OTC Exam 3 Questions With Complete Solutions
A 22 year-old male patient presents to the
pharmacy for a weight loss screening. He has
shellfish allergies, smokes (1 PPD), and is
physically active 5 days per week at construction
job. Vital signs and laboratory values include:
weight 308 lbs.; height, 62 inch; waist
circumference 44 ; triglycerides 200 mg/dL; HDL 41
mg/dL; Blood Pressure 124/80; Blood Glucose 85
mg/dL. What is this patients EXCLUSION to self-
care?
A. BMI
B. Blood Pressure
C. Blood Glucose
D. Smoking Correct Answers A
A 27 year old male states he loves to eat Mexican
food, but this often results in undesirable odorous
gaseous formation and expulsion. Upon
questioning, you discover that he has no difficulty
when he drinks milk or eats cheese, however
symptoms improve when he avoids beans. A
product containing which of the following would be
most appropriate to help prevent this gas
formation?
A. Lactase enzyme
B. Docusate sodium
C. Alpha-galactosidase enzyme
D. Simethicone Correct Answers C
,A 30 y/o 62kg woman comes to the pharmacy
counter asking for an antidiarrheal agent. She has
had 4 loose, watery stools over the last 24h after
getting back from her honeymoon cruise. She
states she does not have a fever, but is incredibly
thirsty and fatigued. She has no drug allergies.
Assume no other contraindications for treatment.
What would you recommend?
A. She is more than 10% dehydrated, refer to MD
B. Oral Replacement Therapy (ORT) 6200ml over
3-4h, then 620ml for each loose stool thereafter.
C. Recommend she take Lactobacillus acidophilus
D. Oral replacement therapy at 2-4L over 4h and
then replace ongoing losses after each loose stool
thereafter Correct Answers D
A 30y/o pregnant patient asks for your advice on a
product to treat her hemorrhoids. She complains of
pain, burning, and itching. She has no
contraindications for treatment. Which of the
following would you advise her to use?
A. Pramoxine 1% cream
B. Butcher's broom
C. Resorcinal
D. Glycerin suppositories Correct Answers
A 32 year-old female patient presents to the
pharmacy for a weight loss screening. She has no
known allergies, does not smoke, and is physically
, inactive. Vital signs and laboratory values include:
weight: 164 lbs.; height, 54; waist circumference
36 ; triglycerides 121 mg/dL; HDL 51 mg/dL; Blood
Pressure 120/76; Blood Glucose 101 mg/dL. In
addition to lifestyle modification counseling, what
is the MOST appropriate recommendation for this
patient?
A. Alli (orlistat) 60 mg capsule prior to each meal
containing fat
B. Xenical (orlistat) 120 mg capsule prior to each
meal containing fat
C. Dietary Supplements equivalent to ephedrine
once daily
D. Pharmacologic therapy is not indicated in this
patient Correct Answers A
A 40 year old male approaches you at the
pharmacy and asks you to recommend
something for his hemorrhoids. He reports
symptoms of ano-rectal discomfort, itching, and
swelling for a few days. He had the same
symptoms over a year ago for which he used
Hydrocortisone 1% cream. This relieved the
itching, but none of the other symptoms. He has no
significant medical history and is not taking any
medications. Which of the following would be the
most appropriate recommendation?
A. Benzocaine (Americaine®)
B. Refer him to his medical provider for further
evaluation
A 22 year-old male patient presents to the
pharmacy for a weight loss screening. He has
shellfish allergies, smokes (1 PPD), and is
physically active 5 days per week at construction
job. Vital signs and laboratory values include:
weight 308 lbs.; height, 62 inch; waist
circumference 44 ; triglycerides 200 mg/dL; HDL 41
mg/dL; Blood Pressure 124/80; Blood Glucose 85
mg/dL. What is this patients EXCLUSION to self-
care?
A. BMI
B. Blood Pressure
C. Blood Glucose
D. Smoking Correct Answers A
A 27 year old male states he loves to eat Mexican
food, but this often results in undesirable odorous
gaseous formation and expulsion. Upon
questioning, you discover that he has no difficulty
when he drinks milk or eats cheese, however
symptoms improve when he avoids beans. A
product containing which of the following would be
most appropriate to help prevent this gas
formation?
A. Lactase enzyme
B. Docusate sodium
C. Alpha-galactosidase enzyme
D. Simethicone Correct Answers C
,A 30 y/o 62kg woman comes to the pharmacy
counter asking for an antidiarrheal agent. She has
had 4 loose, watery stools over the last 24h after
getting back from her honeymoon cruise. She
states she does not have a fever, but is incredibly
thirsty and fatigued. She has no drug allergies.
Assume no other contraindications for treatment.
What would you recommend?
A. She is more than 10% dehydrated, refer to MD
B. Oral Replacement Therapy (ORT) 6200ml over
3-4h, then 620ml for each loose stool thereafter.
C. Recommend she take Lactobacillus acidophilus
D. Oral replacement therapy at 2-4L over 4h and
then replace ongoing losses after each loose stool
thereafter Correct Answers D
A 30y/o pregnant patient asks for your advice on a
product to treat her hemorrhoids. She complains of
pain, burning, and itching. She has no
contraindications for treatment. Which of the
following would you advise her to use?
A. Pramoxine 1% cream
B. Butcher's broom
C. Resorcinal
D. Glycerin suppositories Correct Answers
A 32 year-old female patient presents to the
pharmacy for a weight loss screening. She has no
known allergies, does not smoke, and is physically
, inactive. Vital signs and laboratory values include:
weight: 164 lbs.; height, 54; waist circumference
36 ; triglycerides 121 mg/dL; HDL 51 mg/dL; Blood
Pressure 120/76; Blood Glucose 101 mg/dL. In
addition to lifestyle modification counseling, what
is the MOST appropriate recommendation for this
patient?
A. Alli (orlistat) 60 mg capsule prior to each meal
containing fat
B. Xenical (orlistat) 120 mg capsule prior to each
meal containing fat
C. Dietary Supplements equivalent to ephedrine
once daily
D. Pharmacologic therapy is not indicated in this
patient Correct Answers A
A 40 year old male approaches you at the
pharmacy and asks you to recommend
something for his hemorrhoids. He reports
symptoms of ano-rectal discomfort, itching, and
swelling for a few days. He had the same
symptoms over a year ago for which he used
Hydrocortisone 1% cream. This relieved the
itching, but none of the other symptoms. He has no
significant medical history and is not taking any
medications. Which of the following would be the
most appropriate recommendation?
A. Benzocaine (Americaine®)
B. Refer him to his medical provider for further
evaluation
