PC 707 Module 9 Exam Questions and Answers

PC 707 Module 9 Exam Questions and Answers Sierra has a bacterial infection. The two most common bacterial infections are _________________ and __________________ - Answer ️️ -(1) Staphylococcus aureus (2) Streptococcus pyrogens Gram Positive T/F. Bacterial skin infections are treated only with systemic pharmacological agents. - Answer ️️ -False T/F. A localized, mild bacterial infection is best treated with neomycin. - Answer ️️ -False. What type of topical treatment for bacterial skin infections commonly leads to allergic reaction, which will look like a worsening of the infection? - Answer ️️ -Neomycin T/F. Burned, broken or denuded skin increases absorption of the applied topical medication. - Answer ️️ -True T/F. Topical agents effectively treat diffuse and severe infections - Answer ️️ -False. Topical agents treat localized and mild infections Jenna has honey crusted lesions around her mouth and nose. What type of infection is this? - Answer ️️ -Impetigo Mild to moderate impetigo is treat with _____________ - Answer ️️ -Mupirocin (Bacitracin or Bactroban) What is used to treat severe impetigo that spreads to several different locations? - Answer ️️ - Combination of oral and topical treatment The CDC is the gold standard for information on MRSA. - Answer ️️ -True What does the CDC recommend for community acquired MRSA? - Answer ️️ -(1) I&D (2) C&S (3) education on wound care and hygiene (4) follow up in the absence of systemic symptoms (5) severe local symptoms and (6) immunosuppression. What should providers consider as a differential diagnosis when for infections of the skin and soft tissues, especially in the presence of an abscess? - Answer ️️ -MRSA What is the FIRST line treatment for skin infections? - Answer ️️ -Topical therapy Why are topical treatments first line therapy for skin infections - Answer ️️ -(1) Minimally absorbed (2) effective (3) few side effects (4) few interactions MOA of medications used to treat tinea? - Answer ️️ -Impair synthesis of ergosterol allowing increased permeability and leakage of cellular components resulting in cell death What are the most common fungi involved in primary care? - Answer ️️ -(1) Candida (2) Tinea What is the recommended route of administration for antifungal drugs? - Answer ️️ -Topical tinea capitis and tinea unguium are hard to treat so would you use topical therapy? - Answer ️️ -No. use systemic (oral) very hard to treat, resistant Sarah who is 32 weeks pregnant, has a fungal infection. The provider prescribes a topical anti- fungal. Are topical anti-fungals safe for use in pregnancy and lactation? - Answer ️️ -Yes How long would you treat a fungal infection? How long do you treat after lesions have disappeared? - Answer ️️ -2-4 weeks. 1 week Sarah who is 32 weeks pregnant has a fungal infection. The provider prescribes a systemic anti- fungal. What would you say? - Answer ️️ -Do no prescribe systemic anti-fungals for pregnant women Kisha has a yeast infection. What education would you provide Kisha? - Answer ️️ - Candidiasis loves dark, wet places. (1) Keep area dry (blow dry) , (2) use powders, (3) expose to air, (4) stress the importance of good hygiene (5) lay towel down on bench when working out (6) Don't share yo panties :-0 T/F. Systemic anti-fungal therapy has many interactions with drugs such as warfarin, theophylline, the macrolides (clindamycin), the statins and other drugs metabolized through the CYP450 metabolic pathway - Answer ️️ -True. Try to avoid One exception for the use of systemic antifungals is treatment of __________ - Answer ️️ - Thrush What is the drug of choice for candidiasis that is safe for infant and the nursing mother - Answer ️️ -Oral Mycostatin (Nystatin suspension) What topical agents are used for the treatment of tinea with the exception of the nails? - Answer ️️ -(1) Terbinafine (Lamisil) (2) clotrimazole (Lotrimin) What is the length for the treatment of tinea unguium and tinea