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) - CORRECT ANSWER: 2. Bacitracin and polymixin B
(generic double antibiotic ointment)
A patient has been prescribed silver sulfadiazine (Silvadene) cream to treat burns on his
leg. Normal adverse effects of silver sulfadiazine cream include:
1. Transient leukopenia on days 2 to 4 that should resolve
2. Worsening of burn symptoms briefly before resolution
3. A red, scaly rash that will resolve with continued use
4. Hypercalcemia - CORRECT ANSWER: 1. Transient leukopenia on days 2 to 4 that
should resolve
,After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:
1. Testing for H. pylori eradication with a serum ELISA test
2. Endoscopy by a specialist
3. A proton pump inhibitor for 8 to 12 weeks until healing is complete
4. All of the above - CORRECT ANSWER: 3. A proton pump inhibitor for 8 to 12 weeks
until healing is complete
An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
1. Histamine2 receptor antagonists for 4 to 8 weeks
2. Proton pump inhibitor bid for 12 weeks until healing is complete
3. Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
4. Proton pump inhibitor bid and levofloxacin for 14 days - CORRECT ANSWER: 3.
Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
An elderly person has been prescribed lactulose for treatment of chronic constipation.
Monitoring with long-term treatment would include:
1. Electrolytes, including potassium and chloride
2. Bone mineral density for osteoporosis
3. Magnesium level
4. Liver function - CORRECT ANSWER: 1. Electrolytes, including potassium and
chloride
Appropriate initial treatment for psoriasis would be:
1. An immunomodulator (Protopic or Elidel)
2. Wet soaks with Burrow's or Domeboro solution
3. Intermittent therapy with intermediate potency topical corticosteroids
4. Anthralin (Drithocreme) - CORRECT ANSWER: 3. Intermittent therapy with
intermediate potency topical corticosteroids
Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal
complaints. Bismuth subsalicylate:
1. May lead to toxicity if taken with aspirin
2. Is contraindicated in children with flu-like illness
3. Has antimicrobial effects against bacterial and viral enteropathogens 4. All of the
above - CORRECT ANSWER: 4. All of the above
Catherine calls the clinic with concerns that her acne is worse 1 week after starting
topical tretinoin. What would be the appropriate care for her?
1- Change her to a different topical acne medication as she is having an adverse
reaction to the tretinoin.
2- Switch her to an oral antibiotic to treat her acne.
3- Advise her to apply an oil-based lotion to her face to soothe the redness.
4- Reassure her that the worsening of acne is normal and it should improve with
continued use. - CORRECT ANSWER: 4- Reassure her that the worsening of acne is
normal and it should improve with continued use.
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