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Chapter 67: Antifungals Test Bank

Chapter 67: Antifungals Test Bank

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Chapter 67: Antifungals
Test Bank
MULTIPLE CHOICE
1.   A patient was diagnosed with tinea corporis and given topical ketoconazole. The patient tells the primary care nurse practitioner (NP) that the infection is not getting better. The NP should:
a.

prescribe griseofulvin.

b.

prescribe oral ketoconazole.

c.

obtain a culture of the infection site.

d.

recommend 3 more weeks of treatment with the topical medication.

2.   A female patient has vaginal candidiasis and has taken a single dose of fluconazole without resolution of the infection. The primary care NP obtains a culture and should order:
a.

oral ketoconazole.

b.

griseofulvin for 4 weeks.

c.

another dose of fluconazole.

d.

topical miconazole (Monistat).

3.   A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP notes three annular lesions with elevated borders and central clearing on the child’s face and a similar lesion on the back of the neck that extends above the hairline. The NP should prescribe:
a.

fluconazole.

b.

griseofulvin.

c.

oral ketoconazole.

d.

topical ketoconazole.

4.   A woman who takes oral contraceptive pills develops vaginal candidiasis. The primary care NP prescribes a single dose of fluconazole. When counseling the patient about this drug, the NP should tell her:
a.

that the drug is safe if she were to become pregnant.

b.

that she may consume alcohol while taking this medication.

c.

to use a backup contraceptive method for the next 2 months.

d.

that she may need a lower dose of fluconazole because she takes oral contraceptive pills.

5.   A patient is diagnosed with onychomycosis. The primary care NP notes that the patient takes quinidine. The NP should prescribe:
a.

terbinafine (Lamisil).

b.

fluconazole (Diflucan).

c.

itraconazole (Sporanox).

d.

griseofulvin (Gris-PEG).

6.   A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The primary care NP notes improvement but not complete cure. The NP should:
a.

obtain a culture and change to ketoconazole.

b.

add a topical antifungal cream and refill the griseofulvin prescription for 2 weeks.

c.

renew the prescription after obtaining renal, liver, and hematopoietic tests.

d.

prescribe griseofulvin for 4 more weeks and then re-evaluate the infection.


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