2 . Order Accutane after educating her on the adverse effects. 3 . Recommend she try oral antibiotics (minocycline). 4 . Refer her to a dermatologist for treatment. 11. The most cost-effective treatment for two or three impetigo lesions on the face is: 1 . Mupirocin ointment 2 . Retapamulin (Altabax) ointment 3 . Topical clindamycin solution 4 . Oral amoxicillin/clavulanate (Augmentin) 12. Dwayne has classic tinea capitis. Treatment for tinea on the scalp is: 1 . Miconazole cream rubbed in well for 4 weeks 2 . Oral griseofulvin for 6 to 8 weeks 3 . Ketoconazole shampoo daily for 6 weeks 4 . Ciclopirox cream daily for 4 weeks 13. Nicolas is a football player who presents to the clinic with athlete’s foot. Patients with tinea pedis may be treated with: ADV Pharm | TextBook | StudyGuide 82
1 . OTC miconazole cream for 4 weeks 2 . Oral ketoconazole for 6 weeks 3 . Mupirocin ointment for 2 weeks 4 . Nystatin cream for 2 weeks 14. Jim presents with fungal infection of two of his toenails (onychomycosis). Treatment for fungal infections of the nail includes: 1 . Miconazole cream 2 . Ketoconazole cream 3 . Oral griseofulvin 4 . Mupirocin cream 15. Scabies treatment for a 4-year-old child includes a prescription for: 1. Permethrin 5% cream applied from the neck down 2. Pyrethrin lotion 3. Lindane 1% shampoo 4. All of the above 16. Vanessa has been diagnosed with scabies. Her education would include: 1 . She should apply the scabies treatment cream for an hour & wash it off. 2 . Scabies may need to be retreated in a week after initial treatment. 3 . All members of the household & close personal contacts should be treated. 4 . Malathion is flammable & she should take care until the solution dries. 17. Catherine has head lice & her mother is asking about what products are available that are not neurotoxic. The only non-neurotoxin head lice treatment is: 1 . Permethrin 1% (Nix) 2 . Lindane shampoo 3 . Malathion (Ovide) 4 . Benzoyl alcohol (Ulesfia) 18. Rick has male pattern baldness on the vertex of his head & has been using Rogaine for 2 months. He asks how effective minoxidil (Rogaine) is. Minoxidil: 1 . Provides a permanent solution to male pattern baldness if used for at least 4 months 2 . Will show results after 4 months of twice-a-day use 3 . May not work for Rick’s type of baldness 4 . Works better if he also uses hydrocortisone cream daily on his scalp Chapter 33. Diabetes Mellitus 1. Type 1 diabetes results from autoimmune destruction of the beta cells. Eighty-five to 90% of type 1 diabetics have: 1 . Autoantibodies to two tyrosine phosphatases 2 Mutation of the hepatic transcription factor on chromosome 12 ADV Pharm | TextBook | StudyGuide 83
. 3 . A defective glucokinase molecule due to a defective gene on chromosome 7p 4 . Mutation of the insulin promoter factor 2. Type 2 diabetes is a complex disorder involving: 1 . Absence of insulin production by the beta cells 2 .