A patient presents you with three individual prescriptions for Methylphenidate. The first states that it should not be filled until thirty days from today's date, the second states that it should not
be filled until sixty days from today's date, and the third has no such instruction.
In an event like this, what should you do?
Refuse to fill the prescription and explain that presenting multiple prescription blanks for
the same drug could result in criminal charges.
Fill the prescription without date restrictions immediately and contact the prescriber
regarding the remainder.
If your state allows the issuance of multiple prescriptions, you may dispense all three
thirty-day supplies at once.
Confer with your Pharmacist to understand if your state allows the issuance of multiple
prescriptions, you may dispense the prescription without date restrictions, and fill the
remainder on the appropriate dates.

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?

What are the benefits and challenges if you use in-house resources to manage accreditation versus obtaining an external consultant with specialization in health care accreditation?

Which of the following must be done to the lsovue to avoid a misdiagnosis of gallstones during a cholangiogram? a. do not inject the lsovue until the gallbladder is removed. b. mix 10 cc of saline with 20 cc of isovue. c. ensure that there are no air bubbles in the syringe before injection. d. keep the isovue chilled.