Pharm Sem 2 Final

after being dragged north of the wall by Hodor, Bran Stark now has the second most frequent skin disease...

what is the first choice of medication in a male pt with severe nodular acne?

Jorah Mormont presents with a circular scaly patch of red papules forming a plaque with central clearing on his back. he states that it is itchy. how long must he be on his treatment and what method?

Jon Snow has just returned from the other side of The Wall. He is pretty sure he is allergic to "White Walkers." He has severe rhinitis as well as constantly itchy eyes, nasal congestion and a record of 17 sneezes in row. You being the Medical Sage...err...PA would recommend what drug for his bad condition?

which of the following is a risk factor fora female for Metabolic syndrome?

what symptom does allergic dermatitis have that irritant doesn't have?

what is a potential cause for irritant dermatitis?

which fungal skin infection must have oral antifungals in order to be treated properly?

Brienne of Tarth, wants to lose weight. she thought trekking across westeross would help but she hasn't lost what she wants. You opt to prescribed her this medication, but give her this warning (in a creepy eerie voice): "it can suicidal tendicies and has a Black Box Warning for Thyroid C-Cell tumors." she looks at you funny as asks, "will this interact with my thiazide?" and you answer yes, but proceed to give it anyway cause she is in a rush and its the only thing you have. What is the drug?

what type of antifungal application is best to use on a pt that has scaling or non-oozing lesions

what is the gene referred to that can effect rates of energy storage and retainment?

what topical corticosteroid is approved for use on the body of a 4 y/o?

Petyr Baelish presents complaining of problems he has had after starting a medication for his glaucoma. he states that it stings, burns and itches once put in. he has noticed its bitter taste. His hands and feet occasionally go numb. and after googling it he thinks he might be coming down with steven johnsons syndrome, not to mention his painful kidney stones. what med is he on?

If your pt with mild psoriasis isnt acquiring enough relief with topical agents and moisturizers, what would be the next step up in therapy?

A young servant boy named Gendry is at high risk for antibiotic resitiance with his case of Acute Bacterial Rhinosinusitis, what is considered the gold standard for dealling with this issue?

by when should you d/c phentermine if the pt has lost what amount of wt.?

what class of topical steroids is appropriate for use on the face?

although not recommended as a 1st line therapy, this drug is useful when pts still have persistent rhinorrhea while on the preferred therapy.

when using this drug to treat a case of psoriasis, it is recommended to use a non-medicated zinc oxide to protect the surrounding skin.

Ilyn Payne presents asking what drug is indicated for prevention and possible treatment of a Tinea infection that he is sure he will acquired soon. what would be the most appropriate response

While waiting of the White Walkers to reach the wall, Melisandre has put on some weight (BMI=31). She wants to loss some of it and is willing to try anything. you put her on a medication which has been approved by the FDA for long term use, although it causes oily discharge. what medication is this?

4 y/o Tyene Sand comes back from the day care center. you notice numerous, well-localized lesions and redness surrounding the poor child's face. you ask if it has any burning pain and she says no. what infection is the most probable cause?

Benjen Stark presents with horrible necrotizing fasciitis after and encounter with a wildling. you want to cover for gram negative infections. what would be the most appropriate choice of medications?

An moderate infection of the dermis and subcutaneous tissue that dose not have raised lesions and has poorly define margins is best treated with what therapy?

Not only is this class of drug sedating but it can have anticholinergic effects in the eldery or even make a child hyperactive

Daenerys Targaryen has contracted a case of "dragon eye" or at least thats what the medicine man calls it. You investigate and note acute marked lose of peripheral field vision. She complains of halos around lights and bad eye pain with associated headache and that it only started in the mornig. What would be you first step in immediate treatment?

what would be the appropriate "add-on" therapy to give to a pt on antihistamines with allergic rhinitis who does NOT want to use am intranasal corticosteroids?

Oberyn Martell presents with both mild psoraisis and acne. he wants to use as few drugs as possible and so you knowingly prescribe him this drug that is effective for both the problems...

Having visceral fat increase release of Angiotensinogen which causes what problem in the body?

Sandor Clegane aka The Hound is telling you about his horseback riding accident. He states that he layed the horse down and was then flung from the horse into a pile of dung. What is his Glasgow Coma Score?

After eating his weight in mutton, Hodor measured his BMI and waist circumference and found it to be 32.9 and 42 inches, what is his classification and disease risk?

Old Maester Aemon presents with a painful, tender red nodule that looks like it is fill with pus. what gold standard drug would you give to cover your bases?

decreasing caloric intake by ~1700 calories/week will result in how much wt. loss in a month (theoretically)?

first line treatment for a pt the presents with optic nerve damage which is generally bilateral? this pt is African American with severe myopia and diabetes mellitus.

what is the most common pathogen for a skin or soft tissue infection?

Margaery Tyrell had what she thought was a bad allergy attack. She went to the local medical stand and picked up something to help her. now its been 6 days and she is complaining that the runny nose stopped but now it came back even worse then before. what is the likely drug that she has been using?

Eddard Stark comes flying into your office complaining that he is going to "lose his head" if he cant get is moderate non-inflammatory acne solved. Although it might sting and dry his skin you prescribe him what medication?

what is the first aspect of the 2nd step of the centric model for care of the overwt/obese pt.?

what class of topical steroids is appropriate for use on the face?

Theon Greyjoy presents after crawling thru the muk and mire of Winterfell with severe allergic dermatitis, the worst case you have ever seen. what would be the most powerful topical to use for his condition?

Winter has came and 15 y/o Tommen Baratheon presents with a sudden onset of a sore throat. He states that he has a headache. His overbearing mother, Cersei, says that he has vomited twice and had a fever. On History you are told that he has a "penicillin allergy" in which a rash showed last time he used penicillin, so not really life-threatening. On exam you find palatal petechiae. what would be the most suitable drug to use in Tommen?

Ramsay Snow shows to your clinic complaining of acne. you notice moderate comedone's and inflammation. What would be the first line treatment in this case?

indicated for tinea cruris, this antifungal has been known to cause skin irritation, burning and stinging. it comes in cream, lotion spray and also a GEL. name that med...

a pt presents with a case a perennial allergic rhinitis, what would be a good non-pharmacological therapy to aid with his PAR?

what glaucoma class drug both decrease aqueous humor production and increase its outflow?

how many FTU's are siad to be required for administration to the chest and abdomen?

Arya Stark shows to your clinic complaining of constant watery discharge from her eye. she states that it feel gritty when she blinks and it has progresses from one eye to both. she was just her a month ago for a URI infection. what would be the treatment of choice? she has no allergies

Jamie Lannister has opted to be put on pulse therapy drugs for his onychomycosis. what med would you use?

After decades of using this drug for his allergic rhinitis, Tyrion Lanister presents with nosebleeds, and dry burning irritation of his nasal mucosa. it was found that Tyrion started this drug when he was only 2. What drug might he be using? (FYI Tyrion Lanister is a short person with stunted growth--G.O.T.)

Myrcella Baratheon has been playing with he Maine Coon Cat, Snuggles. Snuggles surprisingly bites her and, after rinsing her wound thoroughly, she then comes to your clinic. what is your drug of choice in this situation? (http://upload.wikimedia.org/wikipedia/commons/7/79/Maine_coon_red_tabby_white_of_10_kg.jpg)