Deck 67: Antifungals

Question 1

A patient was diagnosed with tinea corporis and given topical ketoconazole.The patient tells the primary care nurse practitioner (NP)that the infection is not getting better.The NP should:

A) prescribe griseofulvin.
B) prescribe oral ketoconazole.
C) obtain a culture of the infection site.
D) recommend 3 more weeks of treatment with the topical medication.

Answer 1

obtain a culture of the infection site.

Question 2

A female patient has vaginal candidiasis and has taken a single dose of fluconazole without resolution of the infection.The primary care NP obtains a culture and should order:

A) oral ketoconazole.
B) griseofulvin for 4 weeks.
C) another dose of fluconazole.
D) topical miconazole (Monistat).

Answer 2

topical miconazole (Monistat).

Question 3

A patient is diagnosed with onychomycosis.The primary care NP notes that the patient takes quinidine.The NP should prescribe:

A) terbinafine (Lamisil).
B) fluconazole (Diflucan).
C) itraconazole (Sporanox).
D) griseofulvin (Gris-PEG).

Answer 3

terbinafine (Lamisil).

Question 4

A woman who takes oral contraceptive pills develops vaginal candidiasis.The primary care NP prescribes a single dose of fluconazole.When counseling the patient about this drug,the NP should tell her:

A) that the drug is safe if she were to become pregnant.
B) that she may consume alcohol while taking this medication.
C) to use a backup contraceptive method for the next 2 months.
D) that she may need a lower dose of fluconazole because she takes oral contraceptive pills.

Question 5

A parent brings a 6-year-old child to the clinic for evaluation of a rash.The primary care NP notes three annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the back of the neck that extends above the hairline.The NP should prescribe:

A) fluconazole.
B) griseofulvin.
C) oral ketoconazole.
D) topical ketoconazole.

Question 6

A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection.The primary care NP notes improvement but not complete cure.The NP should:

A) obtain a culture and change to ketoconazole.
B) add a topical antifungal cream and refill the griseofulvin prescription for 2 weeks.
C) renew the prescription after obtaining renal, liver, and hematopoietic tests.
D) prescribe griseofulvin for 4 more weeks and then re-evaluate the infection.