OTC Final Questions With Complete Solutions
5-HTP Correct Answers precursor of serotonin,
used by people who want to self-medicate for
*insomnia, depression* and anxiety
- Might not be good to take if already on mood
meds (too much serotonin could be a problem)
--> *avoid potential serotonin syndrome*
--> Examples of what it should not be taken with:
SSRIs, SNRIs, MAOIs, Triptans, high dose
dextromethorphan, St John's wort, tryptophan,
SAMe
- Benefits from serotonin increases
- Dose dependent
A 17 year old walks into your pharmacy asking for
recommendations on how to help with their acne.
They shows you a few locations on the face of
whiteheads and blackheads. They are not on any
medications currently and has not used anything
for acne.
What would you recommend for this patient? With
a partner, roleplay counseling the pt on ALL your
recommendation(s) to help this patient with acne.
Correct Answers - counsel on non-pharm like diet,
hydration
- hypoallergenic/noncomedogenic cleanser
- 2.5% benzoyl gel (start low dose and see how it
goes)
,--> if they want the wash, start doing gentle non-
medicated wash and then incorporate the benzoyl
wash a couple times a weeks
- moisturizer with sunscreen at least SPF 30
because it might be drying and sensitivity to sun
- use white pillowcases/towels
- will take at least a week to see changes
- must be consistent
- no changes after 8-12 weeks, see PCP
A 38 year old woman presents to your pharmacy to
pick up her new prescription for Microgestin
1. Would you inquire about smoking?
2. If the patient was a smoker, how would you
proceed? Correct Answers - Community
pharmacies don't routinely document patient's
smoking status
- "on average, how often do you use tabacco
products"
A fair‐skinned person,who normally burns after 15
minutes of exposure to direct sunlight has applied
SPF 15 to their face.
• How long (in hours) can they stay in the sun
before burning? Correct Answers 3 hours and 45
min
(15*15/60) = 3.75 hrs
- but reapply after 2 hrs
,AB 1114 Correct Answers Requires pharmacist
services to be a benefit *under Medi-Cal*. Covered
services include
• Furnishing Travel Medications
• Furnishing Naloxone for opioid overdose
• Furnishing Self-administered hormonal
contraception
• Initiating and administering immunizations
• Providing tobacco cessation counseling and
furnishing nicotine replacement therapy
According to CA protocol, Pharmacists may select
and furnish any of the following Correct Answers
Nicotine gum, lozenge, patch, nasal spray or
inhaler
Accurate Labeling Correct Answers - all claims
and info must be truthful and not misleading
- three types of claims allowed:
1. Health claims
2. Structure/function claims
3. Nutrient content claims
Acne severity is defined by Correct Answers the
number and type of lesions
acne vulgaris Correct Answers • Common
inflammatory skin disease of the pilosebaceous
unit (located in the dermis, or middle layer of skin)
, • Results in lesions commonly found on face, neck,
chest, upper back, and shoulders
• 79%-95% of adolescents in Westernized societies
• Self-esteem and quality of life may be affected
• Direct and indirect costs related to acne are $3
billion annually
Adapalene Correct Answers - First full strength
retinoid to become available without a prescription
- Marketed as Differin Gel
OTC: 0.1%
Rx: 0.3%
- First-line topical drug for acne treatment
- Modulates epithelial cell differentiation (prevent
keratinocytes from taking over), keratinization, and
inflammation
- Apply a thin layer to affected, intact skin areas
once daily
- Increases susceptibility to sunburn
- Side effects: redness, scaling, itching, dryness,
burning (diminish after first month of therapy)
- Full therapeutic effect after 8-12 weeks of
treatment
- Consult primary care provider if symptoms
worsen or fail to improve after 3 months of proper
use
Allergic Contact Dermatitis (ACD) Correct Answers
Symptoms arise from an immune‐mediated
reaction
5-HTP Correct Answers precursor of serotonin,
used by people who want to self-medicate for
*insomnia, depression* and anxiety
- Might not be good to take if already on mood
meds (too much serotonin could be a problem)
--> *avoid potential serotonin syndrome*
--> Examples of what it should not be taken with:
SSRIs, SNRIs, MAOIs, Triptans, high dose
dextromethorphan, St John's wort, tryptophan,
SAMe
- Benefits from serotonin increases
- Dose dependent
A 17 year old walks into your pharmacy asking for
recommendations on how to help with their acne.
They shows you a few locations on the face of
whiteheads and blackheads. They are not on any
medications currently and has not used anything
for acne.
What would you recommend for this patient? With
a partner, roleplay counseling the pt on ALL your
recommendation(s) to help this patient with acne.
Correct Answers - counsel on non-pharm like diet,
hydration
- hypoallergenic/noncomedogenic cleanser
- 2.5% benzoyl gel (start low dose and see how it
goes)
,--> if they want the wash, start doing gentle non-
medicated wash and then incorporate the benzoyl
wash a couple times a weeks
- moisturizer with sunscreen at least SPF 30
because it might be drying and sensitivity to sun
- use white pillowcases/towels
- will take at least a week to see changes
- must be consistent
- no changes after 8-12 weeks, see PCP
A 38 year old woman presents to your pharmacy to
pick up her new prescription for Microgestin
1. Would you inquire about smoking?
2. If the patient was a smoker, how would you
proceed? Correct Answers - Community
pharmacies don't routinely document patient's
smoking status
- "on average, how often do you use tabacco
products"
A fair‐skinned person,who normally burns after 15
minutes of exposure to direct sunlight has applied
SPF 15 to their face.
• How long (in hours) can they stay in the sun
before burning? Correct Answers 3 hours and 45
min
(15*15/60) = 3.75 hrs
- but reapply after 2 hrs
,AB 1114 Correct Answers Requires pharmacist
services to be a benefit *under Medi-Cal*. Covered
services include
• Furnishing Travel Medications
• Furnishing Naloxone for opioid overdose
• Furnishing Self-administered hormonal
contraception
• Initiating and administering immunizations
• Providing tobacco cessation counseling and
furnishing nicotine replacement therapy
According to CA protocol, Pharmacists may select
and furnish any of the following Correct Answers
Nicotine gum, lozenge, patch, nasal spray or
inhaler
Accurate Labeling Correct Answers - all claims
and info must be truthful and not misleading
- three types of claims allowed:
1. Health claims
2. Structure/function claims
3. Nutrient content claims
Acne severity is defined by Correct Answers the
number and type of lesions
acne vulgaris Correct Answers • Common
inflammatory skin disease of the pilosebaceous
unit (located in the dermis, or middle layer of skin)
, • Results in lesions commonly found on face, neck,
chest, upper back, and shoulders
• 79%-95% of adolescents in Westernized societies
• Self-esteem and quality of life may be affected
• Direct and indirect costs related to acne are $3
billion annually
Adapalene Correct Answers - First full strength
retinoid to become available without a prescription
- Marketed as Differin Gel
OTC: 0.1%
Rx: 0.3%
- First-line topical drug for acne treatment
- Modulates epithelial cell differentiation (prevent
keratinocytes from taking over), keratinization, and
inflammation
- Apply a thin layer to affected, intact skin areas
once daily
- Increases susceptibility to sunburn
- Side effects: redness, scaling, itching, dryness,
burning (diminish after first month of therapy)
- Full therapeutic effect after 8-12 weeks of
treatment
- Consult primary care provider if symptoms
worsen or fail to improve after 3 months of proper
use
Allergic Contact Dermatitis (ACD) Correct Answers
Symptoms arise from an immune‐mediated
reaction
