EXTRA CREDIT (optional) Think about all the lecture topics for this exam:   Cold  Cough  Wound care  Pain/inflammation/fever  Insomnia/drowsiness/fatigue   What is ONE SPECIFIC THING/CONCEPT you learned (from any one of the lecture topics) that MOST SURPRISED you? (Note: only the first item typed will be considered, so only type 1 thing) 

An adult in their 20s asks you (their pharmacist) what they could use for their annoying runny nose that started last evening.  Several of their co-workers all have “colds” right now.  You ask the SCHOLAR-MAC questions and learn:  S—runny nose and sore throat  C—blowing their nose every 5 to 10 minutes  (“it’s like a faucet that won’t stop”) & secretions are colorless and thin; sore throat “minor” pain (2 on a pain scale of 0 to 10) H—hasn’t tried anything yet for the nose; can’t remember if used anything in the past for this but probably never treated before  O—yesterday at suppertime  L—both nostrils   A—none  R– none   M—escitalopram 10 mg each morning (for depression & anxiety), multivitamin daily  A—amoxicillin (rash)  C—depression, anxiety, eczema (in winter when the air is dry)    Which of the following would be the MOST appropriate recommendation for this person’s rhinorrhea? 

Topical counterirritants can be effective nonprescription medications to help with pain.  Which of the following regarding topical counterirritants is TRUE? 

A 32-year-old self-identified woman is pregnant and experienced an acute musculoskeletal injury while running yesterday.  She has been applying ice and elevating her leg. She reports numbness in her foot after the injury.   She comes into the pharmacy today asking about using OTC therapies to manage her pain.  Here are some characteristics about this person:  Pain score:  8 out of 10  Associated features:  occasional nausea and dizziness after injury, no fever  No deformities or abnormalities apparent with the injury  What is the MOST APPROPRIATE recommendation for this woman? 

An 8-year-old child has a mild upper respiratory infection that started yesterday.  Today they have a fever (oral temperature 100.2 F (37.9 C)), and their mom brings them to the pharmacy asking for help about the treatment of the fever.  The child is otherwise healthy. What would you recommend for treatment of the child’s fever?   

An adult with a lesion on their upper lip asks you for an OTC recommendation.  You ask this person, “What have you tried so far & how has it worked?”  Which letter of SCHOLAR-MAC would be associated with this question? 

A 34-year-old self-identified female has new onset sleepiness related to short sleep budget.  She has had some work deadlines that required her staying awake until 2:00 AM, and results in only 4-5 hours of sleep per night.  She needs to stay alert at work and has been dozing off in meetings.  It is an important time at work, and she would like to be at her best.  She asks you for recommendations about using something to help her stay more awake at work over the next few days until her work deadlines have passed.  She has no medical conditions, does not drink coffee or any other drinks with caffeine, and does not take any medications. Which of the following would be APPROPRIATE to recommend to this woman?   

Which of the following statements regarding NSAIDS and adverse events is TRUE?

Swell factor is the amount loose soil volume reduces when compacted. 

In regard to derivative musical works, what is replay?