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SARAH MICHELLE LIVE EXAM
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SARAH MICHELLE LIVE EXAM
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SARAH MICHELLE LIVE EXAM 2024 NEWEST COMPLETE500 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) /ALREADY GRADED A+
Topical Steroids - ANSWER: -Most to least potent: ointments, creams (most easily
absorbed), lotions, solutions
-Classes 1-7 (1 is most potent, 7 is OTC)
-Most potent may be used on hands/ feets, least potent used on face
-Class 1 may lead to serious adrenal suppression
Mupirocin (Bactroban) Ointment - ANSWER: -Primary treatment for nonbullous
impetigo
-Treats staphylococcus aureus & streptococcus pyogenes
-See improvement in 3-5 days
Antivirals (-cyclovir) - ANSWER: -Commonly treats what conditions
-Can be really harsh on the kidneys- HYDRATION!
-Must be started within 48 hours of symptom onset
Antifungals: Triazoles - ANSWER: -Medications are teratogenic (do not give during
pregnancy), liver toxicity
-Can be used for vaginal infections, tinea versicolor, ringworm
Antifungals: Selenium sulfide - ANSWER: -Selsun blue (both antifungal and anti-
infective)
-Used for tinea versicolor, tinea capitis, dandruff
Pinworm (Enterobiasis) Treatment - ANSWER: -Drug ending: -azole (mebendazole,
albendazole)
-OTC option: pyrantel pamote
-Given one dose, then second dose two weeks later
-TREAT EVERYONE IN THE HOME
Terbinafine (Limisil) - ANSWER: -Used to treat tinea capitis (2-4 weeks) and
onychomycosis (6-12 weeks)
-Monitor liver
Griseofulvin (GRIS-PEG) - ANSWER: -Treatment of tinea capitis
-6-8 week treatment
-Take with fatty meal
-Monitor liver function
Permethrin - ANSWER: -Prescribed for lice and scabies (sometimes fleas and ticks)
-Over excites nervous system
-Scabies: apply to entire body before bed then wash off in 12 hours; repeat in 1 week
-Lice: Apply to head & remove immediately after
, Acne - ANSWER: -Mild to moderate acne: benzoyl peroxide (drying & pilling of skin
on face to rid of bacteria on face)
-After initial failed- tretinoin (Retin-A), oral antibiotics (tetracyclines), referral
-Last resort- Accutane (must be on 2 forms of birth control)
Valproic acid (Depakote) - ANSWER: -Treats/ prevents seizures
-SE: weight gain, hair loss (affects appetite, metabolism)
-Monitor liver ** function and trough levels (normal 50-100)
-Do not use during pregnancy
Phenytoin (Dilantin) - ANSWER: -Used for generalized and complex partial seizures
-SE: gingival hyperplasia, hirsutism
-May decrease effectiveness of birth control
-Monitor LFT's
Carbamazepine (Tegretol) - ANSWER: -Treats trigeminal neuralgia
-Mild anticholinergic effects
-Must monitor CBC every 3 months for first year d/t agranulocytosis and bone
marrow suppression
Gabapentin (Neurontin) - ANSWER: -Anticonvulsant, neuropathy, nerve pain
-Works by altering electrical activity on neurotransmitters in the brain
-Warn patients of sedating effects, controlled substance in some states (may become
dependent)
Topiramate (Topamax) - ANSWER: -Used for seizures & migraines
-SE: weight loss (avoid with hx of eating disorders)
-Avoid with renal and hepatic issues (increased risk of kidney stones)
What is the maximum # times you can take a migraine abortive therapy per week? -
ANSWER: 2 days per week (risk rebound HA)
Intranasal sumatriptan can help with what type of HA? - ANSWER: Cluster HAs +
100% O2
Levodopa-Carbidopa (Sinemet) - ANSWER: -Prevents levodopa to be destroyed to
convert it to dopamine
-Most effective in helping with bradykinesia
-Monitor for hypotension
Dopamine agonists - ANSWER: -Mimics the action of dopamine used to delay start of
levodopa
-SE: Impulse control issues, edema, hypotension
-Ex: Ropinirole (Requip), Pramipexole (Mirapex)
Meclizine (Antivert) - ANSWER: -Commonly used as antiemetic
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