topicals

Question 1

how to estimate BSA

Answer 1

1 palm = 1% BSA

one fingertip unit is 2% (2 palms)

Question 2

ultra high potency steroids (2)

Answer 2

betamethasone dipropionate (ointment) 
clobetasol propionate (ointment, cream, lotion)

Question 3

high potency (group 2) steroids (1)

Answer 3

betamethasone dipropionate ointment

Question 4

high potency (group 3) steroids (4)

Answer 4

betamethasone dipropionate (cream) 
betamethasone valerate (ointment) 
difluvortolone validate (cream) 
mometasone furoate (ointment)

Question 5

medium potency (group 4) steroids (3)

Answer 5

triamcinolone acetonide (cream) 
mometasone furoate (cream, lotion, solution) 
hydrocortisone validate (ointment)

Question 6

lower mid potency (group 5) steroids (8)

Answer 6

triamcinolone acetonide (lotion, ointment) 
betamethasone dipropionate (lotion) 
fluticasone propionate (cream) 
desonide (ointment) 
betamethasone valerate (cream) 
hydrocortisone valerate (cream) 
hydrocortisone butyrate (ointment, cream, lotion, solution) 
flucinolone acetonide (cream)

Question 7

low potency (group 6) steroids

Answer 7

desonide (cream, lotion)
betamethasone valerate (lotion)
flucinolone acetonide (cream)
betamethasone valerate 0.025% (cream)

Question 8

least potent (group 7) steroids

Answer 8

hydrocortisone acetate

Question 9

side effects from using topical steroids too much

Answer 9

impaired wound healing
hypertrichosis
acne (worsening)
thinning of the skin

Question 10

what are some topical steroid withdrawal symptoms

Answer 10

red, swollen, scaly and peeling
red, pus-filled bumps without scaling or peeling
burning, shining or itchy with facial hot flashes w

Question 11

what are some topical steroid withdrawal symptoms

Answer 11

red, swollen, scaly and peeling
red, pus-filled bumps without scaling or peeling
burning, shining or itchy with facial hot flashes w

Question 12

what is tinea capitis

Answer 12

ringworm of the scalp

Question 13

redisposing factors of tinea capitis

Answer 13

children

adults: increased production of saturated lipid acids in sebum

Question 14

fungal infection skin treatment options who is more prone to thrush in men

Answer 14

diabetes

just finished.a course of antibiotics

Question 15

non -pharmacologic measures for fungal infections

Answer 15

personal hygiene 
avoid prolonged exposure to moisture 
avoid tight filling clothes 
avoid frequent hot tubs/baths/jacuzzi 
dietary changes (consider yoghurt and probiotics)

Question 16

how to apply fungal creams

Answer 16

bdprn

Question 17

what options are there for fungal nail infection

Answer 17

castilinni paint

clotrimazole 1% lotion

Question 18

minimum age for clotrimazole lotion

Answer 18

2yo

Question 19

what is clotrimazole ear drops used for

Answer 19

mycotic infection of outer ear canal

prophylaxis for swimmers

Question 20

dosing regimen for clotrimazole 1% ear drops

Answer 20

4-5 drops tds-qds

Question 21

precautions for clotrimazole ear drops

Answer 21

not if eardrum is perforated
not for preggo or bf
not for children’s <2yo

Question 22

name an allylamine cream

Answer 22

terbinafine OD/bd 1-4 weeks

Question 23

min age for terbinafine cream

Answer 23

12yo