Midterm Rx

Question 1

Write a rx for Lidex.

Answer 1

Fluocinonide 0.05% gel (Lidex)

Disp: 15 gm

Sig: dry affected area, then gently massage thin amount 2-3 times per day.

Refills: 1

Question 2

Pt needs an antiviral. Write a rx for Valacyclovir.

Answer 2

Valacyclovir tabs 500 mg (Valtrex)

Disp: 28

Sig: 2 tabs bid

Refills 3

Question 3

Pt needs a steroid. Write a Rx for Prednisone.

Answer 3

Prednisone 10 mg tab

Disp: 40

Sig: 2 tabs bid x 7 days, then

1 tab bid x 4 days, then

1 tab daily until gone

Refills: 0

Question 4

Pt has pseudomembranous candidiasis. Write a rx for Nystatin oral suspension.

Answer 4

Nystatin oral suspension 100,000 units/ml (Mycostatin)

Disp: 240ml

Sig: rinse w/ 1 tsp for 3-4 min qid and swallow

Refills: 1

**sugary so don’t give to pt w/ active caries**

Question 5

Write a rx for Clotrimazole lozenges.

Answer 5

Clotrimazole troche 10mg (Mycelex)

Disp: #50

Sig: slowly dissolve one troche in mouth 5x daily

Refills: 0

Question 6

Pt needs a steroidal mouth rinse. Write an Rx for Decadron elixir.

Answer 6

Decadron Elixir 0.5 mg/5mL (Dexamethosone)

Disp: 240 mL bottles

Sig: Rinse with 1 tsp for 3 – 4 min after meals and at bedtime and spit out

Refills: 3

Question 7

Pt has herpes labialis and wants a cream to put on it. Write them a rx for acyclovir.

Answer 7

Acyclovir ointment 5%

Disp: 15g

Sig: apply 5x daily with fingercot at first symptom

Refills: 1

Question 8

Pt has oral herpes. Write an rx for Acyclovir caps.

Answer 8

Acyclovir caps 200 mg (Zovirax)

Disp: 50

Sig: 1 cap 5x daily

Refills: 3

Question 9

Pt has a small ulcer. Write an rx for Clobetasol.

Answer 9

Clobetasol Propionate 0.05% gel (Temovate)

Disp: 15g

Sig: dry affected area, then gently massage thin amount 2–3 times per day.

Refills: 1

Question 10

Pt needs an antifungal. Write a rx for Fluconazole.

Answer 10

Fluconazole 100 mg tab (Diflucan)

Disp: 11

Sig: 2 tab on day 1, then 1 tab daily

Refills: 0

Question 11

Pt needs a strong anti-fungal but also a steroid. Write an rx for a combo (mycolog II)

Answer 11

Nystatin 100,000 units /gm and Triamcinolone acetonide 0.1% ointment (Mycolog II)

Disp: 15g

Sig: apply sparingly to affected areas qid

Refills: 1

Question 12

What is a rx that you can write to “numb” a pt’s pain? (hint: xylocaine)

Answer 12

Xylocaine Viscous 2%

Disp: 100 mL

Sig: Rinse with 1 tsp as needed and spit out

Refills: 3

Question 13

What is magic mouthwash made with?

Answer 13

mix equal parts Maalox, Benadryl, Lidocaine Viscous 2%

Question 14

Pt has angular cheilitis and needs an anti-fungal ointment. Write an rx for nystatin.

Answer 14

Nystatin Ointment (100,000 units/gm)

Disp: 15g tube

Sig: Apply sparingly to affected areas qid

Refills: 1

Question 15

What are three antiviral options that you have?

Answer 15

Acyclovir caps, Valacyclovir tabs, Acyclovir ointment

Question 16

Write a rx for symptomatic relief… i.e. magic mouthwash

Answer 16

Magic Mouthwash

Disp: 240 mL

Sig: use as needed, rinse with 1 – 2 tsp

Refills: 4

**mix of equal parts Maalox, Benadryl, Lidocaine Viscous 2%