st line for Nausea/Vomiting in pregnancy?

A

Diclegis (doxylamine and pyridoxine)

75
Q

When to use pepto bismol in nausea in pregnancy

A

Never

76
Q

2 ginkgo indications

A

Dementia and interstitial cystitis (bladder pain)

77
Q

At what temp should a child see doctor?

A

101

78
Q

What temperature is an emergency for a child?

A

105

79
Q

Preferred nasal steroid in pregnancy:

A

Budesonide or beclomethasone

80
Q

Sudafed max daily dose
Adult:

A

240 mg

81
Q

Sudafed max daily dose age 6-12:

A

120 mg

82
Q

Sudafed max daily dose age 4-5:

A

60 mg

83
Q

Primary side effect of guaifenesin

A

Nausea

84
Q

Codeine boxed warning

A

Respiratory depression and death in children following tonsillectomy plus cyp2d6 ultra rapid metabolizers

85
Q

Benzonatate MOA

A

Topical anesthetic

86
Q

Dextromethorphan and codeine cough suppression MOA

A

Suppress medullary cough center

87
Q

Promethazine contraindicated in children under ___

A

2

88
Q

Codeine not recommended for use under age ___

A

18

89
Q

Tylenol children’s dosing: ___mg/kg per dose every ___ hrs

A

10-15 every 4-6 hours

90
Q

Ibuprofen max dosing in children: ___mg/kg every ___ hours

A

10 every 6

91
Q

Avoid benzonatate in age <

A

10

92
Q

Can breastfeeding women take Benadryl?

A

No

93
Q

Dextromethorphan max daily dose:
Adult:

A

120 mg

94
Q

Dextromethorphan max daily dose age 6-12

A

60 mg

95
Q

Dextromethorphan max daily dose age 4-6

A

30 mg

96
Q

Dextromethorphan main 2 side effects

A

Nausea and drowsiness

97
Q

Coricidin cold and flu ingredients:

A

Chlorpheniramine and tylenol

98
Q

Coricidin HBP chest ingredients

A

Guaifenesin and dextromethorphan

99
Q

Sambucol indication

A

Cold

100
Q

Sambucol efficacy according to Australia study:

A

Reduce cold symptoms from 6.8 days to 4.7 days

101
Q

Sambucol ingredient

A

Elderberry

102
Q

What emollient needs to be washed off at every diaper change because it causes clogged pores and increases infection risk?

A

Mineral oil

103
Q

When to use hydrocortisone 0.5% and / or clotrimazole creams for diaper rash: greater than ___ days with bad rash

A

2

104
Q

How often to apply zinc oxide when changing diapers?

A

Every change

105
Q

Why does boudreaux’s butt paste have to be washed off at every diaper change?

A

Mineral oil causes clogged pores and infection risk

106
Q

How long should parents try to treat diaper rash otc?

A

7 days

107
Q

Main 2 warnings if corn starch or talc powders are going to be used for diaper rash?

A

1) do not allow baby to inhale powders (breathing problems)
2) do not apply to broken skin due to infection risk or impaired wound healing

108
Q

Second line for otc diaper rash treatment

A

Calamine

109
Q

____ _____ is the most commonly used emollient for skin in diaper rash

A

Zinc oxide

110
Q

First non drug recommendation for diaper rash
Second:

A

Change diaper greater than or equal to 6 times per day
Use disposable diapers

111
Q

Name 2 OTC treatments for cancer med related rash

A

Topical steroids and antibiotics
Petrolatum jelly
Ammonium lactate
Dilute hydrogen peroxide soak (will bleach hair)

112
Q

2 options for radiation dermatitis

A

Warm water and mild soap
Eucerin
Sunscreen with high spf
Hydrocortisone 1%

113
Q

Topical Trolamine moa

A

Salicylate: anti inflammatory

114
Q

2 options for skin fissures otc treatment

A

Silver nitrate
Aluminum chloride solution
Zinc oxide
Bleach soak (1/4-1/2 cup per 40 gallon bath)

115
Q

Cancer treatment related skin color change treatment otc

A

Salicylic acid cream or wash

116
Q

Non med alopecia prevention in cancer related treatment

A

Cooling cap

117
Q

Treatment of non scarring alopecia in cancer treatment

A

Minoxidil

118
Q

Treatment of scarring alopecia in cancer treatment

A

Topical hydrocortisone 0.2% shampoo or clobetasol solution

119
Q

Melatonin doses by age: infant:
Older children:
Adolescents:

A

Infant: 1 mg
Older children: 2.5-3 mg
Adolescents: 5 mg

120
Q
A