Chapter 22. Drugs Affecting the Integumentary System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Erik presents with one golden-crusted lesion at the site of an insect bite consistent with impetigo. His
parents have limited finances and request the least expensive-treatment. Which medication would be
the best choice for treatment?
1. Mupirocin (Bactroban)
2. Bacitracin and polymixin B (generic double antibiotic ointment)
3. Retapamulin (Altabax)
4. Oral cephalexin (Keflex)
2. Juakeem is a nasal methicillin resistant staphylococcus aureus (MRSA) carrier. Treatment to
eradicate nasal MRSA is mupirocin. Patient education regarding treating nasal MRSAincludes:
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.
3. Instructions for applying a topical antibiotic or antiviral ointment include:
1. Apply thickly to the infected area, spreading the medication well past the borders
of the infection.
2. If the rash worsens, apply a thicker layer of medication to settle down the
infection.
3. Wash hands before and after application of topical antimicrobials.
4. None of the above
4. 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
5. When prescribing griseofulvin (Grifulvin V) to treat tinea capitis it is critical to instruct the patient or
parent to:
1. Mix the griseofulvin with ice cream before administering
2. Take the griseofulvin until the tinea clears, in approximately 4 to 5 weeks
3. Shampoo with baby shampoo daily while taking the griseofulvin
4. Griseofulvin is best absorbed if ingested with a high-fat food.
6. First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea
pedis (athlete’s foot) would be:
1. OTC topical azole (clotrimazole, miconazole)
, 2. Oral terbinafine
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Erik presents with one golden-crusted lesion at the site of an insect bite consistent with impetigo. His
parents have limited finances and request the least expensive-treatment. Which medication would be
the best choice for treatment?
1. Mupirocin (Bactroban)
2. Bacitracin and polymixin B (generic double antibiotic ointment)
3. Retapamulin (Altabax)
4. Oral cephalexin (Keflex)
2. Juakeem is a nasal methicillin resistant staphylococcus aureus (MRSA) carrier. Treatment to
eradicate nasal MRSA is mupirocin. Patient education regarding treating nasal MRSAincludes:
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.
3. Instructions for applying a topical antibiotic or antiviral ointment include:
1. Apply thickly to the infected area, spreading the medication well past the borders
of the infection.
2. If the rash worsens, apply a thicker layer of medication to settle down the
infection.
3. Wash hands before and after application of topical antimicrobials.
4. None of the above
4. 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
5. When prescribing griseofulvin (Grifulvin V) to treat tinea capitis it is critical to instruct the patient or
parent to:
1. Mix the griseofulvin with ice cream before administering
2. Take the griseofulvin until the tinea clears, in approximately 4 to 5 weeks
3. Shampoo with baby shampoo daily while taking the griseofulvin
4. Griseofulvin is best absorbed if ingested with a high-fat food.
6. First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea
pedis (athlete’s foot) would be:
1. OTC topical azole (clotrimazole, miconazole)
, 2. Oral terbinafine
