Podcast
Questions and Answers
What is the recommended dosage for terbinafine when treating tinea pedis in the moccasin-type?
What is the recommended dosage for terbinafine when treating tinea pedis in the moccasin-type?
Which of the following topical antifungals is approved for both treatment and prevention of tinea pedis?
Which of the following topical antifungals is approved for both treatment and prevention of tinea pedis?
What is the primary side effect associated with the use of topical antifungals?
What is the primary side effect associated with the use of topical antifungals?
Which preparation route is a recommended application method for antifungal treatments?
Which preparation route is a recommended application method for antifungal treatments?
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What is the usual dosing regimen for clotrimazole in treating tinea corporis?
What is the usual dosing regimen for clotrimazole in treating tinea corporis?
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Which of the following antifungals is classified as a fungicidal allylamine?
Which of the following antifungals is classified as a fungicidal allylamine?
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What is the shortest duration of treatment recommended for tinea cruris?
What is the shortest duration of treatment recommended for tinea cruris?
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What potential drug interaction is associated with miconazole cream?
What potential drug interaction is associated with miconazole cream?
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In cases of extensive tinea infections, which scenario would require medical referral?
In cases of extensive tinea infections, which scenario would require medical referral?
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What is a suggested alternative therapy for tinea infections, based on limited evidence?
What is a suggested alternative therapy for tinea infections, based on limited evidence?
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Which genera of fungi are responsible for causing tinea infections?
Which genera of fungi are responsible for causing tinea infections?
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What is the most common clinical presentation of tinea pedis?
What is the most common clinical presentation of tinea pedis?
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Which of the following factors does NOT increase the risk of tinea infections?
Which of the following factors does NOT increase the risk of tinea infections?
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What is a distinguishing feature differentiating tinea infections from bacterial skin infections?
What is a distinguishing feature differentiating tinea infections from bacterial skin infections?
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Which antifungal mechanism is associated with azoles?
Which antifungal mechanism is associated with azoles?
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Which of the following statements about tinea unguium is true?
Which of the following statements about tinea unguium is true?
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Which of the following correctly identifies the signs and symptoms of tinea cruris?
Which of the following correctly identifies the signs and symptoms of tinea cruris?
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Which of the following OTC antifungal products is NOT used to treat tinea infections?
Which of the following OTC antifungal products is NOT used to treat tinea infections?
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What is the primary role of aluminum salts when used in conjunction with antifungal therapy?
What is the primary role of aluminum salts when used in conjunction with antifungal therapy?
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Which of the following antifungals is used for the treatment of tinea corporis with a once daily regimen?
Which of the following antifungals is used for the treatment of tinea corporis with a once daily regimen?
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For which tinea infection is Terbinafine recommended as the fastest treatment option?
For which tinea infection is Terbinafine recommended as the fastest treatment option?
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What is the recommended duration for using Tolnaftate in the treatment of tinea pedis?
What is the recommended duration for using Tolnaftate in the treatment of tinea pedis?
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Which of the following antifungal medications is classified as a fungistatic azole?
Which of the following antifungal medications is classified as a fungistatic azole?
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How should antifungal agents be applied to optimize their effectiveness?
How should antifungal agents be applied to optimize their effectiveness?
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Which of the following describes a potential side effect of topical antifungals?
Which of the following describes a potential side effect of topical antifungals?
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What strategy should be employed when symptoms of a tinea infection improve during topical antifungal treatment?
What strategy should be employed when symptoms of a tinea infection improve during topical antifungal treatment?
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What is the potential consequence of combining miconazole cream with warfarin?
What is the potential consequence of combining miconazole cream with warfarin?
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Which of the following antifungals requires application twice daily for 4 weeks when treating tinea pedis?
Which of the following antifungals requires application twice daily for 4 weeks when treating tinea pedis?
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Which environmental factor is least associated with the risk of developing tinea infections?
Which environmental factor is least associated with the risk of developing tinea infections?
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What is the distinguishing feature of tinea corporis compared to tinea capitis?
What is the distinguishing feature of tinea corporis compared to tinea capitis?
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Which of the following is NOT a variant of tinea pedis?
Which of the following is NOT a variant of tinea pedis?
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Which mechanism of action is associated with terbinafine and butenafine?
Which mechanism of action is associated with terbinafine and butenafine?
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What symptom is specifically associated with tinea unguium?
What symptom is specifically associated with tinea unguium?
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Which of the following is a clinical presentation specific to tinea capitis?
Which of the following is a clinical presentation specific to tinea capitis?
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Which type of tinea infection is primarily characterized by fissuring and itching?
Which type of tinea infection is primarily characterized by fissuring and itching?
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Which of the following factors is least likely to contribute to tinea infection development?
Which of the following factors is least likely to contribute to tinea infection development?
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What is a common feature that differentiates tinea infections from other skin conditions?
What is a common feature that differentiates tinea infections from other skin conditions?
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What would be an effective treatment goal for managing fungal infections?
What would be an effective treatment goal for managing fungal infections?
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Study Notes
Antifungal Drug Treatments and Dosing
-
Tinea Pedis (Athlete's Foot):
-
Terbinafine:
- Interdigital: Twice daily for 1 week
- Moccasin-type: Once daily for 4 weeks
- Clotrimazole: Twice daily for 4 weeks
- Miconazole: Twice daily for 4 weeks
- Tolnaftate: Twice daily for 2-4 weeks; prevention: Once daily
-
Butenafine:
- Interdigital: Twice daily for 1 week or Once daily for 4 weeks
-
Terbinafine:
-
Tinea Cruris (Jock Itch):
- Terbinafine: Once daily for 1 week (fastest treatment)
- Clotrimazole: Twice daily for 2 weeks
- Miconazole: Twice daily for 2 weeks
- Butenafine: Once daily for 2 weeks
-
Tinea Corporis (Ringworm):
- Terbinafine: Once daily for 1 week
- Clotrimazole: Twice daily for 4 weeks
- Miconazole: Twice daily for 4 weeks
- Tolnaftate: Twice daily for 2-4 weeks
- Butenafine: Once daily for 2 weeks
Drug Classifications
- Terbinafine: Allylamine (fungicidal)
- Clotrimazole: Azole (fungistatic)
- Miconazole: Azole (fungistatic)
- Tolnaftate: Thiocarbamate (fungistatic)
- Butenafine: Allylamine (fungicidal)
Key Notes
- Moccasin-type Tinea Pedis: Butenafine used once daily for 4 weeks.
- Interdigital Tinea Pedis: Terbinafine used twice daily for 1 week.
- Tinea Cruris: Terbinafine is the quickest treatment (1 week).
- Tinea Corporis: Most treatments (except Terbinafine) require 4 weeks (e.g., Clotrimazole, Miconazole)
- Tolnaftate: Approved for both treatment and prevention of tinea pedis.
Application Tips
- Apply all topical antifungals to clean, dry skin.
- Use for full prescribed duration, even if symptoms improve earlier.
- Consider Tolnaftate daily for recurrent tinea pedis prevention.
Topical Antifungal Side Effects
- Mild irritation, burning, stinging, and rare hypersensitivity reactions.
Drug Interactions
- Warfarin and miconazole cream: Increased bleeding risk due to CYP2C9 inhibition.
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Description
Test your knowledge on antifungal drug treatments and their specific dosing for various skin conditions. This quiz will cover effective treatments for Tinea Pedis, Tinea Cruris, and Tinea Corporis. Understand the differences in administration and duration of therapies for each condition.
