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Dermatology · Fungal infections: griseofulvin
Sample itemWhich statement about griseofulvin is correct?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. It is contraindicated in pregnancy and in porphyria
Griseofulvin disrupts the mitotic spindle by binding microtubules and is active only against dermatophytes. It is teratogenic, can precipitate porphyria and is best absorbed with a fatty meal.
Option by option
A. It is contraindicated in pregnancy and in porphyria (correct)
Correct. Pregnancy and porphyria are contraindications.
B. It is better absorbed on an empty stomach
Absorption improves with fatty meals, not an empty stomach.
C. It is active against Candida
Griseofulvin has no activity against Candida.
D. It is applied topically for onychomycosis
It is an oral drug and has poor penetration into nails.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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