PC PC Pharmacology & Medications

Question 1

Which class of medications is most commonly used to treat onychomycosis (fungal nail infections) in podiatric practice?

Accepted Answer

Oral antifungals (terbinafine, itraconazole)

Answer

Oral antifungals such as terbinafine and itraconazole are the first-line systemic treatments for onychomycosis due to their superior nail penetration.

Question 2

A patient with diabetes requires a local anesthetic injection for a minor foot procedure. Which agent is generally avoided due to its vasoconstrictive properties in digits?

Accepted Answer

Epinephrine-containing anesthetic

Answer

Epinephrine causes vasoconstriction that can compromise digital blood flow, making it potentially dangerous in toe blocks, especially in patients with vascular compromise.

Question 3

Metformin is a common medication in diabetic patients presenting for podiatric care. What is the primary concern related to metformin before a contrast-enhanced procedure?

Accepted Answer

Risk of lactic acidosis if renal function is impaired

Answer

Metformin can accumulate in patients with renal impairment when contrast dye is used, increasing the risk of lactic acidosis, so it is typically held before contrast procedures.

Question 4

Which NSAID is most commonly used for short-term management of acute gout flares in podiatric patients?

Accepted Answer

Indomethacin

Answer

Indomethacin is the classic NSAID of choice for acute gout due to its potent anti-inflammatory properties and rapid onset of action.

Question 5

A podiatrist prescribes colchicine to a patient for gout. What is the most important adverse effect to counsel the patient about?

Accepted Answer

Gastrointestinal toxicity (nausea, vomiting, diarrhea)

Answer

Gastrointestinal symptoms are the most common dose-limiting adverse effects of colchicine and serve as an early warning sign of toxicity.

(PC) Podiatrist Certification Practice Test

(PC) Podiatrist Certification Practice Test

PC PC Pharmacology & Medications