Deck 32: Dermatologic Conditions

Question 1

The most cost-effective treatment for two or three impetigo lesions on the face is:

A) Mupirocin ointment
B) Retapamulin (Altabax) ointment
C) Topical clindamycin solution
D) Oral amoxicillin/clavulanate (Augmentin)

Answer 1

Mupirocin ointment

Question 2

Dwayne has classic tinea capitis. Treatment for tinea on the scalp is:

A) Miconazole cream rubbed in well for 4 weeks
B) Oral griseofulvin for 6 to 8 weeks
C) Ketoconazole shampoo daily for 6 weeks
D) Ciclopirox cream daily for 4 weeks

Answer 2

Oral griseofulvin for 6 to 8 weeks

Question 3

Tobie presents to the clinic with moderate acne. He has been using OTC benzoyl peroxide at home with minimal improvement. A topical antibiotic (clindamycin) and a topical retinoid adapalene (Differin) are prescribed. Education of Tobie would include:

A) He should see an improvement in his acne within the first 2 weeks of treatment.
B) If there is no response in a week, double the daily application of adapalene (Differin).
C) He may see an initial worsening of his acne that will improve in 6 to 8 weeks.
D) Adapalene may cause bleaching of clothing.

Answer 3

He may see an initial worsening of his acne that will improve in 6 to 8 weeks.

Question 4

Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:

A) Topical antipruritics
B) Oral corticosteroids for 2 to 3 weeks
C) Thickly applied topical intermediate-dose corticosteroids
D) Isolation of the patient to prevent spread of the dermatitis

Question 5

Topical immunomodulators such as pimecrolimus (Elidel) or tacrolimus (Protopic) are used for:

A) Short-term or intermittent treatment of atopic dermatitis
B) Topical treatment of fungal infections (Candida)
C) Chronic, inflammatory seborrheic dermatitis
D) Recalcitrant nodular acne

Question 6

Long-term treatment of moderate atopic dermatitis includes:

A) Topical corticosteroids and emollients
B) Topical corticosteroids alone
C) Topical antipruritics
D) Oral corticosteroids for exacerbations of atopic dermatitis

Question 7

Catherine has head lice and her mother is asking about what products are available that are not neurotoxic. The only non-neurotoxin head lice treatment is:

A) Permethrin 1% (Nix)
B) Lindane shampoo
C) Malathion (Ovide)
D) Benzoyl alcohol (Ulesfia)

Question 8

Rick has male pattern baldness on the vertex of his head and has been using Rogaine for 2 months. He asks how effective minoxidil (Rogaine) is. Minoxidil:

A) Provides a permanent solution to male pattern baldness if used for at least 4 months
B) Will show results after 4 months of twice-a-day use
C) May not work for Rick's type of baldness
D) Works better if he also uses hydrocortisone cream daily on his scalp

Question 9

Josie has severe cystic acne and is requesting treatment with Accutane. The appropriate treatment for her would be:

A) Order a pregnancy test and if it is negative prescribe the isotretinoin (Accutane).
B) Order Accutane after educating her on the adverse effects.
C) Recommend she try oral antibiotics (minocycline).
D) Refer her to a dermatologist for treatment.

Question 10

Mild acne may be initially treated with:

A) Topical combined antibiotic
B) Minocycline
C) Topical retinoid
D) OTC benzoyl peroxide

Question 11

Jim presents with fungal infection of two of his toenails (onychomycosis). Treatment for fungal infections of the nail includes:

A) Miconazole cream
B) Ketoconazole cream
C) Oral griseofulvin
D) Mupirocin cream

Question 12

Patient education when prescribing the vitamin D₃ derivative calcipotriene for psoriasis includes:

A) Apply thickly to affected psoriatic areas two to three times a day.
B) A maximum of 100 grams per week may be applied.
C) Do not use calcipotriene in combination with their topical corticosteroids.
D) Calcipotriene may be augmented with the use of coal tar products.

Question 13

Scabies treatment for a 4-year-old child includes a prescription for:

A) Permethrin 5% cream applied from the neck down
B) Pyrethrin lotion
C) Lindane 1% shampoo
D) All of the above

Question 14

Nicolas is a football player who presents to the clinic with athlete's foot. Patients with tinea pedis may be treated with:

A) OTC miconazole cream for 4 weeks
B) Oral ketoconazole for 6 weeks
C) Mupirocin ointment for 2 weeks
D) Nystatin cream for 2 weeks

Question 15

When a patient has contact dermatitis, wet dressings with Domeboro solution are used for:

A) Cleaning the weeping area of dermatitis
B) Bathing the patient to prevent infection
C) Relief of inflammation
D) Providing a barrier layer to protect the surrounding skin

Question 16

When choosing a topical corticosteroid cream to treat diaper dermatitis, the ideal medication would be:

A) Intermediate potency corticosteroid ointment (Kenalog)
B) A combination of a corticosteroid and an antifungal (Lotrisone)
C) A low-potency corticosteroid cream applied sparingly (hydrocortisone 1%)
D) A high-potency corticosteroid cream (Diprolene AF)

Question 17

Vanessa has been diagnosed with scabies. Her education would include:

A) She should apply the scabies treatment cream for an hour and wash it off.
B) Scabies may need to be retreated in a week after initial treatment.
C) All members of the household and close personal contacts should be treated.
D) Malathion is flammable and she should take care until the solution dries.

Question 18

Appropriate initial treatment for psoriasis would be:

A) An immunomodulator (Protopic or Elidel)
B) Wet soaks with Burrow's or Domeboro solution
C) Intermittent therapy with intermediate potency topical corticosteroids
D) Anthralin (Drithocreme)