OTC Tests

Question 1

Temperature Range of Rectal
Normal
Fever
Notes

Answer 1

97.9-100.4
>100.4
Closest to core temperature

Question 2

Temperature Range of Oral

Answer 2

95.9-99.5
>99.5
Wait 20-30 min after eating
May be difficult for children

Question 3

Temperature Range in Axillary
Normal
Fever
Notes

Answer 3

Under Arm pit
94.5-99.3
>99.3
Less reliable, but easy

Question 4

Temperature Tympanic
Normal
Fever
Notes

Answer 4

In the ear
96.3-100
>100
Infared Tech makes it fast, but can be innaccurate

Question 5

Temperature Temporal
Normal
Fever
Notes

Answer 5

Forehead
97.9-100.1
>100.1
Infared Technology convenient and fast

Question 6

When to treat a fever?

2

Answer 6

Fevers are generally short term and may be beneficial

Treat if patient is uncomfortable

Question 7

When should someone be reffered with a fever

3

Answer 7

High temperature
Signs of infection
Children who are sleepy, rash, spots, and dehydration

Question 8

non-pharmalogic fever treatments

3

Answer 8

Adequate fluid intake
Remove blankets, excess clothing
Caution with sponge baths, alcohol sponging, ice baths

Question 9

Pharmacologic fever treatment

Answer 9

APAP
NSAIDS
ASA

Question 10

Pregnancy Detection Tests
What it is actually testing
What patient should know about results
Complexity
Intereferences
If positive?
If negative?

Answer 10

-Human Chorionic Growth Hormone
-False positive can occur if miscarriage
-False Negative can occur if too soon (fertilization required)
Often takes 1-2 weeks
-There are one and two step tests
-If positive go see healthcare provider
-Check again in a week

Question 11

Female Fertility: Basal Thermometer
What it is actually testing
What patient should know about results
Complexity
Intereferences

Answer 11

Body temperature can be used to predict ovulation
Can be difficult to track
Do at same time every morning
Resting body temp is 96-97.5
Ovulation begins in 24-48 hours after 98.6
Anything that cause body temp

Question 12

Urinary Hormone Tests
What it is actually testing
What patient should know about results
Complexity
Intereferences

Answer 12

Testing for Luteinizing Hormone
urine applied to strip, smiley face will appear when good to go
Testing should be done 2-4 days in morning before ovulation
Medications for fertily
menopause and polysystic ovarian syndrome
Oral contraceptives

Question 13

UTI
What it is actually testing
What patient should know about results
Complexity
Intereferences
If positive?
If negative?

Answer 13

• Nitrites in urine
• leukocyte esterase
• A vegan diet might i cause lack of nitrites
• Either way should go see doctor if UTI persists with negative def should

Question 14

Vaginal pH test
What it is actually testing
What patient should know about results
Complexity
Intereferences

Answer 14

-Testing ph

Above 4.5 Bacterial vaginosis, trichomoniasis, and atrophic vaginitis could be present

Question 15

HIV test
What it is actually testing
What patient should know about results
Complexity
Intereferences
If positive?
If negative?

Answer 15

Testing HIV antibodies
3 weeks to 6 months to see if present
provide adequate blood
Do not delay mailing
Go to PCP regardless

Question 16

Cholesterol
What it is actually testing
What patient should know about results
Complexity
Intereferences
If positive?
If negative?

Answer 16

Testing total cholesterol level
Need a good blood sample
Vitamin C can interfere

GO see PCP

Question 17

Blood Pressure
What it is actually testing
What patient should know about results
Complexity
Intereferences
If positive?
If negative?

Answer 17

Systolic/Diastolic
Need two checks to confirm high
caffeine, exercise, tobacco
Different tests work better

Go See PCP

Question 18

Pulse Oximeter
What is actually testing
What patient should know about results
Complexity
Intereferences
If positive?
If negative?

Answer 18

Measure Oxygen saturation in blood
If not around 95% should worry
Fingernails or dirt can interefere.