Minor Ailments

Question 1

what is the most common type of onychomycosis

Answer 1

distal lateral subungual onychomycosis

Question 2

proximal subungual onychomycosis is common _________ pts

Answer 2

immunocomp

Question 3

superficial white onychomycosis is common in

Answer 3

children

Question 4

if there is =>60% nail involvement, what is the preferred tx

Answer 4

PO terbinafine for 6-12wks for fingers, 12-24wks for toes

Question 5

what is the pref tx if there is <60% nail involvement

Answer 5

topical efinaconazole
+ PO terbinafine if >3 nails involved

Question 6

how many weeks do ciclopirox of efinaconazole need to be applied for onychomycosis

Answer 6

48wks

Question 7

what labs need to be done before doing PO terbinafine

Answer 7

LFTs baseline and halfway through tx

Question 8

what is teh gold standard for measuring body temp in <5yrs, what is >5?

Answer 8

<5 = erctal, >5 = oral

Question 9

when do teething sx appear? when do they peak?

Answer 9

4 days before eruption, peaks 1-2 days before

Question 10

can oral AH be used as monotx for nasal congestion

Answer 10

no- should add INCS

Question 11

2nd gen AH for allergies are most effective when taken

Answer 11

prophylactically 1-2hrs before exposure (onset takes 1 hr)

Question 12

caution in ________ patients for 1nd gen AHs

Answer 12

renal impaired

Question 13

decongestants should be avoided with ________ (class of drug) within_ ______(time)

Answer 13

MAOis within 2 wks

Question 14

when do INCS peak effect

Answer 14

1-2wks

Question 15

montelukast is better when added with _________

Answer 15

2nd gen AH

Question 16

what is the drug (s) of choice for allergies in pregnancy

Answer 16

chlorpheniramine (or diphenhydramine)
INCS

Question 17

do topical AMGs have ototoxicity properties

Answer 17

yes

Question 18

should acetic acid be used with topical FQ for otitis externa

Answer 18

No- acetic acid is a drying agent that should not be uased during active tx

Question 19

for kids <3yrs, how should you counsel to admin ear drops

Answer 19

pull ear down and back
use enough drops to fill external auditory canal ~3-4ggt
remain on side for 3-5min

Question 20

how long should you remain on ur side after ear drops? how long before you switch sides?

Answer 20

3-5min
5-10min

Question 21

what should be the NRT patch dose for someone who smokes 15 cigs/d and fisrt smokes as soon as he gets up

Answer 21

14mg but +7mg because within 30 min = 21mg patch

Question 22

what is the max # of NRT gum per day

Answer 22

20

Question 23

when should varenicline and bupropion be started before the quit date

Answer 23

1-2wks

Question 24

which of the following is NOT better than monotx
1. NRT patch + gum
2. NRT patch + bupropion
3. NRT patch + varenicline
4. NRT patch + inhler

Answer 24

2

Question 25

which smoking cessation drug should be avoided in pregnancy

Answer 25

varenicline

Question 26

patients drinking ___ cups of coffee a day should half their intake when stopping smoking

Answer 26

4

Question 27

which malaria drugs are safe in pregnancy

Answer 27

chloroquine/ hydroxychloroquine mefloquine

Question 28

which antimalarials are started 1-2d ebfore and continued for 1wk after

Answer 28

atovaquone/proguanil primaquine

Question 29

which antimalarial is started 1-2d before and continued for 1 mth after

Answer 29

doxycycline

Question 30

which antimalarials are started 1 wk before and continued for 1 mth after

Answer 30

chloroquine/ hydroxychloroquine mefloquine

Question 31

what is the max duration for primaquine use

Answer 31

14d

Question 32

chloroquine/ hydroxychloroquine are CI in pts with

Answer 32

psoriasis or seizures

Question 33

what drugs are used for prophylaxis or tx of high altitude illness

Answer 33

acetazolamide dexamethasone (double dose/ freq for tx)

Question 34

what mosquito borne illness can be passed from pregnant women to fetus

Answer 34

zikaa avoid conception for 2mths (W), 3 mths (M)

Question 35

when should mefloquine be started in first time users

Answer 35

2-3 wks before leaving if time allows to be able to assess for AEs (psych disorders, etc)

Question 36

when should you see travel specialist for vaccines/ prophylaxis before ur trip

Answer 36

6wks before leaving

Question 37

-floxacin (cipro/levo/norfloxacin) are which class

Answer 37

fluoroquinolones

Question 38

only those ____ yrs and healthy should get live attenuated vaccines

Answer 38

<60

Question 39

what kind of vaccines always require >1 dose

Answer 39

inactivated