(Latest Update )
Advanced Pharmacology for the
Adult-Gerontology Primary Care
Nurse Practitioner | Questions with
Answers | Grade A | 100% Correct –
Chamberlain
Question:
What types of infections are usually viral and do not warrant antibacterial
agents?
Answer:
Viral infections like flu, rsv and covid
Question:
Treatment for Tinea Pedis (ringworm of the foot or athletes foot)
Answer:
T.B
Terbinafine
Butenafine
,Question:
Treatment for Tinea Corporis (ringworm of the body)
Answer:
Topical Azole or Allylamine and should be continued 1 week after the
symptoms has cleared.
For severe cases - systemic anti-fungal agent like griseofulvin is given
T.B
Question:
Treatment for Tinea Cruris (ringworm of the groin)
Answer:
Topical works well and should be continue 1 week after the symptoms have
cleared.
If Severe, give systemic antifungal like Clotrimazole or both topical and
systemic glucocorticoids may be needed as well.
T.B.C if severe
,Question:
Tinea Capitis (ringworm of the scalp)
Answer:
Oral griseofulvin should be take 6 to 8 weeks as a standard therapy.
or
Oral Terbinafine which can be take for 2 to 4 weeks (more effective)
G.T
Question:
Treatment for oral candidiasis (thrush)
Answer:
Topical agents - nystatin, clotrimaozle and miconazole
If immunocompromised host, oral therapy of flucanozale or ketoconazole
Question:
What do you avoid to combine with Voriconazole?
Answer:
Phenobarbital. Because it is a CYP450 inducer that if given with Voriconazole
will impact the levels and will not be able to reach the therapeutic level.
, Question:
Treatment for asperigillosis (farmers lung)
Answer:
drug of choice is voriconazole
alt drugs: A.B.I.I.PC.M
Amphotericin B
Isavuconazonium
Itraconazole
Posaconazole
Caspofungin
Micafungin
Question:
Patient teaching of Itraconazole
Answer:
Avoid combing with drugs that metabolize by CYP3A4
Take PPIs at least 1 hour before or itraconazole 2 hours after
And instruct to watch for signs of liver dysfunction.