TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 49: Maculopapular Skin Disorders Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient with chronic seborrheic dermatitis reports having difficulty remembering to use the
twice daily ketoconazole cream prescribed by the provider. What will the provider order for this patient? a. Burrow’s solution soaks once daily b. Oral corticosteroids c. Oral itraconazole (Sporanox) d. Selenium sulfide shampoo 2.5% as a daily rinse ANS: C
Itraconazole is effective for moderate to severe symptoms and is an alternative for those who do not wish to use topical treatment. Burrow’s solution and selenium shampoo rinses are not indicated. Oral corticosteroids are usually not given. 2. A child has plaques on the extensor surfaces of both elbows and on the face with minimal
scaling and pruritis. What is the likely cause of these lesions? a. Atopic dermatitis b. Guttate psoriasis c. Psoriasis d. Seborrhea ANS: C
NURlesions SINGon TBthe .Cface OM and have less scaling than adults. Children with psoriasis often have Psoriasis tends to present on extensor surfaces, while atopic dermatitis occurs on flexor surfaces. Guttate psoriasis appears as teardrop-shaped lesions that appear on the trunk and spread to the extremities and are occasionally seen after streptococcal infections in adolescents. Seborrhea usually occurs on the scalp. 3. A patient diagnosed with psoriasis develops lesions on the intertriginous areas of the skin.
Which treatment is recommended? a. High-potency topical steroids b. Oral corticosteroid injections c. Topical steroids with vitamin D d. Topical, low-potency steroids ANS: D
Patients with intertriginous psoriasis should be treated with low-potency topical steroids. High-potency steroids usually produce maximum benefit in 2 to 3 weeks and research suggests combining high-potency steroids with vitamin D analog is best. Oral corticosteroids are used for recalcitrant symptoms. 4. A patient with severe, recalcitrant psoriasis has tried topical medications, intralesional steroid
injections, and phototherapy with ultraviolet B light without consistent improvement in symptoms. What is the next step in treating this patient? a. Cyclosporine b. Etanercept
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