Deck 34: Dermatological Conditions

Question 1

A patient presents with fungal infection of two of their toenails (onychomycosis). Treatment for fungal infections of the nail includes:

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

Answer 1

Oral griseofulvin

Question 2

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

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

Answer 2

Will show results after four months of twice-a-day use

Question 3

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)

Answer 3

A low-potency corticosteroid cream applied sparingly (hydrocortisone 1%)

Question 4

A child has head lice and their mother is asking which products are available that are not neurotoxic. The only non-neurotoxic head lice treatment is:

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

Question 5

Mild acne may be initially treated with:

A)Topical combined antibiotic
B)Minocycline
C)Topical retinoid
D)Over-the-counter (OTC) benzoyl peroxide

Question 6

A patient has been diagnosed with scabies. Education would include:

A)She should leave the scabies treatment cream on for an hour and then 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 7

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)

Question 8

Appropriate initial treatment for psoriasis would be:

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

Question 9

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 10

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

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

Question 11

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

A)He should see an improvement in his acne within the first two 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.

Question 12

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 13

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 14

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 15

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 g per week may be applied.
C)Do not use calcipotriene in combination with other topical corticosteroids.
D)Calcipotriene may be augmented with the use of coal tar products.

Question 16

A young adult female 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)Prescribe Accutane after educating her on the adverse effects.
C)Recommend she try oral antibiotics (minocycline).
D)Refer her to a dermatologist for treatment.

Question 17

An adolescent football player presents to the clinic with athlete's foot. Patients with tinea pedis may be treated with:

A)OTC miconazole cream for four weeks
B)Oral ketoconazole for six weeks
C)Mupirocin ointment for two weeks
D)Nystatin cream for two weeks

Question 18

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