commonskinconditionsFC

Question 1

acne first line

Answer 1

retinoids (tretinoin cream)

Question 2

acne tx drug classes

Answer 2

retinoids , salicylic acid, bezoyl peroxide, antibitiocs

Question 3

differin generic and class

Answer 3

adalpene (differin) retinoid

Question 4

which patients should not use retinoids

Answer 4

do not use retinoids in pregnancy.

Question 5

which retinoid formulations are less irritating

Answer 5

RETin-A, AVITA, and DIFFERIN are less irritating b/c more alcohol based.

Question 6

how often to apply the retinoid creams on face to reduce irritation ?

Answer 6

begin with reduced frequency of application- and shorter duration of contact to improve tolerance.

Question 7

can you use salicylic acid with retinoids

Answer 7

DO NOT use saliciylic acid while using retinoids

Question 8

how long to see effect of retinoids

Answer 8

takes 4-12 weeks to see a response.

Question 9

what are retinoids derrivatives of ?

Answer 9

some of these are derivatives of VITAMIN A

Question 10

which is the most effective acne med OTC

Answer 10

YES most effective OTC agent. Benzoyl peroxide

Question 11

Benzaclin generic

Answer 11

Clindamycin + BPO (benzamycin) duac

Question 12

duac storage clindamycin + BPO

Answer 12

dispense w/ 60 day expiration, apply at night and do not freeze

Question 13

benzamycin and benzaclin differences and similarities

Answer 13

benzamycin is refrigerated (has a lil bit erythromycins)
and benzaclin is kept at room temp (has lil bit clindamycin) BOTH have 3 months expiration
benzamycin mixed w/ alcohol and benzaclin mixed w/ water

Question 14

isotretinoin DO NOT USE IF

What is the indication

Answer 14

pregnant- need to get tested for pregnancy before and must use two forms of birth control if on it.
indicated for SEVERE acne recalcitrant, nodular acne

Question 15

age restriction of minocycline

Answer 15

12 years or older

Question 16

commonly used oral antibiotics

Answer 16

minocycline- 12 years and OLDER

Question 17

dandruff antifungal dosing

Answer 17

ketoconazole (nizoral shampoo) leave it in for five mins, use TWICE a week

Question 18

why ketoconazole not first line

Answer 18

not first line since more expensive. use head/shoulder first

Question 19

fungal infections most effective antifungal for skin

Answer 19

terbinafine is first line and most effective OTC (lamisal)

Question 20

how to apply terbinafine, and for how long

Answer 20

apply 1-2 inches PAST the rash, do not walk bare foot, use at least for 2-4 weeks even if the rash has healed.

Question 21

which antifungal formulation works best

Answer 21

creams work best!

Question 22

other fungal infection meds names

Answer 22

clotrimazole and ketoconazole

Question 23

finger nail tx for antifungal duration

Answer 23

6 weeks

Question 24

toe nail tx druation antifungal

Answer 24

12 weeks

Question 25

nail tx

Answer 25

needs systemic medications- test with KOH smear to monitor for hepatotoxitiy

Question 26

be careful w/ fungal tx po because can cause?

Answer 26

HEPATOTOXICITY

Question 27

ezema tx options

Answer 27

topical or oral steroids, antibiotics, or antihistamines.

Question 28

application of steroids for eczema how often ?

Answer 28

topical steroids only twice a DAY MAX b/c regardless of potency b/c it can cause thinning.

Question 29

preferred for dry skin in eczema ?

Answer 29

emollients are preferred for dry skin b/c they only contain abt 20% water and is mostly oil

Question 30

lice DOC ? And dosing ?

Answer 30

permethrin is OTC DOC for lice (nixrid) tx and soon as posisble and do second tx 7-10 days after. Permethrin, Nix, rid all first line

Question 31

which lice tx is flammable >

Answer 31

ovide- flammable

Question 32

lice what u gotta do for success

Answer 32

u gotta remove the live lice and nits OR the OTC product w// not work. wash clothing etc in hot water and hot dryer soak combs and brushes in hot water for 10 mins

Question 33

external genital warts tx and how to apply

Answer 33

imiquimod cream (aldara) apply 3 x a week. apply to entire area until cream is not visible. wash off after 8 hrs.

Question 34

hydroxyzine (atarax) indication

Answer 34

hives which itch badly - antihistamine

Question 35

psoriasis use main treatments

Answer 35

keratolytics retinoids, calcipotriene and bethamethasone ointment

Question 36

taclonex and taclonex scalp suspension generic

Answer 36

Calcipotriene and betamethasone ointment comes as Taclonex and Taclonex scalp suspension.

Question 37

dermazinc tx indication

Answer 37

is afor psoriasis maybe OTC

Question 38

moa of calcipotriene for psoriasis

Answer 38

vitamin D analog

Question 39

dovonex generic

Answer 39

Calcipotriene comes alone as Dovonex.

Question 40

alopecia-tx

Answer 40

finasteride or minoxidil

Question 41

minoxidil

Answer 41

more so for facial hair growth

Question 42

bimatoprost inidication in hair?

Answer 42

can be used to increase eyelashes.

Question 43

UVA sunscreen purpose

Answer 43

blocks AGING

Question 44

UVB sunscreen purpose

Answer 44

Blocks BURNING

Question 45

broadspectrum sunscrena means

Answer 45

UVA and UVB

Question 46

finasteride MUST be avoided by ?

Answer 46

finasteride PREGNANCY cateogry x. onLY FOR MEN.

Question 47

SPF

Answer 47

sun exposure factor.

Question 48

isotretinoin drug interactions

Answer 48

vitamin A, tetracyclines, steroids, POP or st. john's warts

Question 49

ADR of isotretinoin

Answer 49

arthralgias, OSTEOPOROSIS, psych issues, dry skin, contact lens issues, chapped lips, decrease night vision which may be permentant and elevated cholestrol, glucose, chest pain, and hearing loss

Question 50

pulse therapy w/ ketoconazole

Answer 50

has less side effects, less cost, similar efficacy

Question 51

butenafine indication

Answer 51

for fungal OTC first line along with terbinafine.

Question 52

ketoconazole needs what type of enviorment to work

Answer 52

ACIDIC enviorment. rabeprazole and other PPI h2ra's need to be stopped.

Question 53

elidel inidcations and generic

Answer 53

pimecrolimus - used to treat ezema once topical steroids have failed. applied twice a day . only short term therapy. associated w/ cases of skin cancer

Question 54

tacrolimus

Answer 54

protopic.

Question 55

Imiquimod dosing

Answer 55

aldara- 3 times a week. 1 application per packet

Question 56

for hairy skin what skin formulations to use ?

Answer 56

lotions gell foam.

Question 57

when do you bandage a wound

Answer 57

if its likely to get dirty....always?

Question 58

mupirocin

Answer 58

bactroban has good coverage of staph and strep

Question 59

sunscreen should be reapplied every x amt of time

Answer 59

2 hours

Question 60

sunscreens that contain are recommended

Answer 60

zinc oxide, avobenzone and titanium dioxide

Question 61

scabies tx

Answer 61

tiny mites- permetherin, sulfer ointment lindane can be used 2nd line

Question 62

stronger benzoyl peroxide or salicylic ?

Answer 62

benzoyl

Question 63

sunscreen math usually burn in 10 mins spf of 5

Answer 63

10 x 5 = burn in 15 f a patient would normally burn in 10 minutes, if they used a sunscreen with an SPF of 5 they would burn in 50 minutes (5 x 10 = 50).

Question 64

tinea cruris

Answer 64

jock itch

Question 65

tinea pedis

Answer 65

atheletes foot

Question 66

mupirocin coverage

Answer 66

staf and steph coverage great!

Question 67

what to do about scrapes

Answer 67

if a wound is in an area that IS NOT rubbed by clothing or gets dirty dont cover it. scrapes should be kept MOIST and clean to prevent scarring- use semi occlusive bandaids

Question 68

topical abx how many times a day

Answer 68

1 to 3

Question 69

poison ivy use

Answer 69

ivy block, zanafel (binds to toxin urshodiol) burrow, aveeeno, caladryl, cold compress

Question 70

high to low potency steroids

Answer 70

clobetasol is HIGH, mometasone, fluocininnide, desoximetasone, hydrocortisone