Chapter 34 (3)

Question 1

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

Answer 1

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

Question 2

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

Answer 2

Short-term or intermittent treatment of atopic dermatitis

Question 3

Long-term treatment of moderate atopic dermatitis includes:

Answer 3

Topical corticosteroids and emollients

Question 4

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

Answer 4

Oral corticosteroids for 2 to 3 weeks

Question 5

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

Answer 5

Relief of inflammation

Question 6

Appropriate initial treatment for psoriasis would be:

Answer 6

Intermittent therapy with intermediate potency topical corticosteroids

Question 7

Patient education when prescribing the vitamin D3 derivative calcipotriene for psoriasisincludes:

Answer 7

A maximum of 100 grams per week may be applied.

Question 8

Mild acne may be initially treated with:

Answer 8

OTC benzoyl peroxide

Question 9

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:

Answer 9

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

Question 10

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

Answer 10

Refer her to a dermatologist for treatment.

Question 11

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

Answer 11

Mupirocin ointment

Question 12

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

Answer 12

Oral griseofulvin for 6 to 8 weeks

Question 13

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

Answer 13

OTC miconazole cream for 4 weeks

Question 14

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

Answer 14

Oral griseofulvin

Question 15

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

Answer 15

Permethrin 5% cream applied from the neck down

Question 16

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

Answer 16

All members of the household and close personal contacts should be treated.

Question 17

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:

Answer 17

Benzoyl alcohol (Ulesfia)

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:

Answer 18

Will show results after 4 months of twice-a-day use