nurs 5334 quiz 2
study guide exams set test paper questions and
solutions
2026 view ahead exam.
⫸ older adults. answer: thinner skin → higher risk of steroid-induced atrophy.
⫸ hormonal therapy (ocps). answer: may be used in women for acne.
⫸ isotretinoin, acitretin, and finasteride. answer: avoid in pregnancy due to teratogenic effects.
⫸ topical metronidazole and azelaic acid. answer: safe in pregnancy.
⫸ terbinafine. answer: avoid in breastfeeding as it accumulates in milk.
⫸ psoriasis treatment. answer: start with cost-effective topicals (steroids, vitamin d analogues);
escalate to systemic therapy if >5% bsa.
⫸ acne first-line treatments. answer: benzoyl peroxide and retinoids are inexpensive and
effective.
,⫸ isotretinoin. answer: requires monitoring and registration.
⫸ eczema treatment. answer: emollients and steroids are first-line; calcineurin inhibitors for
steroid-sparing use.
⫸ topical steroids monitoring. answer: monitor for skin atrophy, striae, hypopigmentation.
⫸ isotretinoin monitoring. answer: monitor liver function, lipids, pregnancy tests.
⫸ antifungals monitoring. answer: monitor lfts for terbinafine and azoles.
⫸ methotrexate monitoring (psoriasis). answer: monitor cbc, lfts, renal function.
⫸ infants/children drug precautions. answer: avoid systemic steroids; cautious with high-
potency topicals.
⫸ pregnant women drug precautions. answer: avoid teratogenic drugs (isotretinoin, acitretin,
finasteride, methoxsalen).
⫸ older adults drug precautions. answer: higher risk of adverse skin thinning with steroids.
,⫸ transgender patients. answer: consider hormonal therapies (ocps, spironolactone) with
attention to interactions.
⫸ sunscreen application. answer: apply 3 tbsp every 2 hrs, broad spectrum ≥spf 30.
⫸ steroid use. answer: apply thin layer, lowest potency, avoid face/perineum unless directed.
⫸ acne medications. answer: retinoids may worsen acne before improving; isotretinoin
requires ipledge compliance.
⫸ oral terbinafine for onychomycosis. answer: must be taken for months.
⫸ griseofulvin drug-food interaction. answer: with fatty meals ↑ absorption.
⫸ legal prescriptions. answer: follow state-specific requirements for aprn prescriptive authority.
⫸ generic names in prescriptions. answer: use when possible; include strength, dosage, route,
frequency, and duration.
, ⫸ controlled/teratogenic medications. answer: ensure they follow federal monitoring
programs.
⫸ epidermis. answer: protective layer, stratum corneum with lipids/keratin.
⫸ dermis. answer: connective tissue, sweat glands, sebaceous glands, hair follicles, vessels.
⫸ ointment. answer: oil-based, occlusive, best for dry, scaly lesions.
⫸ cream. answer: water-based, less greasy, for moist/weeping lesions.
⫸ lotion/solution/gel/foam. answer: useful for hairy areas and widespread application.
⫸ retinoids. answer: comedolytic, anti-inflammatory agents used in acne treatment.
⫸ benzoyl peroxide. answer: antibacterial against p. acnes.
⫸ topical antibiotics. answer: includes clindamycin, erythromycin, dapsone.
study guide exams set test paper questions and
solutions
2026 view ahead exam.
⫸ older adults. answer: thinner skin → higher risk of steroid-induced atrophy.
⫸ hormonal therapy (ocps). answer: may be used in women for acne.
⫸ isotretinoin, acitretin, and finasteride. answer: avoid in pregnancy due to teratogenic effects.
⫸ topical metronidazole and azelaic acid. answer: safe in pregnancy.
⫸ terbinafine. answer: avoid in breastfeeding as it accumulates in milk.
⫸ psoriasis treatment. answer: start with cost-effective topicals (steroids, vitamin d analogues);
escalate to systemic therapy if >5% bsa.
⫸ acne first-line treatments. answer: benzoyl peroxide and retinoids are inexpensive and
effective.
,⫸ isotretinoin. answer: requires monitoring and registration.
⫸ eczema treatment. answer: emollients and steroids are first-line; calcineurin inhibitors for
steroid-sparing use.
⫸ topical steroids monitoring. answer: monitor for skin atrophy, striae, hypopigmentation.
⫸ isotretinoin monitoring. answer: monitor liver function, lipids, pregnancy tests.
⫸ antifungals monitoring. answer: monitor lfts for terbinafine and azoles.
⫸ methotrexate monitoring (psoriasis). answer: monitor cbc, lfts, renal function.
⫸ infants/children drug precautions. answer: avoid systemic steroids; cautious with high-
potency topicals.
⫸ pregnant women drug precautions. answer: avoid teratogenic drugs (isotretinoin, acitretin,
finasteride, methoxsalen).
⫸ older adults drug precautions. answer: higher risk of adverse skin thinning with steroids.
,⫸ transgender patients. answer: consider hormonal therapies (ocps, spironolactone) with
attention to interactions.
⫸ sunscreen application. answer: apply 3 tbsp every 2 hrs, broad spectrum ≥spf 30.
⫸ steroid use. answer: apply thin layer, lowest potency, avoid face/perineum unless directed.
⫸ acne medications. answer: retinoids may worsen acne before improving; isotretinoin
requires ipledge compliance.
⫸ oral terbinafine for onychomycosis. answer: must be taken for months.
⫸ griseofulvin drug-food interaction. answer: with fatty meals ↑ absorption.
⫸ legal prescriptions. answer: follow state-specific requirements for aprn prescriptive authority.
⫸ generic names in prescriptions. answer: use when possible; include strength, dosage, route,
frequency, and duration.
, ⫸ controlled/teratogenic medications. answer: ensure they follow federal monitoring
programs.
⫸ epidermis. answer: protective layer, stratum corneum with lipids/keratin.
⫸ dermis. answer: connective tissue, sweat glands, sebaceous glands, hair follicles, vessels.
⫸ ointment. answer: oil-based, occlusive, best for dry, scaly lesions.
⫸ cream. answer: water-based, less greasy, for moist/weeping lesions.
⫸ lotion/solution/gel/foam. answer: useful for hairy areas and widespread application.
⫸ retinoids. answer: comedolytic, anti-inflammatory agents used in acne treatment.
⫸ benzoyl peroxide. answer: antibacterial against p. acnes.
⫸ topical antibiotics. answer: includes clindamycin, erythromycin, dapsone.
