Footcare

Question 1

Describe Calluses

Answer 1

Localized are of thickened skin

Question 2

Where can Calluses be found

Answer 2

At friction points - (weight bearing)

Question 3

What are some treatments for calluses?

Answer 3

footwear (new tight shoes)
Pumice stone

Question 4

What type of bandaid is used after you sand down calluses from your foot?

Answer 4

Liquid bandage
( Can also use super glue on the cracks )

Question 5

True or false
The treatment methods for callus’s are NOT similar to ones for corn.

Answer 5

False.

Question 6

What is a callus remover?

Answer 6

A cushion with a pliable disk that contains 40% s.a.
The glue is under the cushion where the s.a. is.

Question 7

Can you use a bandaid to top a callus remover?

Answer 7

Yes

Question 8

When is liquid corn/callus remover useful?

Answer 8

When the size of the corn and callus does not exceed the size of the ring. If yes then its absolutely NOT useful.

Question 9

Describe corns

Answer 9

A hyperkeratotic growth
Reaction to local friction and trauma over joint

Question 10

How many types of corn do we have? describe them.

Answer 10

Hard and soft
Hard: develop on the top of the toes - very dry
Soft: in between toes - they are moister - they have cones

Question 11

Do the cones in corn play a huge part in the disease?

Answer 11

No cones play a major role in warts compared to corns.

Question 12

What’s the best treatment for corn?

Answer 12

The best treatment is to remove the cause.
Put some protective material on it.
Use Scholl corn cushions (Foam only)

Question 13

What is the only suitable Scholl corn cushion dosage form?

Answer 13

Foam

Question 14

How do you use the s.a. preps for corns?

Answer 14

Soak the hard corn first then apply the patch OD-Q2d
The treatment is for 6 days

Question 15

What is the direction of use for Scholl corn removing soln.

Answer 15

Soak hard corn first
OD-BID
Treatment period 6 days.

Question 16

True or false.
We should not use band-aids on soft corn.

Answer 16

false.
We want band-aids so it stops it from spreading to the other toes.

Question 17

Does it only take one day of use for one-step corn removers?

Answer 17

No, it takes 6 uses for 6 days and that is false advertising.

Question 18

Describe bunions.

Answer 18

Swelling of joint via deviation of the big toe.
Genetic

Question 19

True or false.
Not in all cases of bunions the toe is crooked.

Answer 19

True

Question 20

Is bunion pharmacist territory?

Answer 20

No

Question 21

What is the cause of bunions?

Answer 21

Structural defect
heredity
exacerbated by shoes

Question 22

Differentiate bunions from gout and arthritis?

Answer 22

Gout: less possibility - don’t see fat in bunion
arthritis: in the big toe joint

Question 23

Why do you get gout?

Answer 23

Uric acid between joints

Question 24

What are some treatments/products for bunions?

Answer 24

Orthotic device / special shoes
bunion protective pads (cushion, no disk)
Foam bunion cushions
Sholl toe flex
Surgery
Gel bunion guard

Question 25

What is toe straight used for?

Answer 25

Hammer toes

Question 26

do we use antibiotics for some cases of ingrown nails?

Answer 26

Yes (Keflex)

Question 27

What's the treatment for an ingrown toenail?

Answer 27

file off the edge outgrow (benzocaine 20%) Sholl toenail softening Foam cap Epsom salt

Question 28

What does bromidrosis mean?

Answer 28

Unpleasant smell referring to smelly feet

Question 29

What's the treatment for smelly feet?

Answer 29

Loose fitting shoe Wash feet ( more often than actual) Socks (cotton better than synthetic) - change more often Odour easter inserts foot powders and sprays

Question 30

Why do we use silver in socks for smelly feet?

Answer 30

It has antibacterial properties but it cant kill all the bacteria.

Question 31

What virus causes hand warts?

Answer 31

human papilloma virus

Question 32

True or false. Hand warts can be transmitted from person to person.

Answer 32

True

Question 33

True or false. Our bodies on its own can battle warts

Answer 33

True

Question 34

What is the direction of use for salicylic acid preps for hand warts?

Answer 34

Soak first rub off dead skin (can add some vaseline) apply drops cover

Question 35

What's the regiment of use for salicylic acid preps for hand warts?

Answer 35

OD / 8-12 weeks

Question 36

Whats compound W and whats its duration of use?

Answer 36

Basically salicylic acid preps but it has a second ingredient that is not that necessary. 8 weeks

Question 37

True or false. When applying salicylic acid preps we should also cover the area around the wart to ensure better healing.

Answer 37

False. It should only be on the white puss aka the center of the wart and having it around it might damage the skin and spread the infection in some cases.

Question 38

Is the gel version of compound W better or the fast-acting liquid and why?

Answer 38

JT says the gel is better because the area that the salicylic acid is exposed to is much smaller than the FAL so the gel would last much longer (basically patient convenience)

Question 39

How deep do you go with the treatment of hand warts with salicylic acid?

Answer 39

We need to make sure that the root of the wart fully is destroyed unlike what we see in corns

Question 40

Are salicylic acid patches a good way of treatment for hand warts? Explain

Answer 40

No they are not recommended because they all come in one size.

Question 41

True or false. For compound W freeze off we do not want the pointy end Q tips.

Answer 41

False.

Question 42

How long do you leave compound W to freeze off on warts? and what is the regiment of treatment?

Answer 42

20 seconds for each lesion. apply Q 2-3 weeks --- about 4 repeats

Question 43

True or false. Compound W freeze-off is not as cold as compound W nitrofreeze.

Answer 43

True

Question 44

Is duct tape a good option for hand warts?

Answer 44

Yes they are very much so a great option for warts

Question 45

What's the regiment of use for duct tape for hand warts?

Answer 45

Cut to fit Daily use for up to 2 months

Question 46

When do we use oral zinc/cimetidine?

Answer 46

We as pharmacists do not even have the power to recommend and prescribe this but this is basically the last level of treatment / it has H2 blocking like zantac

Question 47

Are both salicylic acid and OTC cryotherapy good options for kids and if yes then how do we decide what is the best option for them?

Answer 47

They are both equally good and it's the parent's choice to go down whatever route of therapy that they want.

Question 48

Whats the legal age for freeze off compound W?

Answer 48

4yr >

Question 49

When do we refer hand warts cases in kids?

Answer 49

When on face Multiple lesions

Question 50

What are warts flat and differentiate it from normal warts

Answer 50

Happens in kids and its generally on the face might have some black dots with it too it's not only one or two but its more like a dozen of them smaller and smoother than warts

Question 51

Do we play a role in flat wart cases?

Answer 51

No MD referral

Question 52

Do we go for 40 seconds max or 20 seconds for plantar warts?

Answer 52

40 seconds - we can also go for a recharge

Question 53

True or false. There is a therapeutic ladder when it comes to plantar warts.

Answer 53

False There is no therapeutic ladder

Question 54

Whats the regimen of use for dual action in plantar warts?

Answer 54

Freeze area - apply salicylic acid OD for 14 days repeat for 4 cycles

Question 55

Whats the regimen of use for non-dual action in plantar warts?

Answer 55

Freeze area for Q3wks * 4 NO salicylic acid here

Question 56

How deep should you go with salicylic acid liquid/paste/gel?

Answer 56

Very deep as much as possible and there is a lot of failure in this process.

Question 57

What's the regimen of use for salicylic acid liquid/ paste/gel?

Answer 57

OD to Q2days * 12 weeks.

Question 58

Are salicylic acid band-aid products a good way to treat warts?

Answer 58

No they are not because they all come in one size.

Question 59

What is the better product to put around the wart and the scar, skin crack care or vaseline?

Answer 59

Skin crack care and we should put it around the age.

Question 60

What is the duration of treatment with canthacur products for plantar warts?

Answer 60

Three or more such treatments. and leave it there for 1 week.

Question 61

How does the wart look after using canthacur?

Answer 61

Like a blister after 1-2 days later. (inflammatory response of the body)

Question 62

What is one creative way mentioned by a pharmacist to help plantar warts?

Answer 62

H2O2 is first followed by vicks vaporub. Cover. Do this every day for 14 days.

Question 63

Does the H2O2 or Vaporub do anything for plantar warts?

Answer 63

The H2O2 does not do anything and it is only the VapoRub helping.

Question 64

Can vaccination against HPV prevent cervical cancer?

Answer 64

Yes

Question 65

What is plantar fasciitis?

Answer 65

A very painful feeling in the foot - A tear in the plantar fascia of the bottom of the foot.

Question 66

When does plantar fasciitis hurt the most?

Answer 66

In the morning because the fascia has healed a little bit and as soon as you put your foot down the fascia tears.

Question 67

What is the treatment regimen in most cases of plantar fasciitis?

Answer 67

In 80% of the cases, symptoms resolve with OTC and home remedies alone, most often within 6 months of starting therapy.

Question 68

Does stretching your foot upwards help with plantar fasciitis?

Answer 68

Yes it does.

Question 69

Is a plantar fascia sleeve a good thing to use to treat plantar fasciitis?

Answer 69

No, it is not.

Question 70

What is Strassburg socks and how does it work?

Answer 70

A special sock to wear overnight for plantar fasciitis to wear overnight so when you wake up in the morning the bottom of your foot does not hurt.

Question 71

Are NSAIDs and voltaren a good drug to use for plantar fasciitis?

Answer 71

No, because they are not good for neuropathic pain.

Question 72

Are NSAIDs and Voltaren good drugs to use for plantar fasciitis?

Answer 72

No, because they are not good for neuropathic pain.

Question 73

How often does heel spur appear in plantar fasciitis?

Answer 73

About 50% of the time and as you get older they get much worse.

Question 74

Is heel pain pharmacist territory?

Answer 74

No MD

Question 75

What are some treatment options for heel spur?

Answer 75

shoe inserts stretching icing the arch sound waves night splints

Question 76

How long does it take on average for a heel spur to heal?

Answer 76

9 months

Question 77

Where is the location of plantar fasciitis on the bottom of the foot?

Answer 77

on the side and forward.

Question 78

Does plantar fasciitis hurt more or heel spur?

Answer 78

plantar fasciitis

Question 79

what is the location for fat pad degradation?

Answer 79

In the middle of the bottom foot area at the end.

Question 80

Do we really even pay attention to gel heel cups?

Answer 80

No we do not.

Question 81

Does the custom-fit orthotic center work properly when it comes to detecting your foot problems?

Answer 81

No, it does not because it doesn't detect pressure for the high arches.

Question 82

Do magnetic soles even do anything for treating any foot problems?

Answer 82

No they do not do ANYTHING.

Question 83

should diabetic people even self-medicate for corn and warts?

Answer 83

No because they have less sensation and it can lead to foot ulcers.

Question 84

What type of diabetes are we worried about when it comes to foot care?

Answer 84

Type 1.

Question 85

If a lotion has the stamp of the Canadian diabetes association necessarily mean it is for diabetic people?

Answer 85

Not at all you can pay to have that stamp on your cream.

Question 86

What is the difference between cryotherapy in warts compared to skin tag removal?

Answer 86

In. skin tag removal you approach the area from the side but in warts, you dab it on the top.