Question

74. Jordan asks for a reminder about common side effects of antihistamines and you explain that adverse reactions to antihistamines are: a. Drowsiness, dryness of mouth, dizziness, epigastric distress b. Diarrhea, constipation, hypotension c. Anorexia, nausea, and vomiting d. All of the above 75. Olivia calls because she is having pain while urinating, increased urinary frequency, and has some lower pelvic pain. She denies any new recent sexual contacts but does report a significant history of recurring urinary tract infections. You look in her medical record and confirm this. She is wondering if she can get a refill of her antibiotic that worked last time and you examine her medication list and see the following. Which is a commonly prescribed antibiotic for urinary tract infections? a. Aldactone (spironolactone) b. Bactrim SD (trimethoprim and sulfamethoxazole) c. Provera (medroxyprogesterone acetate) d. Denavir (penciclovir) 76. Olivia's doctor approves the refill and you send it to the pharmacy. Her doctor prescribes Bactrim DS 800mg/160mg tablets. Sig: 1 tab po q12hr x5d. How many tablets do you need to call into the pharmacy for them to dispense? a. 5 tablets b. 10 tablets c. 15 tablets d. 20 tablets 15 77. Olivia states that she has an extremely important work meeting that she is presenting today to obtain a new client for her company. She recalls in the past she has taken something over the counter that helps to reduce pain in the urethra. You say it was likely: a. Tofranil (imipramine) b. Rimso-50 (dimethyl sulfoxide) c. Oxytrol (oxybutynin) d. AZO Standard (phenazopyridine) 78. Forrest calls because he was recently working in his garden and he came in contact with poison ivy. He has some over-the-counter medication which is helpful, but he is wondering about a steroid taper. You check in with his doctor who prescribes the following steroid taper: o Rx: Medrol (methylprednisolone) 4mg tablets o Sig: o Day 1: 8 mg PO before breakfast, 4 mg after lunch and after dinner, and 8 mg at bedtime Day 2: 4 mg PO before breakfast, after lunch, and after dinner and 8 mg at bedtime o Day 3: 4 mg PO before breakfast, after lunch, after dinner, and at bedtime o Day 4: 4 mg PO before breakfast, after lunch, and at bedtime o Day 5: 4 mg PO before breakfast and at bedtime o Day 6: 4 mg PO before breakfast What is the dispense amount that you will need to call into the pharmacy?. 79. Forrest asks for a reminder about some of the side effects of methylprednisolone other than nausea, vomiting, and a headache. You say: b. a. 80. Forrest has one last question. His daughter has recently prescribed an MAO inhibitor medication for the treatment of depression. When providing instructions on how to take this medication, you remind the patient to have his daughter: a. Avoid chocolate and cheese b. Take frequent naps c. Take the medication with milk d. Avoid walking without assistance Ronns Ouestions (1 point each):

Answer 1

74. Answer- D ( all the above)

75. Answer-B Explanation ( Bactrim (sulfamethoxazole and trimethoprim) DS is a combination of two antibiotics used to treat urinary tract infections,)

76. Answer- B Explanation- ( in 24 hours 2 tablets, duration is for 5 days  2 x 5= 10 tablets)

77. Answer- B Explanation-  ( Rimso-50 is used to treat pain and swelling caused by bladder or urinary conditions including cystitis (bladder inflammation or irritation).

78. 21 tablets of 4 mg each Explanation - ( 6 tablets on day one, 5 tablets on day two, 4 tablets on day three , 3 tablets on day four, 2 tablets on day five, 1 tablet on day 6)

79. a- changes in your menstrual cycle, b- mild muscle pain or weakness, c- fluid retention (swelling in your hands or ankles)

80. Answer- A

Explanation-

Protein-rich foods contain higher amounts of tyramine. There are a few foods and beverages that are high in tyramine that you should avoid while taking an MAOI,5  including:

Milk Products: Aged and mature cheeses and other dairy products like sour cream and yogurt are on the list of foods to avoid. You can have cottage cheese, processed cheese like American, cream cheese, ricotta, and part-skim mozzarella.