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Pre Reg Pharmacy > Skin > Flashcards

Skin Flashcards

1
Q

What is the difference between cellulitis and erysipelas?

A

Cellulitis is an infection if the deeper tissue where erysipelas is a superficial infection

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2
Q

What is the first line treatment for cellulitis and what is the alternative if a patient is allergic?

A

Fluxoxacillin

Alt
Clarithromycin

Erythromycin (if pregnant)

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3
Q

What is the first line treatment for cellulitis and what is the alternative if a patient is allergic?

A

Fluxoxacillin

Alt
Clarithromycin

Erythromycin (if pregnant)

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4
Q

What is the treatment for erysipelas/cellulitis if its by the eyes or nose?

A

Co-amoxiclav

Alt
Clarithromycin and metronidazole

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5
Q

What are the two types of impetigo?

A

Non bullous

Bullous

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6
Q

Describe non bollous impetigo

A

A thin walled vesicle that ruptures quickly forming a golden crust

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7
Q

Describe bullous impetigo

A

Fluid filled vesicles & blisters that rupture leaving a thin flat yellow brown crust

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8
Q

What is the initial treatment for impetigo if they’re not systemically unwell?

A

Hydrogen peroxide 1%

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9
Q

What is the treatment if a pt with impetigo is systemically unwell for the infection is around their eyes?

A

Topical or oral antibiotics

Fusidic acid - topical
(Mupirocin if the organism is resistant)

Flucoxacillin - oral
Clarithromycin or erythromycin for an alternative

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10
Q

How long should fusidic acid and mupirocin be used for and why?

A

10 days only!

To avoid resistance

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11
Q

What skin condition can metronidazole used for?

A

Rosacea or BAD BO

Also infection wounds

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12
Q

How long must you treat topical fungal infections for with topical preparations?

A

1-2 weeks after the infection disappearance

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13
Q

Is a fungal infection is on the scalp do you treat it systemically or topically?

A

Systemically

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14
Q

When should you use systemic antifungals to treat topical fungal infections?

A

If the infection is on the scalp, widespread or hard to control

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15
Q

What part of the body is affected by tinea capitis ?

A

The scalp

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16
Q

What part of the body is affected in tinea corporis?

A

The body

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17
Q

What part of the body is affected by tinea cruris?

A

Groin

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18
Q

What part of the body is affected by tinea manuum?

A

Hand

19
Q

What part of the body is affected by tinea paedis?

A

The foot (athletes foot)

20
Q

What part of the body is affected by tinea unguium?

A

The nail

21
Q

Imidazole is effective treatment for ringworm. Name the drugs (4)

A

Clotrimazole
Econazole
Ketoconazole
Miconazole

22
Q

What are the treatment options with tinea unguium ?

A

Amorolfine

Tioconazole

23
Q

What is the treatment for pityriasis versicolor?

A

Ketoconazole shampoo and is used for 5-7 days

24
Q

Is relapse common in pityriasis versicolor?

A

Yes

25
Q

What systemic treatment is used to treat pityriasis versicolor ?

A

The triazoles for 1-4 weeks

26
Q

Describe angular cheilitis

A

Inflammation of one for both corners of the mouth. The corners are red with skin breaking down and crusting

27
Q

What sort of conditions would you use preparations with antifungal and steroid activity?

A

Ezcematous intertrigo
Severely inflamed ringworm
Intertrigo

28
Q

What is the treatment for scabies?

A

Permethrin

Malathion as an alternative

29
Q

What treatment is to be avoid in children for the treatment of scabies and why?

A

Benzyl benzoate as it is an irritant and does work as well as the first line treatment

30
Q

If there is a scabies out break. Who should be treated?

A

The whole household

31
Q

Where should you apply the permethrin for scabies?

A

EVERYWHERE. Face and scalp included

32
Q

How often should permethrin and malathion be applied ?

A

Twice being a week apart

33
Q

How often should benzyl benzoate be applied?

A

Up to 3 times on consecutive days

34
Q

What is the treatment for head lice?

A

Dimeticone

35
Q

How does dimeticone work?

A

It affects the water balance of the lice preventing their excretion causing them to suffocate

36
Q

Why should treatment be repeated in 7 days?

A

Because it is less active against the eggs so need to kill the lice that are hatched after the first treatment

37
Q

How long must you leave the dimeticone lotion or liquid on for?

A

8-12 hours

38
Q

If a house hold member has head lice. Who should be treated?

A

Only affected members of the house

39
Q

What is the wet combing technique?

A

Use it for 30 minutes at a time over the whole scalp
Needs to be repeated every 4 days for 2 weeks and must be continued until no lice are found on three consecutive sessions

Applying veggie oil and conditioner can help the combing process

40
Q

What drugs can aggravate psoriasis ?

A 
Lithium
Chloroquine 
Hydroxychloroquine 
Beta blockers
NSAID
ACE inhibitors
41
Q

What formulation of steroid is useful for moist or weeping lesions?

A

Water-miscible

42
Q

What formulations of steroid is used for dry, lichenified, or scaly lesions?

A

Ointments

43
Q

What formulation is useful for application to large or hair bearing areas or for exudative lesions?

A

Lotions

Pre Reg Pharmacy (9 decks)

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