derm therapeutics

Question 1

First line agents for psoriasis and atopic dermatitis

Answer 1

Topical corticosteroids

Question 2

Least potent corticosteroid

Answer 2

Hydrocortisone, then desonide, then betameth

Question 3

Super high potency corticosteroids useful for

Answer 3

thick plaques
soles
palms
scalp

Question 4

systemic side effects of steroids

Answer 4

glaucoma
HPG axis suppression
HTN
cushing's
hyperglycemia

Question 5

1 palm is the equivalent of

Answer 5

1% BSA

Question 6

1 finger tip unit treats

Answer 6

2% BSA

Question 7

2 palms, 2 times a day give

Answer 7

30 grams per month

Question 8

equivalent of 2 palms bid

Answer 8

1 g per day

Question 9

extensor surfaces of both arms would require

Answer 9

120-150 g of corticosteroid

Question 10

Benzoyl peroxide has what type of activity ?

Answer 10

Anti comedolytic, anti bacterial

Question 11

what type of abx can be combined with BP?

Answer 11

Clindamycin 1%

Metronidazole 0.75%

Question 12

what should you not apply at the same time as Benzoyl peroxide?

Answer 12

Tretinoin

Question 13

How long do acne treatments need before an effect is seen

Answer 13

2-3 months

Question 14

what type of oral Abx are available to treat acne

Answer 14

Tetracycline
Doxycycline
Minocycline

Question 15

What should you recommend for all acne patients on tetracyclines?

Answer 15

Sun block with UVA coverage

Question 16

when is Isotretinoin indicated?

Answer 16

severe, nodulocystic acne failing other therapies

Question 17

2 medications contraindicated in pregnancy

Answer 17

Tetracyclines and isotretinoin

Question 18

Uncommon side effect associated with isotretinoin -

Answer 18

severe headache, pseudotumor cerebri