IE 3: Fungal, VVC, Warts, Wounds/Burns (T2 SELF CARE)

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dosing: CLOTRIMAZOLE / MICONAZOLE

  • for pedis

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1

dosing: CLOTRIMAZOLE / MICONAZOLE

  • for pedis

BID x4 weeks

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2

dosing: CLOTRIMAZOLE / MICONAZOLE

  • for corporis

BID x4 weeks

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3

dosing: CLOTRIMAZOLE / MICONAZOLE

  • for cruris

BID x2 weeks

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4

dosing: BUTENAFINE

  • for pedis

QD x4 weeks

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5

dosing: BUTENAFINE

  • for corporis

QD x2 weeks

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6

dosing: BUTENAFINE

  • for cruris

QD x2 weeks

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7

dosing: TERBINAFINE

  • for pedis

    • btwn toes

    • sides of foot

  • btwn toes

    • BID x1 week

  • sides of foot

    • BID x2 weeks

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8

dosing: TERBINAFINE

  • for corporis

QD x1 week

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9

dosing: TERBINAFINE

  • for cruris

QD x1 week

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10

dosing: TOLNAFTATE

  • for pedis

BID x4-6 weeks

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11

dosing: TOLNAFTATE

  • for corporis

BID (4-6 weeks) x4-6 weeks

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12

dosing: TOLNAFTATE

  • for cruris

BID x2 weeks

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13

dosing: CLIOQUINOL / UNDECYLENIC ACID

  • for pedis

BID x4 weeks

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14

which non-rx med is approved for BOTH PREVENT AND TREAT tinea infxn

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

TOLNAFTATE

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15

what type of tinea infxn does CLIOQUINOL / UNDECYLENIC ACID treat

a. pedis

b. unguium

c. corporis

d. cruris

e. capitis

  • pedis

  • cruris

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16

what are salts of aluminum used for in regards to tinea infxn

used as adjunctive treatment w topical antifungals to provide RELIEF OF INFLAMMATORY CONDITIONS

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17

what are the activities of salts of aluminum

a. direct antifungal activity

b. relief of inflammatory conditions

relief of inflammatory conditions

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18

what is the max # weeks a pt can use salts of aluminum

a. 1 week

b. 2 week

c. 4 week

d. 6 week

1 week

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19

when should a person w a tinea infxn contact their PCP if no improvement

a. 1 week

b. 2 week

c. 4 week

d. 6 week

1 week

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20

when should a patient start to see some improvement after starting treatment

a. 1 week

b. 2 week

c. 4 week

d. 6 week

1 week

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21

up to how many weeks does a successful treatment take depending upon product

a. 1 week

b. 2 week

c. 4 week

d. 6 week

4 weeks

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22

which antifungal med can be used during 1st trimester pregnancy

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

topical clotrimazole / miconazole

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23

which antifungal med can be used but should be avoided in pregnancy bc incr risk of spontaneous abortions

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

topical clotrimazole / miconazole

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24

which antifungal med is category C in all pregnancy trimesters

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

butenafine

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25

which is the exclusion criteria for TINEA INFXN

a. face, mucous membrane, genitalia involved

b. < 12 yo

c. diabetes, systemic infxn, immunosuppression

d. use of corticosteroids, antineoplastic, immunosuppresants

e. diabetes, HIV / AIDS

  • face, mucous membrane, genitalia involved

  • diabetes, systemic infxn, immunosuppression

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26

which is the exclusion criteria for VVC

a. face, mucous membrane, genitalia involved

b. < 12 yo

c. diabetes, systemic infxn, immunosuppression

d. use of corticosteroids, antineoplastic, immunosuppresants

e. diabetes, HIV / AIDS

  • < 12 yo

  • use of corticosteroids, antineoplastic, immunosuppresants

  • diabetes, HIV / AIDS

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27

is this a COMPLICATED or UNCOMPLICATED VVC

  • recurrent infections

complicated

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28

is this a COMPLICATED or UNCOMPLICATED VVC

  • infrequent episodes

uncomplicated

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29

is this a COMPLICATED or UNCOMPLICATED VVC

  • > 3 infections / yr

complicated

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30

is this a COMPLICATED or UNCOMPLICATED VVC

  • 4 infections / yr

complicated

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31

is this a COMPLICATED or UNCOMPLICATED VVC

  • previous infection ≤ 2 months ago

complicated

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32

is this a COMPLICATED or UNCOMPLICATED VVC

  • previous infection 2 months ago

complicated

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33

is this a COMPLICATED or UNCOMPLICATED VVC

  • ≤ 3 episodes / yr

uncomplicated

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34

is this a COMPLICATED or UNCOMPLICATED VVC

  • 3 episodes / yr

uncomplicated 3

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35

is this a COMPLICATED or UNCOMPLICATED VVC

  • previous infection > 2 months ago

uncomplicated

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36

is this a COMPLICATED or UNCOMPLICATED VVC

  • previous infection 3 months ago

uncomplicated

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37

what is preferred time to insert vaginal product

a. daytime

b. bedtime

bedtime

  • minimize leakage from vagina

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38

when should a person w VVC contact their PCP

a. if sx do not improve within ______ days of starting treatment

b. if sx persist for more than ______ days beyond treatment

  • 3 days

  • 7 days

    • 8 days

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39

skin injury involves epidermis / dermis

a. abrasion

b. laceration

c. puncture

abrasion

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40

skin injury involves perforation / puncturing of soft tissue

a. abrasion

b. laceration

c. puncture

puncture

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41

skin injury tearing / slicing of skin

a. abrasion

b. laceration

c. puncture

laceration

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42

unbroken skin / erythema and pain

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 1

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43

damage to epidermis / dermis

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 2

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44

damage to epidermis, dermis / SQ fat

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 3

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45

damage to epidermis, dermis, SQ fat / muscle or bone

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 4

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46

what stage of wounds is considered an exclusions for self care?

stage 3 / 4

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47

injuries LARGER than _____ inch in diameter is an EXCLUSION for wound self care

3

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48

no improvement within ______ days is an EXCLUSION for wound self care

7

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49

apply TOPICAL ANTISEPTICS to a ______ skin

a. open

b. intact

INTACT

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50

what are topical antiseptics used for

Indicated for DISINFECTION OF SKIN SURROUNDING WOUNDS TO PREVENT INFECTION 

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51

topical ______ help PREVENT INFECTION via ______ activity

  • antibiotic

  • bactericidal

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52

can you apply topical antibiotics ointments to treat wounds?

no

  • traps contamination of the open wound

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53

T/F: apply topical antibiotic ointments DIRECTLY to wound bed

true

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54

______ ointment (topical antibiotic) contains neomycin and polymyxin

a. neosporin

b. polysporin

neosporin

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55

______ ointment (topical antibiotic) contains only polymyxin

a. neosporin

b. polysporin

polysporin

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56

if a person is allergic to neomycin, you give them ______ ointment (topical antibiotic)

a. neosporin

b. polysporin

polysporin

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57

which first aid self care do you apply to DRY WOUNDS ONLY

a. topical anesthetic

b. topical antibiotic ointments

c. skin protectant ointments

skin protectant ointments

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58

which first aid self care do you apply to PROMOTE WOUND HEALING

a. topical anesthetic

b. topical antibiotic ointments

c. skin protectant ointments

skin protectant ointments

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59

which first aid self care do you apply to MINIMIZE SCARING

a. topical anesthetic

b. topical antibiotic ointments

c. skin protectant ointments

skin protectant ointments

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60

can you self treat chemical, electrical, inhalation burns

no

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61

can you treat NON sunburns

no (non)

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62

which stage of burns can you NOT self treat?

stage 3 / 4

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63

refer to PCP regarding burns if no improvement within ______ days

7

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64

if burn within past 3 hours, do you

a. apply cool water x20 min

b. systemic analgesic

c. skin protectant, aloe vera gel, dressing

apply cool water x20min

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65

if burn is past 3 hours and there is pain present, do you

a. apply cool water x20 min

b. systemic analgesic

c. skin protectant, aloe vera gel, dressing

systemic analgesics

  • NSAIDS > APAP

  • past 3

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66

if burn past 3 hours and NO pain present, do you

a. apply cool water x20 min

b. systemic analgesic

c. skin protectant, aloe vera gel, dressing

skin protectant, aloe vera gel, dressing

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67

how many days do you reasses burn after self treatment

a. 1-2 days

b. 7 days

c. 3-4 days

1-2 days

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68

which additional burn treatment option do you avoid INTERNAL USE & APPLICATION ON BROKEN SKIN

a. aloe vera gel

b. honey

c. calendula

aloe vera gel

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69

which additional burn treatment option do you avoid in pts w severe garlic, onion, and tolip allergies

a. aloe vera gel

b. honey

c. calendula

aloe vera gel

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70

which additional burn treatment option provides moist healing environment, absorbs exudate, antibacterial

a. aloe vera gel

b. honey

c. calendula

honey

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71

which additional burn treatment option do you JUST avoid application to broken skin

a. aloe vera gel

b. honey

c. calendula

honey AND aloe vera gel

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72

is honey an anti inflammatory treatment for burns?

no

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73

is fever an EXCLUSION for sunburn self treatment

yes

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74

a ______ area of blistering / severe swelling is an EXCLUSION for sunburn self treatment

a. small

b. large

large

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75

which treatment has the greater role for wounds / burns

a. systemic analgesics

b. skin protectants

c. topical anesthetics

d. skin protectants

e. dressings

systemic analgesics

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76

UV ______ is for photoaging

a. A

b. B

UVA

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77

UV ______ is for sunburn

a. A

b. B

UVB

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78

a broad spectrum suncreen protects against ______

a. UVA

b. UVB

c. both

UVA AND UVB

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79

apply sunscreen to DRY skin ______ mins BEFORE going out

15

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80

reapply sunscreen every ______ hrs

2

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81

______ is the min amnt of time it takes to burn WITHOUT any skin protection

a. minimal erythema dose (MED)

b. sun protection factor (SPF)

minimal erythema dose (MED)

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82

______ how much LONGER sunscreen gets to stay on skin

a. minimal erythema dose (MED)

b. sun protection factor (SPF)

sun protection factor (SPF)

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83

exclusion to warts self treatment

  • less than ______ yrs of age

4

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84

T/F: exclusion to warts self treatment

  • large / multiple warts located in one area of body

true

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85

T/F: exclusion to warts self treatment

  • warts located on face, breasts, armpits, fingernails, toenails, anus, genitalia, mucous membrane

true

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86

warts: can you give someone who has a salicylate allergy

  • salicylic acid product

no (SA)

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87

warts: can you give someone a salicylic acid products

  • if immunosuppressive meds / meds that contradict use of salicylic acid

no

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88

which one is more effective to treat common / plantar warts

a. salicylic acid

b. DMEP

c. both equally effective

both equally effective

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89

salicylic acid 17% used for ______ warts

a. plantar

b. common

common

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90

salicylic acid 40% used for ______ warts

a. plantar

b. common

plantar

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91

which warts treatment causes a blister to form under the wart, wart will fall off after abt 10 days

a. salicylic acid

b. cryotherapy w DMEP

cryotherapy w DMEP

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92

warts: is compound W one step pads

a. salicylic acid

b. cryotherapy DMEP

salicylic acid

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93

warts: is compound W Freeze Off Wart Removal

a. salicylic acid

b. cryotherapy DMEP

cryotherapy DMEP

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94

cryotherapy DMEP products

  • a blister will form and the wart should fall off after abt ______ days

10

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95

contact PCP

  • if wart has not cleared after ______ weeks of treatment

12

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