Audio Qbank – Q242 – An 8M with a scalp lesion

 

An 8-year-old boy is brought to the GP by his mom for a 5-day history of a scaling area of alopecia on his scalp. The mom says the boy has been repeatedly scratching the area. A photograph of the patient’s scalp is shown below.

The most appropriate pharmacotherapy for this patient’s condition has the same mechanism of action as a first-line treatment for acute gout. Which of the following is the most likely prescribed agent?

Amphotericin B
Caspofungin
Fluconazole
Griseofulvin
Nystatin
Terbinafine