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PHRX 410 Self-Care Exam 1 Part 2

Terms in this set (61)

Which of the following is NOT a risk factor for allergic rhinitis?
Family history of atopy
Filaggrin gene mutation
Elevated serum IgE greater than 100IU/L before 6
Lower socioeconomic level
Higher socioeconomic level
Eczema
Asthma
Positive reaction to an allergy skin test
Lower socioeconomic level
Asthma
Intermittent allergic rhinitis is classified as:
Symptoms >4 days/week AND >4 weeks
Symptoms 4 days a week or less OR 4 weeks or less
Symptoms >4 days/week OR >weeks
Symptoms 4 days a week or less OR 4 weeks or less
Persistent allergic rhinitis is classified as:
Symptoms <4 days/week OR <4 weeks
Symptoms <4 days/week AND <4 weeks
Symptoms >4 days/week OR >4 weeks
Symptoms >4 days/week AND >4 weeks
Symptoms >4 days/week AND >4weeks
When symptoms occur only when contact with a trigger happen, this allergic rhinitis can be classified as...
Intermittent
Persistent
Episodic
Episodic
Which of the following are symptoms of allergic rhinitis?
Watery eyes
Sneezing
Congestion
Rhinorrhea
Red eyes
Cough
Dyspnea
Wheezing
Sore throat
Fever
Headache
Malaise
Myalgia
Fatigue
Symptoms >7 days
Watery eyes
Sneezing
Congestion
Rhinorrhea
Red eyes
Wheezing
Sore throat
Headache
Fatigue
Symptoms >7 days
Which of the following complications are associated with ACUTE allergic rhinitis?
Sinusitis
Nasal polyps
Depression
Anxiety
Sleep apnea
Otitis media
Hyposmia
Delayed speech development
Facial/dental abnormalities
Sinusitis
Otitis media
Which of the following complications are associated with CHRONIC allergic rhinitis?
Sinusitis
Nasal polyps
Depression
Anxiety
Sleep apnea
Otitis media
Hyposmia
Delayed speech development
Facial/dental abnormalities
Nasal polyps
Sleep apnea
Sinusitis
Hyposmia
Which of the following complications are LINKED to allergic rhinitis?
Sinusitis
Nasal polyps
Depression
Anxiety
Sleep apnea
Otitis media
Hyposmia
Delayed speech development
Facial/dental abnormalities
Depression
Anxiety
Delayed speech development
Facial/dental abnormalities
Which of the following is NOT a non-pharmacologic treatment for allergic rhinitis?
Lower household humidity to < 60%
Dust reduction
Wash bedding in cold water
Avoid disturbing outdoor allergens
Clean to reduce cockroaches
Nasal wetting agents
Lower household humidity to < 60%; should be <40%
Wash bedding in cold water; should be hot water
Which of the following is NOT a pharmacologic treatment for allergic rhinitis?
Intranasal corticosteroids
Antihistamines
Antitussives
Decongestants
Cromolyn sodium
CAM
Antitussives
Which of the following pharmacologic treatments is considered first-line for allergic rhinitis?
Glucocorticoids
Antihistamines
Decongestants
Cromolyn sodium
Glucocorticoids
Which of the following pharmacologic treatments is considered first choice for EPISODIC allergic rhinitis?
Glucocorticoids
Antihistamines
Decongestants
Cromolyn sodium
Antihistamines
Which of the following are exclusion criteria for self-treatment of allergic rhinitis?
Children < 12 YO
Conjunctivitis
Pregnant/lactating
Non-allergic rhinitis
Rhinorrhea
Symptoms of otitis media, sinusitis, bronchitis, or other infection
Symptoms of uncontrolled asthma/COPD
Children < 12 YO
Pregnant/lactating
Non-allergic rhinitis
Symptoms of otitis media, sinusitis, bronchitis, or other infection
Symptoms of uncontrolled asthma/COPD
T/F. The best choice of medicine for geriatrics is sedating antihistamines such as Benadryl.
False, these should be avoided in geriatrics
Which of the following pharmacologic treatments is considered first-line treatment for pregnant patients with allergic rhinitis?
Glucocorticoid
Antihistamine
Decongestants
Cromolyn sodium
Cromolyn Sodium
Which of the following is a chronic glycemic measure?
BG
Blood ketones
A1C
Urine ketones
A1C
Which of the following is the normal range for pre-prandial capillary plasma glucose (fasting)?
50-130 mg/dL
80-130 mg/dL
80-150 mg/dL
130-160 mg/dL
80-130 mg/dL
Patients with T1DM and/or pregnant should check blood glucose how often daily?
2-4 times/day
4-8 times/day
6-10 times/day
8-12 times/day
6-10 times/day
T/F. Test strips should be stored in a cool spot, preferably in the refrigerator.
False, always at room temp.
T/F. Lancets for BG testing should never be re-used.
False, they can be re-used 6-10 times before they dull.
T/F. Glucometers and continuous glucose monitors (CGM) measure blood glucose.
False, CGMs measure interstitial fluid.
T/F. A patient with T1DM is an ideal candidate for using a CGM.
True
Which of the following is a 14-day sensor approved in ages 4YO and up?
Freestyle Libre CGM
Dexcom CGM
Medtronic Guardian CGM
Freestyle Libre CGM
Which of the following is a 10-day sensor approved in ages 2YO and up?
Freestyle Libre CGM
Dexcom CGM
Medtronic Guardian CGM
Dexcom CGM
Which of the following is a 6-day sensor that has to be calibrated every 12 hours?
Freestyle Libre CGM
Dexcom CGM
Medtronic Guardian CGM
Medtronic Guardian CGM
T/F. CGM eliminate the need for traditional blood glucose monitors.
False
Which of the following is NOT a common site for alternate site testing for glucometers?
Palm
Forearm
Upper arm
Thigh
Calf
Foot
Foot
T/F. Alternate site testing is reliable in a fasting state, two hours after exercise, or two hours after meals.
True
Level 1 hypoglycemia is considered...
<70 mg/dL
<60 mg/dL
<54 mg/dL
No specific threshold
<70 mg/dL
Level 2 hypoglycemia is considered...
<70 mg/dL
<60 mg/dL
<54 mg/dL
No specific threshold
<54 mg/dL
Level 3 hypoglycemia is considered...
<70 mg/dL
<60 mg/dL
<54 mg/dL
No specific threshold
No specific threshold
If you use insulin, under Medicare Part B, up to ___ test strips and ___ lancets are covered every 3 months.
200;200
200;300
300;300
300;400
300;300
If you don't use insulin, under Medicare Part B, up to ___ test strips and ___ lancets are covered every 3 months.
100;100
200;200
100;200
200;300
100;100
Which blood pressure monitors measures by sound?
Mercury column
Aneroid
Digital
Mercury column
Aneroid
Which blood pressure monitor measures by vibration?
Mercury column
Aneroid
Digital
Digital
What is considered "low" for pulse oximetry readings?
<98%
<95%
<92%
<90%
<90%
Which of the following may result in inaccurate readings while using pulse oximetry?
Using hand lotion the day of
Fingernail polish
Acrylic nails
Keeping hands still while using
Fingernail polish
Acrylic nails
T/F. Male patients without fingers can instead use pulse oximetry on the tip of their pecker for an accurate reading of their blood oxygen.
Probably false but has it been tested?
Regarding cholesterol testing, which of the following is the cheapest?
Strip only
Meter test
Lab test
Strip only
Regarding cholesterol testing, which of the following is the most expensive?
Strip only
Meter test
Lab test
Meter test
Regarding cholesterol testing, which of the following is the most accurate?
Strip only
Meter test
Lab test
Lab test
Regarding cholesterol testing, which of the following is the most inaccurate?
Strip only
Meter test
Lab test
Strip only
Which of the following can result in an artificially low result on strip tests for cholesterol?
Vitamin B
Vitamin C
Vitamin D
Zinc
Vitamin C, within 4 hours of the test
A urine drug test is best used for which of the following?
Low-level casual drug use
Longer-term use
Low-level casual drug use
A hair drug test is best used for which of the following?
Low-level casual drug use
Longer-term use
Longer-term use
T/F. One benefit to urine drug testing, is that it is less susceptible to tampering.
False, it is more susceptible to tampering.
A mom comes into your pharmacy requesting a recommendation for a drug test. She is very upset at her daughter, who went to a musical festival last week (now 10 days ago) and she is convinced that her daughter "did some drugs" while there and also slept with many African American men as well as a few Latino men and maybe like one Indian guy. The mother thinks her daughter used marijuana, ecstasy, and oxycodone. Which of the following drug tests is MOST appropriate to recommend?
At Home Drug Test (urine)
Identa Touch and Know (substance)
Hair Confirm (hair test)
Hair Confirm (hair test)
Which of the following drug classes often leads to false negatives with drug tests?
Opioids
Benzodiazepines
Amphetamines
Barbiturates
Benzodiazepines
Which of the following drug classes often leads to false positives with drug tests?
Opioids
Benzodiazepines
Amphetamines
Barbiturates
Amphetamines
What substance could ciprofloxacin and dextromethorphan give a false positive for?
Opioids
Benzodiazepines
Amphetamines
Barbiturates
PCP
Opioids
PCP
What substances could antidepressants like bupropion and sertraline give a false positive for?
Amphetamine
Benzodiazepines
Opioids
Barbiturates
Marijuana
PCP
Amphetamines
Benzodiazepines
What substance could ibuprofen give a false positive for?
Amphetamines
Marijuana
PCP
Opioids
Barbiturates
Marijuana
PCP
T/F. Home pregnancy tests are designed to detect hCG in the urine.
True
Which of the following is likely to cause a false positive with a pregnancy test?
Miscarriage within previous 8 weeks
Childbirth within previous 8 weeks
Test performed 5 days before a missed cycle
Use of fertility medications
Refrigerated urine
Wax cups used to hold urine for test
Miscarriage within previous 8 weeks
Childbirth within previous 8 weeks
Use of fertility medications
Which of the following is likely to cause a false negative with a pregnancy test?
Miscarriage within previous 8 weeks
Childbirth within previous 8 weeks
Test performed 5 days before a missed cycle
Use of fertility medications
Refrigerated urine
Wax cups used to hold urine for test
Test performed 5 days before a missed cycle
Refrigerated urine
Wax cups used to hold urine for test
Which of the is NOT an available product to test time of ovulation?
Ovulation horoscope
Ovulation detection device
Basal thermometer
Urine tests
Ovulation horoscope
T/F. A rise in basal body temperature from 97.5 F to 98.6 F means ovulation has occurred, so women wanting to become pregnant should have intercourse as soon as possible.
True
A urine fertility test works by detecting a surge in which of the following hormones?
Estrogen
Progesterone
Luteinizing hormone
Testosterone
Luteinizing hormone (LH)
Which of the following is a symptom of a UTI?
Painful urination
Sensation of an urgent need to urinate
Excess gas and/or bloating
Frequent urination
Blood in urine
High blood pressure
Lower abdominal pain
Painful urination
Sensation of an urgent need to urinate
Frequent urination
Blood in urine
Lower abdominal pain
What are the two types of tests available for UTIs?
UTI bladder infection test
AZO strips
Which of the following UTI tests detects both nitrates AND leukocyte esterase?
UTI bladder infection test
AZO strips
AZO strips
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