MN 553 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS RATED A+
✔✔instructions for the use of selenium sulfide shampoo (Selsun) to treat scalp
seborrhea include: - ✔✔shampoo twice a week for 2 weeks, then weekly
✔✔Topical diphenhydramine (Benadryl) is available OTC to treat itching. Patients or
parents should be instructed regarding the use of topical diphenhydramine that:
1. For maximum effectiveness in treating itching, combine topical with oral
diphenhydramine.
2. Topical diphenhydramine is the treatment of choice in treating poison ivy or poison
oak.
3. Topical diphenhydramine should not be used in children younger than age 2 years.
4. When applying topical diphenhydramine, apply the cream liberally to all areas that
itch. - ✔✔3. Topical diphenhydramine should not be used in children younger than age
2 years.
✔✔A patient has been prescribed silver sulfadiazine (Silvadene) cream to treat burns
on his legs. normal adverse effects of silver sulfadiazine cream include: - ✔✔transient
leukopenia on days 2 to 4 that should resolve
✔✔Instructions for the use of malathion (Ovide) for head lice include: - ✔✔rinse the
malathion (Ovide) off and shampoo hair after 8-12 hours
✔✔when writing a prescription of permethrin 5% cream (Elimite) for scabies, pt
education would include: - ✔✔all members of the household and personal contacts
should also be treated
✔✔When choosing a topical corticosteroid cream to treat diaper dermatitis, the ideal
medication would be: - ✔✔a low-potency corticosteroid cream applied sparingly
(hydrocortisone 1%)
✔✔Topical immunomodulators such as pimecrolimus (Elidel) or tacrolimus (Protopic)
are used for:
1. Short-term or intermittent treatment of atopic dermatitis
2. Topical treatment of fungal infections (Candida)
3. Chronic, inflammatory seborrheic dermatitis
4. Recalcitrant nodular acne - ✔✔1. Short-term or intermittent treatment of atopic
dermatitis
✔✔long-term treatment of moderate atopic dermatitis includes: - ✔✔topical
corticosteroids and emollients
, ✔✔Severe contact dermatitis caused by poison ivy or poison oak exposure often
requires treatment with:
1. Topical antipruritics
2. Oral corticosteroids for 2 to 3 weeks
3. Thickly applied topical intermediate-dose corticosteroids
4. Isolation of the patient to prevent spread of the dermatitis - ✔✔2. Oral corticosteroids
for 2 to 3 weeks
✔✔when a patient has contact dermatitis, wet dressings with Domeboro solution are
used for: - ✔✔relief of inflammation
✔✔Appropriate initial treatment for psoriasis would be:
1. An immunomodulator (Protopic or Elidel)
2. Wet soaks with Burrow's or Domeboro solution
3. Intermittent therapy with intermediate potency topical corticosteroids
4. Anthralin (Drithocreme) - ✔✔3. Intermittent therapy with intermediate potency topical
corticosteroids
✔✔patient education when prescribing the vitamin D3 derivative calciportriene for
psoriasis includes: - ✔✔a max of 100 grams per week may be applied
✔✔mild acne may be initially treated with: - ✔✔OTC benzoyl peroxide
✔✔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:
1. He should see an improvement in his acne within the first 2 weeks of treatment.
2. If there is no response in a week, double the daily application of adapalene (Differin).
3. He may see an initial worsening of his acne that will improve in 6 to 8 weeks.
4. Adapalene may cause bleaching of clothing. - ✔✔3. He may see an initial worsening
of his acne that will improve in 6 to 8 weeks.
✔✔Josie has severe cystic acne and is requesting treatment with Accutane. The
appropriate treatment for her would be:
1. Order a pregnancy test and if it is negative prescribe the isotretinoin (Accutane).
2. Order Accutane after educating her on the adverse effects.
3. Recommend she try oral antibiotics (minocycline).
4. Refer her to a dermatologist for treatment. - ✔✔4. Refer her to a dermatologist for
treatment.
✔✔the most cost-effective treatment for two or three impetigo lesions on the face is -
✔✔mupirocin ointment
✔✔Dwayne has classic tinea capitis. Treatment for tinea on the scalp is:
AND SOLUTIONS RATED A+
✔✔instructions for the use of selenium sulfide shampoo (Selsun) to treat scalp
seborrhea include: - ✔✔shampoo twice a week for 2 weeks, then weekly
✔✔Topical diphenhydramine (Benadryl) is available OTC to treat itching. Patients or
parents should be instructed regarding the use of topical diphenhydramine that:
1. For maximum effectiveness in treating itching, combine topical with oral
diphenhydramine.
2. Topical diphenhydramine is the treatment of choice in treating poison ivy or poison
oak.
3. Topical diphenhydramine should not be used in children younger than age 2 years.
4. When applying topical diphenhydramine, apply the cream liberally to all areas that
itch. - ✔✔3. Topical diphenhydramine should not be used in children younger than age
2 years.
✔✔A patient has been prescribed silver sulfadiazine (Silvadene) cream to treat burns
on his legs. normal adverse effects of silver sulfadiazine cream include: - ✔✔transient
leukopenia on days 2 to 4 that should resolve
✔✔Instructions for the use of malathion (Ovide) for head lice include: - ✔✔rinse the
malathion (Ovide) off and shampoo hair after 8-12 hours
✔✔when writing a prescription of permethrin 5% cream (Elimite) for scabies, pt
education would include: - ✔✔all members of the household and personal contacts
should also be treated
✔✔When choosing a topical corticosteroid cream to treat diaper dermatitis, the ideal
medication would be: - ✔✔a low-potency corticosteroid cream applied sparingly
(hydrocortisone 1%)
✔✔Topical immunomodulators such as pimecrolimus (Elidel) or tacrolimus (Protopic)
are used for:
1. Short-term or intermittent treatment of atopic dermatitis
2. Topical treatment of fungal infections (Candida)
3. Chronic, inflammatory seborrheic dermatitis
4. Recalcitrant nodular acne - ✔✔1. Short-term or intermittent treatment of atopic
dermatitis
✔✔long-term treatment of moderate atopic dermatitis includes: - ✔✔topical
corticosteroids and emollients
, ✔✔Severe contact dermatitis caused by poison ivy or poison oak exposure often
requires treatment with:
1. Topical antipruritics
2. Oral corticosteroids for 2 to 3 weeks
3. Thickly applied topical intermediate-dose corticosteroids
4. Isolation of the patient to prevent spread of the dermatitis - ✔✔2. Oral corticosteroids
for 2 to 3 weeks
✔✔when a patient has contact dermatitis, wet dressings with Domeboro solution are
used for: - ✔✔relief of inflammation
✔✔Appropriate initial treatment for psoriasis would be:
1. An immunomodulator (Protopic or Elidel)
2. Wet soaks with Burrow's or Domeboro solution
3. Intermittent therapy with intermediate potency topical corticosteroids
4. Anthralin (Drithocreme) - ✔✔3. Intermittent therapy with intermediate potency topical
corticosteroids
✔✔patient education when prescribing the vitamin D3 derivative calciportriene for
psoriasis includes: - ✔✔a max of 100 grams per week may be applied
✔✔mild acne may be initially treated with: - ✔✔OTC benzoyl peroxide
✔✔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:
1. He should see an improvement in his acne within the first 2 weeks of treatment.
2. If there is no response in a week, double the daily application of adapalene (Differin).
3. He may see an initial worsening of his acne that will improve in 6 to 8 weeks.
4. Adapalene may cause bleaching of clothing. - ✔✔3. He may see an initial worsening
of his acne that will improve in 6 to 8 weeks.
✔✔Josie has severe cystic acne and is requesting treatment with Accutane. The
appropriate treatment for her would be:
1. Order a pregnancy test and if it is negative prescribe the isotretinoin (Accutane).
2. Order Accutane after educating her on the adverse effects.
3. Recommend she try oral antibiotics (minocycline).
4. Refer her to a dermatologist for treatment. - ✔✔4. Refer her to a dermatologist for
treatment.
✔✔the most cost-effective treatment for two or three impetigo lesions on the face is -
✔✔mupirocin ointment
✔✔Dwayne has classic tinea capitis. Treatment for tinea on the scalp is:
