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Regis Self Care V (Tinea and Vaginal Infections Rx) Pre-Test

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alchemist04's version from 2018-08-13 18:25

Types of Tinea

Question Answer
What are the 5 types of Tinea?(1) tinea capitis [scalp] (2) tinea unguium [Onychomycosis] [finger nails and foot nails] (3) tinea corporis [ring worm, on the body and not on the head] (4) Tinea cruris [jock itch, goind, crutches and/or adjacent skin] (5) tinea pedis [feet usually btw toes]
Among the 5 types of tinea, which ones are to be referred?(1) tinea capitis (2) tinea onychomycosis
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Tinea OTC Rx

Question Answer
What are the OTC meds for tinea?(1) MiConazole 2% [Micatin] [different from MethyniDazole = antibacterial] (2) Clotrimazole 1% (3) Tolnaftate topical (4) Butenafine [Lotrimin Ultra, Mentax] (6) Terbinafine [Lamisil]
What is the direction for use for Miconazole 2%?(1) for T. Cruris - BID for 2 wks [up to 4 wk] (2) T. corporis and pedis - BID for 4 wks
What is the direction for use for Clotrimazole 1%?(1) for T. Cruris - BID for 2 weeks [up to 4 wks] T. corporis and pedis - BID for 4 wks
What is the direction for Tolnaftate?(1) T. cruris - BID for 2wks [up to 6wks] (2) T. corporis and pedis - BID for 4-6 wks (3) can be used as a preventative med.
What is the direction for Butenafine?(1) T. pedis - BID 1wk or QD 4 wk (2) T. cruris and corporis - QD 2 wk
What is the direction for Terbinafine?(1) T. pedis - BID for 2 wks [up to 4 wks] (2) T. cruris and corporis - QD for 1wk [up to 4 wks]
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Vaginal Candidiasis (VC)

Question Answer
What kind of infection is Vaginal Candidiasis? Bacteria, fungi or virus infection?Fungi infection (a.k.a. yeast infection, candidal vaginitis, vulvovaginal candidiasis)
What are the risk factors for VC?(1) Pregnancy (2) High dose combined oral contraceptives (3) Estrogen therapy (4) Menstruation (5) Old age (6) Antibiotics (7) Corticosteroid/Immunosuppressant, (8) Sexual activity (9) Vaginal sponge
What are the symptoms of VC?(1) Thick white cottage cheese discharge (2) no smell (3) normal pH
What are the counseling points for VC?(1) pt w/ 4 or more VC per year must be referred (2) taking probiotics may help (3) avoid use when having fever, lower back or shoulder pain (4) unpleasant odor of discharge (5) avoid sex (6) no tampons (7) follow up w/ PCP if fever, odor, yellow/green, pain do not improve w/n 1-3 days (8) Refer if patient is pregnant (Refer if patient symptoms increases or worsen
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Vaginal Candidiasis (VC) Pharm therapy

Question Answer
What are the 3 OTC anti-fungal drugs for VC?(1) Mi- Co-Nazole, Miconazole (2) Clo-Tri-Mazole, Clotrimazole (2) Ti-O-Co-Nazole, Tioconazole
What are the concentrations of the OTC antifungal drugs for VC? (1) Miconazole 1 pack with 2% or Miconazole 3 pack with 2% plus [1200mg supp]; Miconazole 3 pack w/ 4% [Cream]; Miconazole 7 supp 100mg; Miconazole 7 cream w/ 2%, Miconazole 7 w/ 2% and 100mg supp (2) Clotrimazole 7 packs w/ 1% anti-fungal and Clotrimazole 3 park w/ 2% anti-fungal (3) Tioconazole 6.5% (1 day treatment)
A patient walks into your pharmacy complaining of smelly thick, white cottage cheese discharge which has be on and off for more than 4X this year, what OTC drug would you recommend for the patient?Refer because of the smelly discharge and because it has more than 4 occurrences
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Bacterial Vaginosis (BV)

Question Answer
What is Bacterial Vaginosis (BV)?It is a condition that occurs when there is too much of certain bacteria in the vagina. This changes the normal balance of bacteria in the vaginal. BV is the most common vaginal infection in women ages 15-44 yo.
What are the symptoms of Bacterial vaginosis (BC)?(1) thin, watery, foamy, off color, smelly discharge (2) low pH
What are the risk factors for BC?(1) Antibiotics (2) New sex partner (3) IUD (4) Douching [i.e. spray or shower vaginal with water w/ or w/o vinegar] (5) Oral sex (6) tobacco (7) prior pregnancy protective - condoms
What are the OTC drugs for BC?None
A patient walks into your pharmacy complaining of thin watery colorless and smelly discharge from her vaginal, what would you recommend to your patient?Refer
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Trichomoniasis (TC)

Question Answer
What kind of infection is Trichomoniasis (TC); Virus, bacterial, fungi or protozoan infection?Protozoan (parasitic) infection and it is an STD.
What are symptoms of Trichomoniasis (TC)?(1) Frothy yellow discharge; may smell (2) low pH
What are the risk factors for TC?(1) multiple sex partner (2) New sex partner (3) non use of barrier contraceptives (4) presence of other STIs
What are the OTC drugs for TC?None
A patient walks into your pharmacy complaining of smelly yellow discharge from her vaginal, what would you recommend to your patient?Refer
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