CMN 572 FINAL EXAM TEST BANK 200+
QUESTIONS WITH 100% CORRECT
ANSWERS UPDATED 2024-2025
What drug favorably affects progession of diabetic nephropathy and reduces
albmuniuria? - Answer-ACEIs/ARBs
What drug can cause a non-productive cough and (rarely) airway swelling? - Answer-
ACEI
What lab tests need to be monitored when patient's are on ACEIs or ARBs? - Answer-
Electrolytes (K+), and serum creatinine- should be measured one month after initiation
In the treatment of HTN, what medication is especially useful in the young, white patient
who may have angina, or migraines? It is also very useful as a pre-op antihypertensive.
- Answer-B-Blockers
What medication may mask sxs of hypoglycemia in diabetics, alter glucose and insulin
levels, worsen asthma, COPD, or cause marked bradycardia? - Answer-B-Blocker
What class medication should be tapered with d/c'ed d/t rebound HTN? - Answer-B-
blocker
What medications are usually more effective than b-blockers or ACEI's in the elderly for
HTN, and are useful in patient's with angina? - Answer-CCB's
What are some SE's to CCB"s? - Answer-Ankle Edema, constipation, HF may occur
(more likely when given w/ BB), tachycardia, increase in surgical bleeding, drug hungry
BP
It is important to watch for first dose orthostatic hypotension with this drug. It can occur
anytime the dose is increased. - Answer-Alpha Blockers (Doxazosin, Prazosin,
terazosin)
Can alspha blockers be used as monotherapy to control HTN? - Answer-NO!- Often
requires co-use of diuretic d/t fluid retention and vasodilation
Abrupt cessation of this drug may result in rapid and excessive rise in BP (rebound
phenomenon)? - Answer-Alpha Blockers
After goal BP is reached, f/u visits may be every? - Answer-3-6 months, depending
upon comorbidities or other concerns
,What is the most common form of target organ damage associated with HTN? -
Answer-Ischemic Heart Disease
How can Ischemic heart disease be prevented? - Answer-Antihypertensive therapy, lipid
management, aspirin (after Bp is lowered to prevent hemorrhagic CVA)
In HTN management, what is the first drug ordered does not result in goal attainment?
next step? - Answer-Increase dose of first drug before adding a second drug.OR
Continue initial dose of first drug and add a low dose of a second drug.
Is it ever okay to start with more than one drug in HTN management? - Answer-If BP is
more than 20/10 mmHg above goal, consider initiating therapy with low doses of two
drugs!
What are the safest HTN drugs to use in pregnancy? - Answer-Hydralazine,
Methyldopa, B-Blockers
ACEIs/ARBS are CONTRAINDICATED
What are contraindications to Metformin? - Answer-Creatinine >/= 1.4 in women, >/= 1.5
in men, and an eGFR of < 30.
What is the treatment for Atopic dermatitis? - Answer-Begin treatment with
Triamcinolone (moderate potency) then taper to mild potency (Hydrocortisone,
Aclometasone, or Desonide), then taper to just emollients
What are the 3 stages of atopic dermatitis? - Answer-Acute- weeping lesions; Tx w/
water or aluminum subacetate solution
Subacute- Scaly lesions; Tx w/ moderate-potent CS ointment
Chronic- lichenified lesions; Tx w/ high potency CS ointments
Severe Acute- Tx w/ prednisone
In severe acute exacerbations of atopic dermatitis, if MRSA is suspected, what
medications can be used to treat? - Answer-1st generation cephalosporins or
Doxycycline
What drugs should never be used to treat flares of psoriasis? - Answer-Systemic
Corticosteroids
What percentage of TBSA is affected in limited disease psoriasis? What is the
treatment? - Answer-< 10% TBSA affected; Use high potency or ultra high potency.
Taper down. Ok to add vitamin D analogs to topical therapy.
What are the only medications that can be used to treat psoriasis in the folds of skin? -
Answer-Tacrolimus and Pimecrolimus
, Psoriasis that affects 10-30% TBSA should be treated with? - Answer-UV Phototherapy
Psoriasis that affects > 30% TBSA should be treated with? - Answer-Narrow Band UVB
3x/week
What drug is effective for severe psoriasis? What drug is effective in pustular/chronic
plaque psoriasis? - Answer-Methotrexate; TNF's
What is the treatment for pityriasis rosea? - Answer-No treatment indicated; Self
resolves in 6 wks
Supportive treatment includes: Antihistamines for pruritus, medium potency CS for rash
(Triamcinolone)
What is the treatment for seborrheic dermatitis? - Answer-On Scalp: Selenium/Zinc
Shampoo (alternate with Ketoconazole shampoo)
Add topical CS or lotion PRN
Facial: Mild CS (Hydrocortisone, Alclometasone, Desonide) OR Tacrolimus,
Pimecrolimus
Intertriginous areas: Low potency CS or Tacro/Pimecrolimus
Eyelids: Johnson/Johnson Shampoo
Tinea Corporis is A.K.A ringworm. The tx for tinea corporis is? - Answer-Antifungal
ointment (Econazole, Miconazole, Clotrimazole)
Tx should be continued for 1-2 weeks AFTER clinical clearing.
If systemic treatment is needed for tinea corporis, what should be used? - Answer-
Itraconzole 200 mg daily x 1 week
Tinea Cruris (jock itch) is treated with: - Answer-antifungal ointment: econazole,
miconazole, clotrimazole
Dry skin folds with drying powders, miconazole nitrate
Terbinafine ointment (OTC) usually curative in 7 days
Tinea versicolor is treated with? - Answer-Selenium sulfide lotion-leave on 5-15 minutes
for 7 days, the weekly for one month, then monthly to prevent reoccurrence
Ketoconazole shampoo
If ketoconazole po is prescribed, what does education include? - Answer-Do not shower
for 8-12 hours after taking this medication b/c it's delivered in sweat to the skin
Actinic Keratosis is a precursor to ? - Answer-Squamous Cell Carcinoma
HSV primary treatment includes? - Answer-Acyclovir 400mg 5x/day, Valacyclovir 1 G
BID, Famcyclovir 250mg TID. Tx continues for 7-10 days
