Question 1

When choosing a topical corticosteroid cream to treat diaper dermatitis,the ideal medication would be:&#10;A) Intermediate potency corticosteroid ointment (Kenalog)&#10;B) A combination of a corticosteroid and an antifungal (Lotrisone)&#10;C) A low potency corticosteroid cream applied sparingly (hydrocortisone 1%)&#10;D) A high potency corticosteroid cream (Diprolene AF)

Accepted Answer

Diaper dermatitis is a mild form of dermatitis and usually responds well to the use of low potency topical corticosteroids such as hydrocortisone 1%. High potency corticosteroid creams may cause skin thinning and increased chances of developing a secondary infection. It is advisable to use sparingly and for a short duration. A combination of corticosteroid and an antifungal is not necessary unless a secondary fungal infection is suspected. Intermediate potency corticosteroid ointment such as Kenalog is stronger than hydrocortisone and may not be necessary for mild diaper dermatitis.

Question 2

The most cost-effective treatment for two or three impetigo lesions on the face is:&#10;A) Mupirocin ointment&#10;B) Retapamulin (Altabax)ointment&#10;C) Topical clindamycin solution&#10;D) Oral amoxicillin/clavulanate (Augmentin)

Accepted Answer

Mupirocin ointment is the most cost-effective treatment for two or three impetigo lesions on the face. It is a topical antibiotic that can effectively treat localized infections, including impetigo. Retapamulin and topical clindamycin solution may be used in certain cases, but they are more expensive options. Oral amoxicillin/clavulanate is not recommended as first-line treatment for impetigo, as topical antibiotics are usually sufficient.

Question 3

When a patient has contact dermatitis,wet dressings with Domeboro solution are used for:&#10;A) Cleaning the weeping area of dermatitis&#10;B) Bathing the patient to prevent infection&#10;C) Relief of inflammation&#10;D) Providing a barrier layer to protect the surrounding skin

Accepted Answer

Wet dressings with Domeboro solution are primarily used for relief of inflammation in contact dermatitis. The solution has astringent and anti-inflammatory properties that can help reduce redness, itching and swelling. It is not used for cleaning, preventing infection or providing a barrier layer.

Question 4

Long-term treatment of moderate atopic dermatitis includes:&#10;A) Topical corticosteroids and emollients&#10;B) Topical corticosteroids alone&#10;C) Topical antipruritics&#10;D) Oral corticosteroids for exacerbations of atopic dermatitis

Accepted Answer

Long-term treatment of moderate atopic dermatitis includes the use of topical corticosteroids and emollients to maintain skin hydration and prevent flare-ups. Topical antipruritics may also be used to relieve itching, but they are not typically the sole long-term treatment option. Oral corticosteroids are generally reserved for severe exacerbations of atopic dermatitis and are not a long-term solution.

Question 5

Josie has severe cystic acne and is requesting treatment with Accutane.The appropriate treatment for her would be:&#10;A) Order a pregnancy test and if it is negative prescribe the isotretinoin (Accutane)&#10;B) Order Accutane after educating her on the adverse effects&#10;C) Recommend she try oral antibiotics (minocycline)&#10;D) Refer her to a dermatologist for treatment

Accepted Answer

Since Josie has severe cystic acne, it is best to refer her to a dermatologist for treatment. Dermatologists are specialized in treating skin conditions and will be better equipped to handle her case. They can assess her condition and decide the most appropriate treatment plan. Accutane is a potent medication with many adverse effects, including birth defects, and should only be prescribed by a dermatologist or other specialized physician with experience in its use.

Question 6

Dwayne has classic tinea capitis.Treatment for tinea on the scalp is:&#10;A) Miconazole cream rubbed in well for 4 weeks&#10;B) Oral griseofulvin for 6 to 8 weeks&#10;C) Ketoconazole shampoo daily for 6 weeks&#10;D) Ciclopirox cream daily for 4 weeks

Accepted Answer

Tinea capitis usually requires systemic treatment with oral antifungal medication, such as griseofulvin, for 6 to 8 weeks. Topical treatments, such as creams or shampoos, are not as effective for treating tinea capitis.

Question 7

Tobie presents to 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

Accepted Answer

Tobie should be educated that he may see an initial worsening of his acne that will improve in 6 to 8 weeks. This is a common occurrence with topical retinoids and is due to the medication causing the skin to shed dead cells more rapidly, which can temporarily increase acne breakouts. It is important for Tobie to know this so that he does not become discouraged and continues to use the medication as prescribed.

Question 8

Scabies treatment for a 4-year-old child includes a prescription for:&#10;A) Permethrin 5% cream applied from the neck down&#10;B) Pyrethrin lotion&#10;C) Lindane 1% shampoo&#10;D) All of the above

Accepted Answer

According to current guidelines from the Centers for Disease Control and Prevention, permethrin 5% cream is the preferred treatment for scabies in children. Lindane and pyrethrin are not recommended due to potential neurotoxicity and resistance, respectively.

Question 9

Jim presents with fungal infection of two of his toenails (onychomycosis).Treatment for fungal infections of the nail includes:&#10;A) Miconazole cream&#10;B) Ketoconazole cream&#10;C) Oral griseofulvin&#10;D) Mupirocin cream

Accepted Answer

Oral griseofulvin is a commonly used antifungal medication for the treatment of onychomycosis. Topical creams such as miconazole and ketoconazole are typically used for superficial fungal infections of the skin and are not very effective in treating fungal nail infections. Mupirocin cream is an antibiotic cream used to treat bacterial skin infections and would not be effective against a fungal infection.

Question 10

Appropriate initial treatment for psoriasis would be:&#10;A) An immunomodulator (Protopic or Elidel)&#10;B) Wet soaks with Burrow's or Domeboro solution&#10;C) Intermittent therapy with intermediate potency topical corticosteroids&#10;D) Anthralin (Drithocreme)

Accepted Answer

The appropriate initial treatment for psoriasis is intermittent therapy with intermediate potency topical corticosteroids. This is because they are effective in reducing inflammation and itching, and also in helping to clear up the scales. Immunomodulators such as Protopic or Elidel are reserved for cases where topical corticosteroids are not effective or are not an option due to concerns about side effects. Wet soaks with Burrow's or Domeboro solution may be used in conjunction with topical treatments, but they are not a standalone treatment for psoriasis. Anthralin (Drithocreme) is also useful for psoriasis, but it is generally reserved for cases of more severe psoriasis that have not responded to other treatments.

Question 11

Nicolas is a football player who presents to clinic with athlete's foot.Patients with tinea pedis may be treated with:&#10;A) OTC miconazole cream for 4 weeks&#10;B) Oral ketoconazole for 6 weeks&#10;C) Mupirocin ointment for 2 weeks&#10;D) Nystatin cream for 2 weeks

Accepted Answer

The answer of Nicolas is a football player who presents...

Question 12

Topical immunomodulators such as pimecrolimus (Elidel)or tacrolimus (Protopic)are used for:&#10;A) Short-term or intermittent treatment of atopic dermatitis&#10;B) Topical treatment of fungal infections (Candida)&#10;C) Chronic,inflammatory seborrheic dermatitis&#10;D) Recalcitrant nodular acne

Accepted Answer

The answer of Topical immunomodulators such as pimecrolimus (Elidel)or tacrolimus...

Question 13

Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:&#10;A) Topical antipruritics&#10;B) Oral corticosteroids for 2 to 3 weeks&#10;C) Thickly applied topical intermediate-dose corticosteroids&#10;D) Isolation of the patient to prevent spread of the dermatitis

Accepted Answer

The answer of Severe contact dermatitis caused by poison ivy...

Question 14

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:&#10;A) Permethrin 1% (Nix)&#10;B) Lindane shampoo&#10;C) Malathion (Ovide)&#10;D) Benzoyl alcohol (Ulesfia)

Accepted Answer

The answer of Catherine has head lice and her mother...

Question 15

Mild acne may be initially treated with:&#10;A) Topical combined antibiotic&#10;B) Minocycline&#10;C) Topical retinoid&#10;D) OTC benzoyl peroxide

Accepted Answer

The answer of Mild acne may be initially treated with:&#10;A)...

Question 16

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

Accepted Answer

The answer of Patient education when prescribing the Vitamin D₃...

Question 17

Vanessa has been diagnosed with scabies.Her education would include:&#10;A) She should apply the scabies treatment cream for an hour and wash it off&#10;B) Scabies may need to be retreated in a week after initial treatment&#10;C) All members of the household and close personal contacts should be treated&#10;D) Malathion is flammable and she should take care until the solution dries

Accepted Answer

The answer of Vanessa has been diagnosed with scabies.Her education...

Question 18

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:&#10;A) Provides a permanent solution to male pattern baldness if used for at least 4 months&#10;B) Will show results after 4 months of twice a day use&#10;C) May not work for Rick's type of baldness&#10;D) Works better if he also uses hydrocortisone cream daily on his scalp

Accepted Answer

The answer of Rick has male pattern baldness on the...

Deck 32: Dermatologic Conditions