Exam 1

Question 1

Allergic contact dermatitis treatment

Answer 1

Topical corticosteroids (high on thick skin, medium on face no more than 2 weeks)

Calcineurin inhibitors for chronic localized

Systemic cortico for ACD > 20% BSA

Drying agents aluminum acetate

Soothing agents - oatmeal, calamine

Question 2

Toxicodendron dermatitis posion ivy caused by

Answer 2

urushiol

Question 3

Toxicodendron dermatitis treatment

Answer 3

Prevention
Soothing 
Topical astringents (aluminum acetate)
Topical corticosteroids  high potency 
Systemic corticosteroids 

Oral antihistamines

Question 4

Do topical calcineurin inhibitors work for toxicodendron dermatitis

Answer 4

No

Question 5

Atopic dermatitis is

Answer 5

eczema

Question 6

Eczema caused by

Answer 6

filaggrin deficiency

Question 7

Is atopic dermatitis more likely to affect black children

Answer 7

Yes

Question 8

Mild vs. Moderate vs. Severe atopic dermatitis

Answer 8

Mild - itching
Moderate - moderate impact
Severe - losing sleep

Question 9

Atopic dermatitis treatment mild to moderate disease

Answer 9

Topical corticosteroids 
Low potency (Desonide 0.05%)

High potency cream (Triamcinolone acetonide 0.5%)

Topical calcineurin inhibitors - Tacrolimus 0.03% and 0.1% and pimecrolimus 1%

Question 10

Severe atopic dermatitis treatment

Answer 10

Soak and smear 
Wet wraps (wet pjs)
coal tar
Dupixent
Cyclosporine
MTX
AZA
MMF

Question 11

Seborrheic dermatitis is

Answer 11

greasy looking yellow scales

Question 12

Seborrheic dermatitis treatment

Answer 12

Topical antifungal agents
Topical corticosteriods
Topical calcineurin inhibitors
Systemic antifungals for severe

Question 13

Cradle cap treatment

Answer 13

Baby shampoo remove scales with soft brush (daily but once resolves q. 2-3)

Question 14

Bacterial conjunctivitis treatment

Answer 14

Erythromycin 5mg/g 1/2 inch qid x 5-7 days

Trimethoprim/polymixin B 0.1% 1-2 gtts qid x 5-7 days

Question 15

Viral conjunctivitis - pink eye treatment

Answer 15

vasoconstrictor

Naphazoline

Question 16

Permethrin duration

Answer 16

apply to damp hair, leave on for 10 mins, wait 7 days to give another

Question 17

Pyrethin duration

Answer 17

apply to dry hair, leave on for 10 mins, repeat in 7 days

Question 18

How old do you have to be to use DEET

Answer 18

< 2 months

Question 19

For stings use

Answer 19

anti histamines

Question 20

Irritant contact dermatitis treatment

Answer 20

topical corticosteroids

Question 21

Diaper rash consult provider if

Answer 21

Fever
Does not improve in 3 days
Blisters or sores

Question 22

Diaper rash treatment

Answer 22

white petrolatum, zinc oxide, paraffin

can try corticosteroids if those don’t work

Question 23

Goals of acne therapy

Answer 23

remove keratin plug
reduce inflammatio
reduce sebum production
reduce / eliminate scarring

Question 24

Acne initial therapy

Answer 24

topical retinoids

Question 25

Oral isotretinoin names

Answer 25

Zenatane, Amnesteem, Claravis, Sotret, Absorica, Absorica LD

Question 26

C/Is for isotrentinoin

Answer 26

pregnant psychiatric conditions tetracyclines/ doxycycline/minocycline vitamin A toxicity

Question 27

Dose of isotrentinoin

Answer 27

0. 5 - 1 mg/kg/day | 0. 4 - 0.8 mg/kg/day

Question 28

Monitoring isotrentinoin

Answer 28

LFT | FLP

Question 29

Maculopapular rash caused by

Answer 29

7-10 days starting penicillins, ceph, sulf, anticonvulsants

Question 30

DRESS caused by

Answer 30

eosinophilia delayed onset 1-6 weeks allopurinol, sulf, barb, phenym, carba, lamotrigine, dapsone

Question 31

DRESS organ involvement treatment

Answer 31

0.5-2 mg/kg/day prednisone

Question 32

DRESS non organ involvement treatment

Answer 32

High potency topical steroids

Question 33

High potency steroids

Answer 33

``` Clobetasol 0.05% Fluocinonide 0.1% Betamethasone dipro 0.05% Halobetasol 0.05% Halcionide Other F, beta dip ```

Question 34

Urticaria is a

Answer 34

Type 1 hypersesitivity IgE

Question 35

Serum sickness like reactions

Answer 35

urticaria and fever, onset 1-3 weeks after starting drug (pen, ceph, sulf)

Question 36

SJS/TEN

Answer 36

life threatening, mucosal surfaces, start with target lesions, onset 7-14 days

Question 37

SJS/TEN risk factors

Answer 37

HIV, SLE, malignancy, UV light, HLA

Question 38

SJS/TEN treatment

Answer 38

withdraw drug, check cross reacting, supportive care, wound care (chlorhexidine, silver nitrate, silver silfadiazine, gentamicin), opthalmology consult, can try IVIG, systemic corticosteroids, cyclosporine (NO Thalidomide)

Question 39

Hyperpigmentation seen in

Answer 39

phenytoin, tetracyclines, silver, mercury, antimalarials, amiodarone

Question 40

Sulfonamide non antibiotics

Answer 40

``` Loop diuretics Thiazide diuretics Sulfonylureas Sulfasalazine Dapsone ```

Question 41

Are 3rd gen cephalosporins cross reactive with penicillins

Answer 41

No - just 1st and 2nd gen

Question 42

Normal IOP

Answer 42

13

Question 43

Elevated IOP

Answer 43

21

Question 44

Types of glaucoma based on IOP

Answer 44

NT-glaucoma (normal tension) Glaucoma Ocular HTN

Question 45

Glaucoma risk factors

Answer 45

``` Elevated IOP Age (>60, >40 blacks) Family history race/ethnicity increased cup to disc ration (0.2) Central corneal thickness ocular perfusion pressure T2DM myopia ```

Question 46

Goals of glaucoma treatmet

Answer 46

drop IOP by ≥25%

Question 47

Best drugs for glaucoma

Answer 47

``` #1 Prostaglandin analogs Beta blockers Alpha agonists Carbonic anhydrase inhibitors Rho kinase inhibitors ```

Question 48

Most efficacious glaucoma drug

Answer 48

Bimatoprost or latannprostene bunod

Question 49

First line glaucoma

Answer 49

Prostaglandin | BB

Question 50

2nd line glaucoma

Answer 50

Dorzolamide Brimonidine Brinzolamide, dorzolamide Netarsudil

Question 51

Who should be treated for ocular HTN

Answer 51

elevated IOP and confirmed disc changes/field dfects risk factors

Question 52

Who should be treated for NT glaucoma

Answer 52

field changes risk factors documented progression of visual field loss

Question 53

Acute angle closure crisis treatment

Answer 53

IV or PO Carbonic anhydrase inhibitor Topical Beta blocker Topical Alpha agonist Topical Pilocarpine

Question 54

Acute angle closure crisis treatment 1 hour no better

Answer 54

PO glycerin or isosorbide OR IV mannitol | Ophthalmic steroid