Question 80. Question :
Which one of the below-given instructions can be followed for applying a topical antibiotic or antiviral ointment?
Apply thickly to the infected area, spreading the medication well past the borders of the infection
If the rash worsens, apply a thicker layer of medication to settle down the infection
Wash hands before and after application of topical antimicrobials
None of the above
Question 81. Question :
Sadie is a ninety-year-old patient who requires a new prescription. What changes in drug distribution with aging would influence prescribing for Sadie?
Increased volume of distribution
Decreased lipid solubility
Decreased plasma proteins
Increased muscle-to-fat ratio
Question 82. Question :
First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea pedis (athlete’s foot) would be:
OTC topical azole (clotrimazole, miconazole)
Oral griseofulvin microsize
Nystatin cream or ointment
Question 83. Question :
Which of the following is true about procainamide and its dosing schedule?
It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen.
GI adverse effects are common, so the drug should be taken with food.
Adherence can be improved by using a sustained-release formulation that can be given once daily.
Doses of this drug should be taken evenly spaced around the clock to keep an even blood level.
Question 84. Question :
A nurse practitioner would prescribe the liquid form of ibuprofen for a six-year-old because:
Drugs given in liquid form are less irritating to the stomach.
A six-year-old may have problems swallowing a pill.
Liquid forms of medication eliminate the concern for first-pass effect.
Liquid ibuprofen does not have to be dosed as often as tablet form.
Question 85. Question :
Kristine would like to start HRT to treat the significant vasomotor symptoms she is experiencing during menopause. Education for a woman considering hormone replacement would include:
Explaining that HRT is totally safe if used for a short term
Telling her to ignore media hype regarding HRT
Discussing the advantages and risks of HRT
Encouraging the patient to use phytoestrogens with the HRT
Question 86. Question :
Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Which of the following actions would you take for appropriate decision making?
Prescribe Maxalt, but to monitor the use, only give her four tablets with no refills.
Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose.
Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital).
Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.
Question 87. Question :
The elderly are at high risk of ADRs due to:
Having greater muscle mass than younger adults, leading to higher volume of distribution
The extensive studies that have been conducted on drug safety in this age group
The blood-brain barrier being less permeable, requiring higher doses to achieve therapeutic effect
Age-related decrease in renal function
Question 88. Question :
Jim presents with fungal infection of two of his toenails (onychomycosis). Treatment for fungal infections of the nail includes: