Frances T. is a 39-year-old female who has recently moved to your town. She has selected you as her new primary care provider, and she is here for her annual exam. She is on monophasic estrogen/progestin OCP for contraception, which she has used without problems for 10 years; she would like the prescription renewed. She tells you that she tried a diaphragm once but didn’t like it because it was a difficult and “messy” to use; does not want to use other barrier methods for similar reasons. She was divorced 1 year ago, and has had 4 different sexual partners since then. She rarely uses condoms. She was put on Augmentin 3 days ago, by a physician at the local urgent care center, for an infected laceration on her hand.  PMH: Appendectomy at age 4 yr. No other major medical/surgical problems. Family Hx: Paternal GF — COPD & lung Ca; Paternal GM — arthritis & stroke; Maternal GM — goiter; Father — COPD; Mother — hypothyroid; 2 maternal aunts — hypothyroid; negative for heart disease, reproductive or breast Ca. Social: Smokes 1 1/2 packs of cigarettes per day for past 15 years; has tried to quit two different times without success.  Current Medications: Lo/Ovral  — one qd  Augmentin — 500 mg tid (7 days of medication left)  VS: BP 120/72; P80; Temp 97.8 F; Wt. 135 lb; Ht. 5′ 5″ Physical Exam: Unremarkable except laceration on left hand which is healing with small area of redness but no swelling, purulent drainage or increased warmth. Pap smear and STD testing were performed. Are there any drug-related problems in this case? Please mark all that apply to this case.

A client recently diagnosed with ADHD presents to your clinic with documentation regarding the recent diagnosis. You recommend to start on a medication that the FDA approved for use in treatment of ADHD and that is not a controlled substance. Which medication do you prescribe?

Absolute contraindication to estrogen therapy include:  

Which of the following are the most appropriate, evidence-based, topical medications to recommend for the treatment of osteoarthritis? (Select all that apply).

Li is a 6-month-old infant with severe atopic dermatitis.  Symptoms started with small patches on the elbows and knees about 3 weeks ago and continue to spread to about 25% of her body. You determine she would benefit from topical corticosteroid therapy. The instructions/education you provide Li’s guardians regarding safe use of topical corticosteroids in children include:  

B.H. is a 39 yo male who presents via a virtual visit today with concerns for a rash. After you evaluate the rash, you conclude it is likely contact dermatitis s/p exposure to poison ivy. The rash is on the ventral aspects of the lower forearms bilaterally, covering about 50% of the arms and new spots erupting on the face and has been present for 5-7 days and continues to spread. You would consider use of oral corticosteroids in treatment of contact dermatitis when:

B.R. returns to clinic several months for follow-up on his diabetes. (His epigastric symptoms have resolved with your previous therapy.) His home blood glucoses the past 3 months have been running 200 – 250. He states he has been taking his metformin and had not missed any doses. Also states that his diet has not changed. He walks for exercise for 20 – 30 minutes 3 – 4 times per week. Continues on the same routine medications.  VS: BP 124/78; P 70; Wt. 164 lb; Ht. 5’10” Physical exam: Normal except for decreased sensation – both feet. Labs today: Chem profile – Electrolytes within normal limits; Serum Cr – 1 mg/dl; BUN — 10 mg/dl; glucose of 220 (random); HbgA1c – 9.4   13. What best describes his drug problem today? 

When treating patients using the “Step-Down” approach the patient with GERD is started on ____ first.

You prescribe an elemental iron supplement orally for your patient with iron deficiency anemia. When providing education about elemental iron you instruct the patient that all of the following inhibit absorption of oral iron except:     

Elderly patients who are on levothyroxine for thyroid replacement should be monitored for: