PHARMACOLOGY MIDTERM COMPREHENSIVE
EXAMINATION 2026 FULL QUESTIONS AND
CORRECT ANSWERS
◉ An adolescent female calls the clinic with concerns that her acne
is worse 2 weeks after starting topical tretinoin. What would be the
appropriate care for her. Answer: Reassure her that the worsening of
acne is normal and it should improve with continued use
◉ Treatment for Tinea capitis. Answer: Oral griseofulvin or Biweekly
shampoo with selenium sulfide or ketoconazole for 6 to 8 weeks
◉ Treatment for Tinea corporis and tinea pedis. Answer: Topical
antifungals like miconazole applied twice daily for 4 weeks
◉ Treatment of Onychomycosis. Answer: Oral griseofulvin,
ketoconazole, itraconazole, or terbinafine for several months; topical
product is ciclopirox 8% (Penlac)
◉ Common treatments and counseling points for scabies. Answer:
Common therapies: permethrin, ivermectin, crotamiton
, For permethrin, apply from the neck down, and leave the medication
on for at least eight to 10 hours. Often, all household members and
other close contacts should be treated.
Bedding, clothing, and towels used by infested persons or their
household, sexual, and close contacts (as defined above) anytime
during the three days before treatment should be decontaminated
by washing in hot water and drying in a hot dryer, by dry-cleaning,
or by sealing in a plastic bag for at least 72 hours.
◉ Reduces Oral contraceptive efficacy. Answer: Concomitant use of
hepatic enzyme inducers such as rifampin; barrier methods of
contraception should be used as backup
◉ Long-term use of androgens requires specific laboratory
monitoring of:. Answer: Calcium, testosterone, PSA, liver function,
glucose, & lipids
◉ existing pregnancy. Answer: A contraindication to using the
morning after (Plan B) contraceptive for emergency contraception
(EC)
◉ To avoid breakthrough bleeding. Answer: When a hormonal
contraceptive and a hormone replacement therapy drug are taken
together, they should be taken at the same time each day