MN 553 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS RATED A+
✔✔Juakeem is a nasal methicillin resistant staphylococcus aureus (MRSA) carrier.
Treatment to eradicate nasal MRSA is mupirocin. Patient education regarding treating
nasal MRSA includes:
1. Take the oral medication exactly as prescribed.
2. Insert one-half of the dose in each nostril twice a day.
3. Alternate treating one nare in the morning and the other in the evening.
4. Nasal MRSA eradication requires at least 4 weeks of therapy, with up to 8 weeks
needed in some patients. - ✔✔2. Insert one-half of the dose in each nostril twice a day.
✔✔instructions for applying a topical antibiotic or antiviral ointment include: - ✔✔wash
hands before and after application of topical antimicrobials
✔✔When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red,
itchy rash consistent with a hypersensitivity reaction. He now has athlete's foot again.
What would be a good choice of antifungal for Sam?
1. Miconazole (Micatin) powder
2. Ketoconazole (Nizoral) cream
3. Terbinafine (Lamisil) cream
4. Griseofulvin (Grifulvin V) suspension - ✔✔3. Terbinafine (Lamisil) cream
✔✔when prescribing griseofulvin (Grifulvin V) to treat tinea capitis it is critical to instruct
the patient or parent to : - ✔✔Griseofulvin is best absorbed if ingested with high-fat
food.
✔✔first-line therapy for treating topical fungal infections such as tinea corporis
(ringworm) or tinea pedis (athlete's foot) would be: - ✔✔OTC topical azole (clotrimazole,
miconazole)
✔✔nystatin cream or ointment - ✔✔penciclovir therapy is started at the first sign of a
cold sore outbreak
✔✔Erika has been prescribed isotretinoin (Accutane) by her dermatologist and is
presenting to her primary care provider with symptoms of sadness and depression. A
Beck's Depression Scale indicates she has mild to moderate depression. What would
be the best care for her at this point?
1. Prescribe a select serotonin reuptake inhibitor (SSRI) antidepressant
2. Refer her to a mental health therapist
3. Contact her dermatologist about discontinuing the isotretinoin
4. Reassure her that mood swings are normal and schedule follow up in a week - ✔✔3.
Contact her dermatologist about discontinuing the isotretinoin
, ✔✔Drew is a 17-year-old competitive runner who presents with complaint of pain in his
hip that occurred after he fell while running. His only medical problem is severe acne for
which he takes isotretinoin (Accutane). With this history what would you be concerned
for?
1. He may have pulled a muscle and needs to rest to recover.
2. He is at risk for bone injuries and needs to be evaluated for fracture.
3. Isotretinoin interacts with ibuprofen which is the pain medication of choice.
4. Teen athletes are at risk for repetitive stress injuries. - ✔✔2. He is at risk for bone
injuries and needs to be evaluated for fracture.
✔✔Catherine calls the clinic with concerns that her acne is worse 1 week after starting
topical tretinoin. What would be the appropriate care for her?
1. Change her to a different topical acne medication as she is having an adverse
reaction to the tretinoin.
2. Switch her to an oral antibiotic to treat her acne.
3. Advise her to apply an oil-based lotion to her face to soothe the redness.
4. Reassure her that the worsening of acne is normal and it should improve with
continued use. - ✔✔4. Reassure her that the worsening of acne is normal and it should
improve with continued use.
✔✔Li is a 6-month-old infant with severe eczema. She would benefit from topical
corticosteroid therapy. Instructions for using topical corticosteroids in children include:
1. Apply liberally to all areas with eczema.
2. Double the frequency of application when the eczema is severe.
3. Apply sparingly to eczema areas.
4. Cover the eczema area with an occlusive dressing after applying a corticosteroid. -
✔✔3. Apply sparingly to eczema areas.
✔✔Jose has had eczema for many years and reports that he thinks his corticosteroid
cream is not working as well as it was previously. He may be experiencing tolerance to
the corticosteroid. Treatment options include:
1. Increase the potency of the corticosteroid cream.
2. Recommend an interrupted or cyclic schedule of application.
3. Increase the frequency of dosing of the corticosteroid.
4. Discontinue the corticosteroid because it isn't working any longer . - ✔✔2.
Recommend an interrupted or cyclic schedule of application.
✔✔when prescribing tacrolimus (Protopic) to treat atopic dermatitis patients should be
informed that: - ✔✔The FDA has issues a blackbox warning about the use of tacrolimus
and the development of cancer in animals and humans.
✔✔Patients who are treated with greater than 100grams per week of topical
calcipotriene for psoriasis need to be monitored for: - ✔✔Hypercalcemia
SOLUTIONS RATED A+
✔✔Juakeem is a nasal methicillin resistant staphylococcus aureus (MRSA) carrier.
Treatment to eradicate nasal MRSA is mupirocin. Patient education regarding treating
nasal MRSA includes:
1. Take the oral medication exactly as prescribed.
2. Insert one-half of the dose in each nostril twice a day.
3. Alternate treating one nare in the morning and the other in the evening.
4. Nasal MRSA eradication requires at least 4 weeks of therapy, with up to 8 weeks
needed in some patients. - ✔✔2. Insert one-half of the dose in each nostril twice a day.
✔✔instructions for applying a topical antibiotic or antiviral ointment include: - ✔✔wash
hands before and after application of topical antimicrobials
✔✔When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red,
itchy rash consistent with a hypersensitivity reaction. He now has athlete's foot again.
What would be a good choice of antifungal for Sam?
1. Miconazole (Micatin) powder
2. Ketoconazole (Nizoral) cream
3. Terbinafine (Lamisil) cream
4. Griseofulvin (Grifulvin V) suspension - ✔✔3. Terbinafine (Lamisil) cream
✔✔when prescribing griseofulvin (Grifulvin V) to treat tinea capitis it is critical to instruct
the patient or parent to : - ✔✔Griseofulvin is best absorbed if ingested with high-fat
food.
✔✔first-line therapy for treating topical fungal infections such as tinea corporis
(ringworm) or tinea pedis (athlete's foot) would be: - ✔✔OTC topical azole (clotrimazole,
miconazole)
✔✔nystatin cream or ointment - ✔✔penciclovir therapy is started at the first sign of a
cold sore outbreak
✔✔Erika has been prescribed isotretinoin (Accutane) by her dermatologist and is
presenting to her primary care provider with symptoms of sadness and depression. A
Beck's Depression Scale indicates she has mild to moderate depression. What would
be the best care for her at this point?
1. Prescribe a select serotonin reuptake inhibitor (SSRI) antidepressant
2. Refer her to a mental health therapist
3. Contact her dermatologist about discontinuing the isotretinoin
4. Reassure her that mood swings are normal and schedule follow up in a week - ✔✔3.
Contact her dermatologist about discontinuing the isotretinoin
, ✔✔Drew is a 17-year-old competitive runner who presents with complaint of pain in his
hip that occurred after he fell while running. His only medical problem is severe acne for
which he takes isotretinoin (Accutane). With this history what would you be concerned
for?
1. He may have pulled a muscle and needs to rest to recover.
2. He is at risk for bone injuries and needs to be evaluated for fracture.
3. Isotretinoin interacts with ibuprofen which is the pain medication of choice.
4. Teen athletes are at risk for repetitive stress injuries. - ✔✔2. He is at risk for bone
injuries and needs to be evaluated for fracture.
✔✔Catherine calls the clinic with concerns that her acne is worse 1 week after starting
topical tretinoin. What would be the appropriate care for her?
1. Change her to a different topical acne medication as she is having an adverse
reaction to the tretinoin.
2. Switch her to an oral antibiotic to treat her acne.
3. Advise her to apply an oil-based lotion to her face to soothe the redness.
4. Reassure her that the worsening of acne is normal and it should improve with
continued use. - ✔✔4. Reassure her that the worsening of acne is normal and it should
improve with continued use.
✔✔Li is a 6-month-old infant with severe eczema. She would benefit from topical
corticosteroid therapy. Instructions for using topical corticosteroids in children include:
1. Apply liberally to all areas with eczema.
2. Double the frequency of application when the eczema is severe.
3. Apply sparingly to eczema areas.
4. Cover the eczema area with an occlusive dressing after applying a corticosteroid. -
✔✔3. Apply sparingly to eczema areas.
✔✔Jose has had eczema for many years and reports that he thinks his corticosteroid
cream is not working as well as it was previously. He may be experiencing tolerance to
the corticosteroid. Treatment options include:
1. Increase the potency of the corticosteroid cream.
2. Recommend an interrupted or cyclic schedule of application.
3. Increase the frequency of dosing of the corticosteroid.
4. Discontinue the corticosteroid because it isn't working any longer . - ✔✔2.
Recommend an interrupted or cyclic schedule of application.
✔✔when prescribing tacrolimus (Protopic) to treat atopic dermatitis patients should be
informed that: - ✔✔The FDA has issues a blackbox warning about the use of tacrolimus
and the development of cancer in animals and humans.
✔✔Patients who are treated with greater than 100grams per week of topical
calcipotriene for psoriasis need to be monitored for: - ✔✔Hypercalcemia
