Ippe Question Paper

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Fairleigh Dickinson University
School of Pharmacy
Assignment #1: Prescription Label Assessment
Student:
Site:

___________________________ ______________________
Date:
__________________________

Preceptor Signature: ______________ Print Name: ___________________________
1. Items on the prescription label that are required by New Jersey State Law:

2. Items on the prescription label that are not required by New Jersey State Law:

3. Overall opinion as to the overall appearance and acceptability of the label in your pharmacy:

4. Reference(s) used for this assignment:

.

PRECEPTOR COMMENTS (OPTIONAL):

Fairleigh Dickinson University
School of Pharmacy
Assignment #2: Over-the-Counter Medication Assignment

Student: ______________________
Site: _________________________

Date: _____________________
Print Name: ________________

Preceptor Signature ___________________
Please use the respective forms on the following pages to complete this assignment:
1. Category 1: Cough/Cold and Allergies (REQUIRED)
Reference(s) used for this assignment:

2. Category 2: Women’s Health (REQUIRED)
Reference(s) used for this assignment:

3. Category 3: Please indicate the category you chose for this assignment.(Select ONE of the following: Pain/Fever; Constipation/
Diarrhea; Heartburn/Dyspepsia; Smoking Cessation)

Reference(s) used for this assignment:

PRECEPTOR COMMENTS (OPTIONAL):

Fairleigh Dickinson University
School of Pharmacy
Assignment #2: Over-the-Counter Medication Assignment (cont.)

Cough/Cold and Allergy Products (REQUIRED):
1. List the 4 most common active ingredients in cough, cold, and allergy products and complete the table below:
Active Ingredient

Uses/Indications

Warnings/Precautions

2. List the dosage ranges, and maximum doses of the above ingredients for both adults and children:
Active…...

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