CMN 572 CORE EXAM TEST QUESTIONS AND ANSWERS
GRADED A+
✔✔Is it ever okay to start with more than one drug in HTN management? - ✔✔If BP is
more than 20/10 mmHg above goal, consider initiating therapy with low doses of two
drugs!
✔✔What are the safest HTN drugs to use in pregnancy? - ✔✔Hydralazine, Methyldopa,
B-Blockers
ACEIs/ARBS are CONTRAINDICATED
✔✔What are contraindications to Metformin? - ✔✔Creatinine >/= 1.4 in women, >/= 1.5
in men, and an eGFR of < 30.
✔✔What is the treatment for Atopic dermatitis? - ✔✔Begin treatment with Triamcinolone
(moderate potency) then taper to mild potency (Hydrocortisone, Aclometasone, or
Desonide), then taper to just emollients
✔✔What are the 3 stages of atopic dermatitis? - ✔✔Acute- weeping lesions; Tx w/
water or aluminum subacetate solution
Subacute- Scaly lesions; Tx w/ moderate-potent CS ointment
Chronic- lichenified lesions; Tx w/ high potency CS ointments
Severe Acute- Tx w/ prednisone
✔✔In severe acute exacerbations of atopic dermatitis, if MRSA is suspected, what
medications can be used to treat? - ✔✔1st generation cephalosporins or Doxycycline
✔✔What drugs should never be used to treat flares of psoriasis? - ✔✔Systemic
Corticosteroids
✔✔What percentage of TBSA is affected in limited disease psoriasis? What is the
treatment? - ✔✔< 10% TBSA affected; Use high potency or ultra high potency. Taper
down. Ok to add vitamin D analogs to topical therapy.
✔✔What are the only medications that can be used to treat psoriasis in the folds of
skin? - ✔✔Tacrolimus and Pimecrolimus
✔✔Psoriasis that affects 10-30% TBSA should be treated with? - ✔✔UV Phototherapy
✔✔Psoriasis that affects > 30% TBSA should be treated with? - ✔✔Narrow Band UVB
3x/week
✔✔What drug is effective for severe psoriasis? What drug is effective in
pustular/chronic plaque psoriasis? - ✔✔Methotrexate; TNF's
, ✔✔What is the treatment for pityriasis rosea? - ✔✔No treatment indicated; Self resolves
in 6 wks
Supportive treatment includes: Antihistamines for pruritus, medium potency CS for rash
(Triamcinolone)
✔✔What is the treatment for seborrheic dermatitis? - ✔✔On Scalp: Selenium/Zinc
Shampoo (alternate with Ketoconazole shampoo)
Add topical CS or lotion PRN
Facial: Mild CS (Hydrocortisone, Alclometasone, Desonide) OR Tacrolimus,
Pimecrolimus
Intertriginous areas: Low potency CS or Tacro/Pimecrolimus
Eyelids: Johnson/Johnson Shampoo
✔✔Tinea Corporis is A.K.A ringworm. The tx for tinea corporis is? - ✔✔Antifungal
ointment (Econazole, Miconazole, Clotrimazole)
Tx should be continued for 1-2 weeks AFTER clinical clearing.
✔✔If systemic treatment is needed for tinea corporis, what should be used? -
✔✔Itraconzole 200 mg daily x 1 week
✔✔Tinea Cruris (jock itch) is treated with: - ✔✔antifungal ointment: econazole,
miconazole, clotrimazole
Dry skin folds with drying powders, miconazole nitrate
Terbinafine ointment (OTC) usually curative in 7 days
✔✔Tinea versicolor is treated with? - ✔✔Selenium sulfide lotion-leave on 5-15 minutes
for 7 days, the weekly for one month, then monthly to prevent reoccurrence
Ketoconazole shampoo
✔✔If ketoconazole po is prescribed, what does education include? - ✔✔Do not shower
for 8-12 hours after taking this medication b/c it's delivered in sweat to the skin
✔✔Actinic Keratosis is a precursor to ? - ✔✔Squamous Cell Carcinoma
✔✔HSV primary treatment includes? - ✔✔Acyclovir 400mg 5x/day, Valacyclovir 1 G
BID, Famcyclovir 250mg TID. Tx continues for 7-10 days
✔✔HSV secondary infection treatment? - ✔✔Pharmacotherapy must be initiated at the
first s/s of recurrence to be effective
Valacyclovir 500mg BID, Acyclovir 200mg BID, Famciclovir 125mg BID. Tx continues
for 5 days
✔✔HSV suppression therapy? - ✔✔Helps control disease and limits viral shedding
Acyclovir 400mg BID, Valacyclovir 500mg daily, Famciclovir 125-200mg BID
GRADED A+
✔✔Is it ever okay to start with more than one drug in HTN management? - ✔✔If BP is
more than 20/10 mmHg above goal, consider initiating therapy with low doses of two
drugs!
✔✔What are the safest HTN drugs to use in pregnancy? - ✔✔Hydralazine, Methyldopa,
B-Blockers
ACEIs/ARBS are CONTRAINDICATED
✔✔What are contraindications to Metformin? - ✔✔Creatinine >/= 1.4 in women, >/= 1.5
in men, and an eGFR of < 30.
✔✔What is the treatment for Atopic dermatitis? - ✔✔Begin treatment with Triamcinolone
(moderate potency) then taper to mild potency (Hydrocortisone, Aclometasone, or
Desonide), then taper to just emollients
✔✔What are the 3 stages of atopic dermatitis? - ✔✔Acute- weeping lesions; Tx w/
water or aluminum subacetate solution
Subacute- Scaly lesions; Tx w/ moderate-potent CS ointment
Chronic- lichenified lesions; Tx w/ high potency CS ointments
Severe Acute- Tx w/ prednisone
✔✔In severe acute exacerbations of atopic dermatitis, if MRSA is suspected, what
medications can be used to treat? - ✔✔1st generation cephalosporins or Doxycycline
✔✔What drugs should never be used to treat flares of psoriasis? - ✔✔Systemic
Corticosteroids
✔✔What percentage of TBSA is affected in limited disease psoriasis? What is the
treatment? - ✔✔< 10% TBSA affected; Use high potency or ultra high potency. Taper
down. Ok to add vitamin D analogs to topical therapy.
✔✔What are the only medications that can be used to treat psoriasis in the folds of
skin? - ✔✔Tacrolimus and Pimecrolimus
✔✔Psoriasis that affects 10-30% TBSA should be treated with? - ✔✔UV Phototherapy
✔✔Psoriasis that affects > 30% TBSA should be treated with? - ✔✔Narrow Band UVB
3x/week
✔✔What drug is effective for severe psoriasis? What drug is effective in
pustular/chronic plaque psoriasis? - ✔✔Methotrexate; TNF's
, ✔✔What is the treatment for pityriasis rosea? - ✔✔No treatment indicated; Self resolves
in 6 wks
Supportive treatment includes: Antihistamines for pruritus, medium potency CS for rash
(Triamcinolone)
✔✔What is the treatment for seborrheic dermatitis? - ✔✔On Scalp: Selenium/Zinc
Shampoo (alternate with Ketoconazole shampoo)
Add topical CS or lotion PRN
Facial: Mild CS (Hydrocortisone, Alclometasone, Desonide) OR Tacrolimus,
Pimecrolimus
Intertriginous areas: Low potency CS or Tacro/Pimecrolimus
Eyelids: Johnson/Johnson Shampoo
✔✔Tinea Corporis is A.K.A ringworm. The tx for tinea corporis is? - ✔✔Antifungal
ointment (Econazole, Miconazole, Clotrimazole)
Tx should be continued for 1-2 weeks AFTER clinical clearing.
✔✔If systemic treatment is needed for tinea corporis, what should be used? -
✔✔Itraconzole 200 mg daily x 1 week
✔✔Tinea Cruris (jock itch) is treated with: - ✔✔antifungal ointment: econazole,
miconazole, clotrimazole
Dry skin folds with drying powders, miconazole nitrate
Terbinafine ointment (OTC) usually curative in 7 days
✔✔Tinea versicolor is treated with? - ✔✔Selenium sulfide lotion-leave on 5-15 minutes
for 7 days, the weekly for one month, then monthly to prevent reoccurrence
Ketoconazole shampoo
✔✔If ketoconazole po is prescribed, what does education include? - ✔✔Do not shower
for 8-12 hours after taking this medication b/c it's delivered in sweat to the skin
✔✔Actinic Keratosis is a precursor to ? - ✔✔Squamous Cell Carcinoma
✔✔HSV primary treatment includes? - ✔✔Acyclovir 400mg 5x/day, Valacyclovir 1 G
BID, Famcyclovir 250mg TID. Tx continues for 7-10 days
✔✔HSV secondary infection treatment? - ✔✔Pharmacotherapy must be initiated at the
first s/s of recurrence to be effective
Valacyclovir 500mg BID, Acyclovir 200mg BID, Famciclovir 125mg BID. Tx continues
for 5 days
✔✔HSV suppression therapy? - ✔✔Helps control disease and limits viral shedding
Acyclovir 400mg BID, Valacyclovir 500mg daily, Famciclovir 125-200mg BID
