NR PHARM EXAM: Drugs Affecting the Integumentary
System QUESTIONS WITH ANSWERS 2022/2023 A+
Chapter 22.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A child presents with one golden-crusted lesion at the site of an insect bite consistent with impetigo.
Their 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 polymyxin B (generic double antibiotic ointment)
3.
Retapamulin (Altabax)
4.
Oral cephalexin (Keflex)
2. A patient is a nasal methicillin-resistant staphylococcus aureus (MRSA) carrier. Treatment to
eradicate nasal MRSA is mupirocin. Patient education regarding treating nasal MRSA
includes:
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 four weeks of therapy, with up to eight
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.
,NR PHARM EXAM: Drugs Affecting the Integumentary
System QUESTIONS WITH ANSWERS 2022/2023 A+
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.
Crusted lesions can be scrubbed off with a clean nailbrush.
4. A patient who used clotrimazole (Lotrimin AF) for athlete’s foot developed a red, itchy rash
consistent with a hypersensitivity reaction. They now have athlete’s foot again. What would be
a good choice of antifungal?
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 four to five weeks.
3.
Shampoo with baby shampoo daily while taking the griseofulvin.
4. Take the griseofulvin 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. Over-the-counter (OTC) topical azole (clotrimazole, miconazole)
2.
Oral terbinafine
3.
Oral griseofulvin microsize
4.
Nystatin cream or ointment
, NR PHARM EXAM: Drugs Affecting the Integumentary
System QUESTIONS WITH ANSWERS 2022/2023 A+
7. When prescribing topical penciclovir (Denavir) for the treatment of herpes labialis (cold sores)
patient education would include:
1.
Spread penciclovir liberally all over lips and the area surrounding lips.
2. Penciclovir therapy is started at the first sign of a cold sore outbreak.
3.
Skin irritation is normal with penciclovir and it should resolve.
4.
Penciclovir should be used a minimum of two weeks to prevent recurrence.
8. An adolescent has been prescribed isotretinoin (Accutane) by their dermatologist and is presenting to
their primary care provider with symptoms of sadness and depression. The Beck Depression
Inventory results indicate they have mild to moderate depression. What would be the best option at
this point?
1.
Prescribe a select serotonin reuptake inhibitor (SSRI) antidepressant.
2.
Refer them to a mental health therapist.
3. Contact their dermatologist about discontinuing the isotretinoin.
4.
Reassure them that mood swings are normal and schedule follow up in a week.
9. A 17-year-old competitive runner presents with hip pain that began after falling while running. Their
only medical problem is severe acne for which they take isotretinoin (Accutane). What should the
provider be concerned about?
1.
The patient may have pulled a muscle and needs to rest to recover.
2. They are at risk for bone injuries and need to be evaluated for fracture.
3.
Isotretinoin interacts with ibuprofen, which is the pain medication of choice.
4.
Teen athletes are at risk for repetitive stress injuries.
10. An adolescent female calls the clinic with concerns that her acne is worse one week after starting
topical tretinoin. What would be the appropriate care for her?
System QUESTIONS WITH ANSWERS 2022/2023 A+
Chapter 22.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A child presents with one golden-crusted lesion at the site of an insect bite consistent with impetigo.
Their 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 polymyxin B (generic double antibiotic ointment)
3.
Retapamulin (Altabax)
4.
Oral cephalexin (Keflex)
2. A patient is a nasal methicillin-resistant staphylococcus aureus (MRSA) carrier. Treatment to
eradicate nasal MRSA is mupirocin. Patient education regarding treating nasal MRSA
includes:
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 four weeks of therapy, with up to eight
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.
,NR PHARM EXAM: Drugs Affecting the Integumentary
System QUESTIONS WITH ANSWERS 2022/2023 A+
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.
Crusted lesions can be scrubbed off with a clean nailbrush.
4. A patient who used clotrimazole (Lotrimin AF) for athlete’s foot developed a red, itchy rash
consistent with a hypersensitivity reaction. They now have athlete’s foot again. What would be
a good choice of antifungal?
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 four to five weeks.
3.
Shampoo with baby shampoo daily while taking the griseofulvin.
4. Take the griseofulvin 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. Over-the-counter (OTC) topical azole (clotrimazole, miconazole)
2.
Oral terbinafine
3.
Oral griseofulvin microsize
4.
Nystatin cream or ointment
, NR PHARM EXAM: Drugs Affecting the Integumentary
System QUESTIONS WITH ANSWERS 2022/2023 A+
7. When prescribing topical penciclovir (Denavir) for the treatment of herpes labialis (cold sores)
patient education would include:
1.
Spread penciclovir liberally all over lips and the area surrounding lips.
2. Penciclovir therapy is started at the first sign of a cold sore outbreak.
3.
Skin irritation is normal with penciclovir and it should resolve.
4.
Penciclovir should be used a minimum of two weeks to prevent recurrence.
8. An adolescent has been prescribed isotretinoin (Accutane) by their dermatologist and is presenting to
their primary care provider with symptoms of sadness and depression. The Beck Depression
Inventory results indicate they have mild to moderate depression. What would be the best option at
this point?
1.
Prescribe a select serotonin reuptake inhibitor (SSRI) antidepressant.
2.
Refer them to a mental health therapist.
3. Contact their dermatologist about discontinuing the isotretinoin.
4.
Reassure them that mood swings are normal and schedule follow up in a week.
9. A 17-year-old competitive runner presents with hip pain that began after falling while running. Their
only medical problem is severe acne for which they take isotretinoin (Accutane). What should the
provider be concerned about?
1.
The patient may have pulled a muscle and needs to rest to recover.
2. They are at risk for bone injuries and need to be evaluated for fracture.
3.
Isotretinoin interacts with ibuprofen, which is the pain medication of choice.
4.
Teen athletes are at risk for repetitive stress injuries.
10. An adolescent female calls the clinic with concerns that her acne is worse one week after starting
topical tretinoin. What would be the appropriate care for her?
