1. A 20-year-old patient with severe acne has been using topical clindamycin and benzoyl peroxide

1. A 20-year-old patient with severe acne has been using topical clindamycin and benzoyl peroxide combination therapy for six weeks with minimal improvement. The healthcare provider decides to switch to a different combination therapy. Which alternative combination therapy would be most appropriate for this patient, considering the mechanism of action and potential for resistance? A Dapsone and azelaic acid B Tretinoin and salicylic acid C Retinoid and benzoyl peroxide D Erythromycin and sulfur 2. I patient with open-angle glaucoma experiences dry mouth, ocular hyperemia, and local burning and stinging after starting treatment with a topical medication. Which of the following medications is the most likely cause of these adverse effects? A Latanoprost B Apraclonidine C Betaxolol D Brimonidine 3. A patient presents with symptoms of allergic rhinitis, including nasal congestion and itching. The patient has a history of hypertension and is currently taking antihypertensive medications. Which sympathomimetic medication listed would pose the highest risk to this patient due to its potential adverse effects on systemic blood vessels? A Pseudoephedrine B Naphazoline C Phenylephrine D Oxymetazoline 4. A patient presents with a persistent nonproductive cough associated with an upper respiratory infection. The patient reports trying over-the-counter cough medicines without relief. Which medication acts within the central nervous system and can be considered as an alternative for cough suppression in this patient? A Dextromethorphan B Benzonatate Guaifenesin D Diphenhydramine 5. Which complication can occur if necrotizing otitis externa is left untreated? A Excessive cerumen production B Sensorineural hearing loss C.Tympanic membrane perforation D cranial nenve ivolvement 6. I patient with severe nodulocystic acne vulgaris has been taking isotretinoin for three months, They report experiencing severe headache, vision changes, and vomiting. What action should the healthcare provider take? A Discontinue isotretinoin and refer to a neurologist. B Reduce the frequency of isotretinoin administration, C Increase the isotretinoin dose D Prescribe a stronger analgesic for headache relief. 7. A patient presents with symptoms of intense pruritus and erythema in the external auditory canal. Which topical medication is the first-line treatment for suspected fungal otitis externa according to the course textbook? A Alcohol plus acetic acid solution B Hydrocortisone, neomycin, and polymyxin B combination C 2% acetic acid solution D 1% clotrimazole solution 8. A patient presents with symptoms of allergic conjunctivitis. You decide to prescribe a topical medication that provides immediate symptomatic relief and also prevents the release of inflammatory mediators from mast cells. Which medication would be the most appropriate choice? A Ketorolac B Loteprednol C Olopatadine D Cromolyn 9. A 7-year-old child with a history of severe penicillin allergy presents with symptoms of AOM. Which antibiotic drug class should be avoided in this child? A Macrolides B Fluoroquinolones C Cephalosporins D Sulfonamides 10. What is an approved use of topical tretinoin other than acne treatment? A Relief of pain B Prevention of bacterial infections C Treatment of hypertension D Reduction of fine wrinkles 11. An elderly patient with glaucoma presents with orthostatic hypotension. Which class of glaucoma medications is most likely responsible for the orthostatic hypotension in this patient? A Prostaglandin analogs B a2 agonists C B-Adrenergic Blocking Agents D Carbonic anhydrase inhibitors 12. A patient with psoriasis seeks treatment. Which keratolytic agent would be most appropriate for promoting shedding of the stratum corneum? A Salicylic acid B Sulfur C Benzoyl peroxide D Tretinoin 13. A 35-year-old patient presents to the emergency department with symptoms of acute allergic rhinitis, including sneezing, rhinorrhea, and itching of the eyes, nose, and throat. Which class of medication would be most appropriate for providing symptomatic relief? A H2 antagonists B H1 antagonists C Nonsteroidal anti-inflammatory drugs (NSAIDs) D Oral Corticosteroids 14. A 14-month-old infant presents with persistent symptoms of acute otitis media (AOM) despite completing a 5-day course of high-dose amoxicillin. Which of the folowing treatment options should be considered next? A Intramuscular ceftriaxone B Oral azithromycin c Observation without antibiotics D Oral amoxicillin/clavulanate 15. A 60-year-old female patient with a history of rheumatoid arthritis presents to the clinic with a flare-up of joint pain and swelling. She has been using topical glucocorticoids for a dermatologic condition and intranasal glucocorticoids for allergic rhinitis. The nurse practitioner needs to prescribe a glucocorticoid for her theumatoid arthritis while minimizing systemic toxicity. Which route of administration for glucocorticoids is most appropriate for this patient to manage her rheumatoid arthritis flare-up while minimizing systemic toxicity? A Intra-articular injection B Subcutaneous injection C Oral administration D Intravenous administration

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