Derm

Question 1

Five components of successful use of topical therapies

Answer 1

Correct diagnosis
Type of lesion being treated
Medication
Vehicle (the base in which the active medication is delivered)
Method used to apply the medication

Question 2

Absorb moisture, decrease friction, and help cover wide areas easily

Answer 2

Powders

Question 3

Act as emollients

Occlusive properties – often enhance drug penetration

Answer 3

Oils

Question 4

Evaporate, provide a cooling, soothing sensation, while aiding exudative lesions to dry

Answer 4

Liquids

Question 5

Smooth nonhair skin, thick, hyerpkeratotic leasions options

Answer 5

ointment+++
cream++
foam++

Question 6

Hairy areas

Answer 6

solution+++

Foam+++

Question 7

palms soles

Answer 7

Ointment+++
Cream++
Foam++

Question 8

Infected Areas

Answer 8

Solution+++
Foam++
Lotion++

Question 9

Between skin folds; moist, mascreated lesions

Answer 9

Cream
Lotion
Solution
Foam

all ++

Question 10

Water suspended in oil

Answer 10

oinment

Question 11

Ointments do what

Answer 11

Excellent lubrication, facilitates heat retentions, decreases transepidermal water loss, provides enhanced medical absorption, semi- occlulsive.

Question 12

Ointments generally most are

Answer 12

potent vehicles (due to occlusive effectds)

Question 13

Oinments are what and are not what

Answer 13

greasy and not useful in hair areas

Question 14

Oinment use

Answer 14

Apply two to three times per day to dry, lichenified lesions, particularly after moisturizing the skin

Question 15

Semi-solid emulsions of oil in 20 to 50% water and can be washed off with water

Answer 15

Creams

Question 16

Creams are

Answer 16

Cosmetically appealing vehicles for delivering topical medications

Question 17

Same medication – cream formulations are usually

Answer 17

stronger than lotions, but less potent than ointments.

Question 18

Lotions are the least

Answer 18

potent topical tehrapies

Question 19

lotions are useful in

Answer 19

hairy areas, conditions were large areas have to be treated

Question 20

Lotions are Pwder in

Answer 20

Powder-in-water (shake container before application)

Question 21

Lotions do what

Answer 21

evaporate

Question 22

lotions provide a

Answer 22

colling and drying effect

Question 23

lotions are useful in treating

Answer 23

treating moist dermatoses and/or pruritis.

Question 24

Solutions contain

Answer 24

Contain water or non-aqueous (such as alcohol or propylene glycol)

Question 25

Solutions bath

Answer 25

Bath soaks and open wet dressings provide coolness and aid in drying exudative lesions by means of evaporation

Question 26

Solutions vasoconstictions results in

Answer 26

in decreased local blood flow and reduction in local edema

Question 27

Wet Dressings permit

Answer 27

Permit the cleansing of exudate while maintaining drainage in infected lesions (e.g., ulcers)

Question 28

Wet Dressings should be changed

Answer 28

Should be changed every 6 hours for 2 to 3 days before judging their effectiveness

Question 29

Wet Dressings - closed

Answer 29

Closed wet dressings polyurethane plastic (e.g., Saran Wrap), which allows heat to be retained, prevents evaporation, and causes maceration

Question 30

Gels are

Answer 30

Oil-in-water emulsion with alcohol in the base

Question 31

Gels dry in a

Answer 31

Dry in a thin, greaseless, non-staining film

Question 32

Gels combine

Answer 32

Combine best therapeutic advantage of ointments with the best cosmetic advantages of cream

Question 33

Gels transparent

Answer 33

Transparent, colorless, semi-solid emulsions that liquefy on contact with the skin

Question 34

Gels hair

Answer 34

Hair-bearing areas, treating acne

Question 35

Foams pressurized

Answer 35

Pressurized collections of gaseous bubbles in a matrix of liquid film

Question 36

Foams spread

Answer 36

Spread readily, easier to apply than other preparations, particularly for inflamed skin, scalp dermatoses

Question 37

Foams more cosmetically

Answer 37

More cosmetically acceptable (which can lead to high compliance)

Question 38

Topical Corticosteroids induce

Answer 38

Induce an inflammatory response in the skin by a variety of mechanisms

Question 39

Topical Corticosteroids anti-

Answer 39

Anti-mitotic activity – scaling dermatoses

Question 40

Topical Corticosteroids cutanious

Answer 40

Cutaneous vasoconstriction

Question 41

Topical Corticosteroids divided into

Answer 41

Divided into seven groups (group one = super-high potency, group seven = least potent)

Question 42

Topical Corticosteroids betetr

Answer 42

absorbed through areas of inflammation and desquamation than normal skin, more readily through the thin stratum corneum of infants than the skin of adults

Question 43

Seven groups of corticosteroids

Answer 43

``` Group 1 (super-high potency Group 2 (high potency) Group 3 (high potency) Group 4 (medium potency) Group 5 (lower-mid potency group 5) Group 6 (low potency) Group 7 (least potent) ```

Question 44

Regional Differences in Percutaneous Absorption

Answer 44

``` Sole of foot – 0.14 percent Palm – 0.83 percent Forearm – 1 percent Scalp – 3.5 percent Forehead – 6 percent Mandible – 13 percent Genitalia – 42 percent ```

Question 45

Corticosteroid Selection can depend

Answer 45

Can depend on what is being treated

Question 46

Corticosteroid Selection start

Answer 46

Start with lowest potency

Question 47

Corticosteroid Selection use

Answer 47

Use shortest time possible

Question 48

Corticosteroid Selection super high

Answer 48

Super high potency corticosteroids - severe dermatoses over nonfacial/nonintertriginous areas (psoriasis)

Question 49

Corticosteroid Selection medium to

Answer 49

Medium to high potency - mild to moderate nonfacial/nonintertriginous dermatoses.

Question 50

Corticosteroid Selection eyelid and

Answer 50

Eyelid and genital dermatoses - low-potency topical corticosteroids for limited time periods.

Question 51

Corticosteroid Selection low to mediam

Answer 51

Low to medium strength - large areas are treated because of the likelihood of systemic absorption