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1. Choose the correct statement.

A. Tinea pedis is a fungal infection of the scalp B. Dermatophytes are pathogenic and typically disseminate C. Dermatophytes are commonly found on surfaces that come in contact with the skin D. Tinea corpus is a fungal infection of the groin

2. Tinea pedis is commonly caused by

A. Trichophyton rubrum B. Trichophyton interdigitale C. Epidermophyton floccosum D. All of the above

3. Which of the following are risk factors for the development of tinea pedis?

A. Male sex B. Sedentary lifestyle C. Between 7 and 10 years of age D. Hypertension

4. The diagnosis of tinea pedis is confirmed by

A. Microscopic examination of a skin scraping that has been soaked in KOH (potassium hydroxide) B. Culture of a scraping C. All of the above D. None of the above

5. The most common type of tinea pedis is

A. Interdigital B. Hyperkeratotic C. Moccasin-distributed D. Acute vesicular

6. The classic signs and symptoms of tinea pedis are

A. Pruritus, peeling, and flaking skin B. Autoeczematization C. Bleeding, peeling, and numbness D. Swelling, redness, and large blisters

7. The most common site for a tinea pedis is

A. Plantar (sole) side of foot B. Between 4th and 5th toe (smallest toe) C. Dorsal (top) side of the foot D. Heel of the foot

8. Tinea unguium

A. Is commonly caused by different organisms than tinea pedis B. Can be effectively treated with a 1-week course of oral antifungals C. May be a reason for recurrent tinea pedis D. Doesn't typically require removal of the infected nail for a cure

9. Autoeczematization reactions

A. Are only observed after a prolonged tinea pedis infection B. Require oral antibiotics for effective treatment C. Occur in as many as 10% to 25% of tinea pedis infections D. Are generalized and can occur anywhere on the body

10. Choose the correct statement. Tinea pedis

A. May spread to other body parts and cause another tinea B. Is associated with a higher incidence of cellulitis C. All of the above D. None of the above

11. Nonpharmacologic treatment

A. Can be effective alone for treatment of tinea pedis B. Is not important in resolving tinea pedis C. All of the above D. None of the above

12. Which is NOT an important lifestyle modification for treating tinea pedis?

A. Keeping feet dry B. Spraying shoes with antifungal agent C. Wearing shower shoes in communal showers D. Wearing occlusive footwear

13. Choose the correct statement from the following:

A. Twice-daily soaks, made of a 10% boric acid solution, have been shown to have an 83% cure rate B. A meta-analysis of studies has shown that tea tree oil is effective for treating tinea pedis C. All of the above D. None of the above

14. Choose the correct statement, regarding topical azole antifungals, from the following:

A. Twice-daily topical azole antifungals can effectively treat tinea pedis after 1 week B. Azole antifungals are fungistatic C. A meta-analysis shows that clotrimazole is superior to miconazole D. Topical azoles may be absorbed if applied excessively

15. Choose the correct statement, regarding topical terbinafine, from the following:

A. Twice-daily application for 1 week will effectively cure tinea pedis B. It is fungicidal C. A meta-analysis demonstrates it is superior to topical azole antifungals D. All of the above

16. Which of the following have been shown to be the most effective treatment for tinea pedis:

A. Nystatin powder between the toes twice-a-day for 4 weeks B. Griseofluvin 150 mg orally twice-a-day for 3 weeks C. Ciclopirox 0.77% applied twice-a-day for 4 weeks D. Application of 10% acetic acid twice a day for 4 to 6 weeks

17. Choose the correct statement, regarding tolnaftate, from the following:

A. It is effective against Candida spp B. It has been shown to have a 95% cure rate after 2 weeks of twice-daily application C. Disrupts fungal cell wall synthesis D. Only available with a prescription

18. Which agent is available without a prescription?

A. Topical terbinafine B. Topical naftifine C. Oral fluconazole D. Oral terbinafine

19. Effective ways for an athlete to prevent reinfections of tinea pedis include the following:

A. Wear ventilated shoes B. Wear shower shoes when showering in a locker room C. Remove shoes and socks after sweating, as soon as possible D. All of the above

20. Appropriate patient education for topical antifungals should include the following:

A. Apply agent 1 or 2 inches within the border of the infection B. Use gel or powder between toes C. Stop treatment once itching stops D. All of the above