913 block 1

Warts are caused by:

Herpes Simplex Virus (HSV)

Staphylococcus aureus

Toads or Frogs

Human Papillomavirus (HPV)

HPV

Which of the following is an exclusion criteria for self-treatment of warts?

Patients presenting with plantar warts

Patients who have poorly controlled chronic diabetes

Patients who are < 12 years of age

Patient who previously self-treated a wart

Patients who have poorly comtrolled chromic diabetes

Which of the following is an appropriate counseling point for cryotherapy?

Self-treatment should not continue beyond a maximum of 8 treatments

Save the applicator to use for subsequent treatments you may need, as many warts do not resolve after first treatment

Do not apply cryotherapy directly to the wart itself. Apply to the surrounding areas

You may use a file to lightly remove the surface of your plantar wart while using cryotherapy

You may use a file to lightly remove the surface of your plantar wart while using cryotherapy

Hallmark characteristics of warts include:

Yellowish thickening of the skin with diffuse boarders

Painful erythematous lesions that bleed easily

Rough cauliflower-like lesion

Swollen and discolored demarcated lesions

Rough cauliflower like region

Which of the following is NOT true regarding warts?

Patients should keep their warts uncovered and exposed to air as much as possible

Covering the wart with duct-tape can be used as add-on treatment

Patients should not share socks or shoes because warts can spread

Patients with uncomfortable plantar warts can use padding; such as wool or moleskin

Patients should keep their warts uncovered and exposed to air as much as possible

Warts can resolve without treatment T/F

True

What are the differences between a plantar wart and a corn

Warts: any area on foot, rough appearance

Corn: pressure point and a hollow core

Which of the following is observed in a callus but not a plantar wart?

Continuation of skin lines

Rough appearance

Flat or nearly flat to skin

Small black or red dots

Continuation of skin lines

A wart located on this part of the body is not treatable

Mucous membranes

Genitalia and anus

Armpits and breasts

Face and nails

The following diseases would necessitate referral for wart treatment except:

Diabetes

Obesity

Immunosuppression

Neuropathy

Obesity

Non prescription salicylic acid is more effective than cryotherapy T/F

False

How often should a 40% salicylic acid disc be changed?

Every 48 hours

Which of the following is a recommended step for wart treatment with a non-prescription product?

Apply ice pack to wart and surrounding areas for 10 minutes

Soak effected area in warm water for 5 mins

Avoid wearing shoes or covering wart for 2 hours prior to treatment

Apply emollient before and after treatment

Soak effected area in warm water for 5 minutes

Cryotherapy kills HPV which causes warts? T/F

False

A potential adverse effect of non prescription cryotherapy treatment of warts includes:

Scarring

Tinnitus

Worsening wart growth

Nausea and vomiting

Scarring

This common household item may help get rid of warts:

Duct tape

Patients should be referred for self treatment of self care does not resolve a wart after:

2 weeks

3 months

30 days

6 months

3 months

Warts are contagious T/f

True

Provide non pharmacologic counseling tips

Don't share socks

Wash hand thoroughly

Cover wart at all times

Don't cut, shave, or pick

Which of the following is not a risk factor for fungal skin infections?

His feet are in a moist, warm, humid environment

He does not wash his clothes after every workout

Trauma to feet after workout

He uses deodorizer on his feet

He used deodorizer on his feet

Which of the following does not increase risk of fungal skin infections?

Hygiene

Use of public shower facilities

Participation in high impact sports

Flip flops in summer

Flip flops in summer

What type of fungal skin infection appears on the feet?

Tania unguinum

A

Tinea cruris

Tinea corporis

Tinea pedis

Tinea pedis

Which of the following is not a symptom consistent with self treatable Tinea pedis?

Toenail involvement

Inflammation

Intense itching

Skin scaling

Toenail involvement

All of the following characteristics are common with Tinea cruris?

Bright red lesions

Elevated lesions

Bilateral- affects both thighs

Affects genitalia

Affects genitala

What prescription drug is best for fungal infections?

Terbinafine or butenafine

Undecylenic

Tolnaftate

Clotrimazole or miconazole

Terbinafine or butenafine

Which OTC product is not viable for resolving fungal skin infections?

Aluminum acetate

Terbinafine

Tolnaftate

Miconazole

Aluminum acetate

Which of the following offers the shortest treatment duration for fungal skin infections?

Terbinafine

Clotrimazole

Butenafine

Tolnaftate

Terbinafine

What drug is best for preventing the recurrence of Tinea pedis?

Undecyclic acid

Terbinafine

Butenafine

Tolnaftate

Tolnaftate

Which anti fungal could act with warfarin, a blood thinner?

Miconazole

The treatment course for most fungal skin infections on the foot is typically

5-7 days

2-4 weeks

1-2 weeks

4-6 weeks

2-4 weeks

Which of the following dosage form may be less effective in the treating a fungal skin infection?

Spray

Which of the following is not suggested to prevent future fungal skin infections?

Do not share towels

Go barefoot as much as possible

Use talcum powder in your shoes

Launder socks/clothing in contact w affected areas separately

Go barefoot as much as possible

Launder socks/clothing in contact with infected areas separately

Tinea corporis is most common in

Kids

Hot, moist environment

Tinea infections with what non-prescription drug would be expected to worsen?

Steroid cream (hydrocortisone)

T/f: Tinea corporis requires longer treatment time than Tinea pedis

False

Tinea pedis requires more time than Tinea cruris to heal

True

A typical treatment time for resolution of most fungal skin infections should be expected to take

2-4 weeks

3-5 days

7-10 days

2-4 months

2-4 weeks

A patient with the following fungal skin infection should be referred to a primary care provider for treatment:

Tinea pedis

Tennis corporis

Tinea unguium

Tinea cruris

Tinea unguium

Which is generally the most effective and efficient dosage form for treatment of fungal skin infections?

Solution

What is the most common symptom a patient with a cutaneous fungal infection experiences?

Pruritus

Hyperehidroaia

Odor

Erythema

Pruritis. (Itching)

An astringent may be used to treat Tinea pedis prior to anti fungal product in the following situation

Scaling is present

Significant itching is present

Nail involvement is present

Weeping lesions are present

Weeping lesions are present

The United States self-care marketplace currently includes three categories of products available for self-care use. Which of the following is NOT one of those categories of products?

Nonprescription medications

Dietary Supplements

Complementary Health Therapies

Prescription medications

Prescription medications

In a 2015 study (noted in your text reading), pharmacists reported they often assisted in patient initiated self-care. The most frequent counseling activity they provided for patient's seeking self-care with nonprescription medications was:

Dosing information about a product

Product selection based on patient symptoms

Product side effects and safety considerations

Information on when to seek medical care

Product selection based on patient symptoms

QuEST/SCHOLAR-MAC is a tool that helps pharmacist utilize the Pharmacists Patient Care Process (PPCP) efficiently during self-care encounters. The SCHOLAR mnemonic corresponds to this core step of the PPCP:

Collect

This core step of the Pharmacists Patient Care Process includes presentation of a selected appropriate nonprescription product to the patient and providing education regarding its use.

Implement

Specific information in outlined sections is required on a Drug Facts Label. Which of the following is NOT a required section?

Uses

Drug Pregnancy Category

Directions

Inactive ingredients

Drug pregnancy category

Which of the following is an appropriate nonprescription recommendation for Allergic Contact Dermatitis?

Topical antibiotic (Neosporin)

Topical anesthetic

Topical anti-histamine (diphenhydramine)

Topical anti-fungal (clotrimazole)

Topical steriod (hydrocortisone)

Hydrocortisone

Which of the following would require a medical referral for Allergic Contact Dermatitis?

Weeping blisters

A 3 year old patient

Involvement of ~10% body area

Dermatitis has been present for a few days

Involvement inside the mouth and nose

Involvement inside the mouth and nose

Which of the following is an appropriate non-pharmacologic measure to recommend for diaper dermatitis?

Increase amount of time the affected area is exposed to air

Use baby wipes that contain alcohol to clean/dry out the area

Use cloth diapers instead of disposable diapers

Clean the diaper area every hour with a mild soap and water

Decrease the number of diaper changes

Increase amount of time affected area is exposed to air

Which patient would be a candidate for self-treatment of diaper dermatitis?

3 month old who presents with dermatitis that has spread past the diaper region

7 month old with areas of broken skin due to incessant scratching

4 month old who has developed lesions with pus

5 month old who has reddened purple lesions present

6 month old who presents with diaper dermatitis and has been experiencing fever and diarrhea

5 moth old who has reddened and purple lesions present

Which of the following is an appropriate nonprescription medication to recommend for diaper dermatitis?

Topical Anesthetic (benzocaine)

Topical antibiotic (Neosporin)

Topical antihistamine (Benadryl: diphenhydramine)

Skin protectant (Zinc Oxide)

Skin protectant (zinc oxide)

Which of the following pharmacologic therapies has the greatest concern for treatment resistance when treating pediculosis?

Pramoxine

Tea tree Oil

Ivermectin

Permethrin

Permethrin

Which of the following is true regarding lice infestation?

Lice are most commonly spread by sharing of personal items (caps, brushes, etc)

Lice infestations primarily affect disadvantaged populations

Head lice are the most common cause of lice infestion

Lice can typically survive up to 1 week when not in contact with a host

Head lice are the most common cause of lice infestation

Follow-up for nonallergic reactions to insect bites that worsen or fail to improve with self-treatment should occur within how many days?

14 days

3 days

10 days

7 days

7 days

Which of the following is an exclusion criterion for the self-treatment of insect stings?

Less than 2 years of age

First-time exposure to a honeybee sting

Presentation with concomitant chigger bites

Burning and pain at the site of sting

Less than two years of age

Scabies is a skin infection caused by infestation of which of the following insects?

Mites

Fleas

Mosquitos

Chiggers

Mites

Which of the following is a common cause of scaly dermatoses?

Staphylococcus

Pseudomonas

Candida

Streptococcus

Malassezia

Malassezia

Shampoos containing this ingredient should be avoided in patients with dermatitis

Sodium lauryl sulfate

Selenium sulfide

Pyrithione zinc

Ketoconazole

Sodium laurel sulfate

Which of the following is NOT an important counseling point for a patient using a medicated shampoo to treat dandruff?

Patient should rinse their hair at least twice after using a medicated shampoo

If using a product with selenium sulfide, ensure to rinse thoroughly because discoloration can occur

Patient should massage shampoo into scalp and leave on hair for 3-5 minutes

Correct!

Initially only use medicated shampoo once weekly to avoid skin irritation

Initially only use medicated shampoo once weekly to avoid skin irritation

Which of the following is the best option to treat inflammation associated with seborheic dermatitis and psoriasis?

Zinc Oxide

Acetaminophen

Salicylic Acid

Ketoconazole

Hydrocortisone

Hydrocortisone

Which of the following would warrant a medical referral?

A patient with yellow, greasy lesions around nasolabial folds

A patient asking for another treatment option after experiencing no improvement from what you gave her 2 weeks ago

A patient with small, pin-point bleeding when removing scales

A 5 year old patient

A patient asking for another treatment option after experiencing no improvement from what you gave her two weeks ago

Tinea uginchium

Tinea coripus

Tinea capitis

Tinea pedia

Tinea corporus

Which local anesthetic has a lower incidence of adverse effects?

benzocaine

phenol

pramoxine

dibucaine

Pramoxine

Local anesthetics have potential to cause the following adverse effect:

Sun Sensitivity

Skin atropy

dizziness

allergic contact dermatitis

Allergic contact dermatitis

Insect bites can be self-treated for ____ before medical follow up is recommended.

1 week

2-3 weeks

1 month

3 months

1 week

Which non-drug measure is an appropriate recommendation for JL?

Place heat on the bites area for 10 minutes

Use a separate towel to dry bites

Keep nails trimmed or area covered to avoid scratching

Use a rough washcloth to gently scratch the area for relief of itching

Keep nails trimmed or area covered to avoid scratching

Name a nonprescription product JL can use to prevent insect bites in the future

DEET

DEET can be used in children OVER ---- of age

2 months

6 months

1 year

2 years

2 months

DEET should be applied:

Up to every 1-2 hours

Up to every 2-4 hours

Up to every 4-8 hours

Up to every 8-12 hours

Every 4-8 hours

To avoid insect stings, the following is recommended:

Avoid perfumes and scented lotion

Avoid dark clothing

Use DEET or

Remove standing water around house

Avoid perfumes and scented lotions

You determine MB does have lice. If she has allergies to penicillin what treatment(s) could you recommend?

Synergized pyrethrins

Permethrins

Cetaphil cleanser

Medical referral

Synergized pyrethrins

Permethrins

Cetaphil clemser

If you recommend Permethrin or Synergized Pyrethrins, how long should the product remain in contact with hair?

10 minutes

30 minutes

2 hours

8 hours

10 minutes

What non-pharmacologic measures should be taken to prevent lice

Rinse pediculocide in sink from hair

Launder clothing/bedding in pediculocide

Comb hair with nit comb after treatment

Comb hair with nit comb after treatment

Permethrin can be used in ages ____ and up.

2 months

6 months

2 years

8 years

2 months

Which pediculocide product can be used for pubic lice?

Synergized pyrethrins

Permethrins

Synergized pyrethrins

Which medical condition would require consideration of referral for fungal skin infection treatment?

Hypertension

Asthma

Diabetes

Kidney Disease