Integumentary System

Question 1

Classification of Skin Disorders - Infections

Answer 1

bacterial, fungal, parasitic, viral

Question 2

Skin disorders - Inflammatory

Answer 2

injury and excessive sun
exposure, acne, rosacea, atopic
dermatitis, contact dermatitis, seborrheic
dermatitis, stasis dermatitis, psoriasis

Question 3

Skin disorders - Neoplastic

Answer 3

skin cancers, benign neoplasms

Question 4

Bacterial we use

Answer 4

topical, oral, IV

Question 5

fungal we use

Answer 5

topical and oral

Question 6

viral can be

Answer 6

self-limiting

Question 7

Skin parasites include

Answer 7

mites and lice

Question 8

scabicides kill what

Answer 8

kill mites

Question 9

pediculicids kill what

Answer 9

lice

Question 10

Bacterial skin examples

Answer 10

cellulites, impetigo, staff

Question 11

viral skin examples

Answer 11

shingles, warts, herpes

Question 12

Antibacterial Most common pathogens:

Answer 12

staphylococcus and streptococcus

Question 13

impetigo treated

Answer 13

topically unless severe

Question 14

Systemic antibiotics are required for (5 items)

Answer 14

– Moderate to severe impetigo
– Boils or abscesses
– Perianal strep
– Cellulitis
– Methicillin-resistant Staphylococcus aureus
(MRSA): suspected skin infection

Question 15

Mupirocin (topical)

Answer 15

bactroban, centany. Three times a day for 5 to 14 days

Question 16

Retapamulin (alatabax)

Answer 16

BID for 5 days

Question 17

Bacitracin

Answer 17

2 to 5 times a day until clear

Question 18

double antibiotic includes

Answer 18

bacitracin and polymixin b

Question 19

tripple antibiotic inclucds

Answer 19

bacitracin,

neomycin, and polymixin B

Question 20

Topical antibacterial monitoring and patient education

Answer 20

Monitoring
– No specific monitoring
• Patient education
– Administration
– Adverse drug reactions
(ADRs)

Question 21

Topical antibacterial lifestyle managment

Answer 21

Lifestyle management
• Perform hand washing
• Do not share towels or
utensils.
• Wash with antibacterial
soap

Question 22

Topical antifungals are used to treat

Answer 22

superficial fungal infections

Question 23

examples of topical anitfungals

Answer 23

– Azoles
– Allylamines: naftifine
– Benzylamine: butenafine
– Ciclopirox olamine
– Tolnaftate
– Nystatin

Question 24

Topical Antifungals considerations

Answer 24

Few contraindications because of
minimal absorption
– Most are pregnancy category B

Question 25

Systemic antifungal considerations

Answer 25

All should be used cautiously in patients with liver problems. – Griseofulvin has possible cross- sensitivity with penicillin.

Question 26

Topical antifungals ADR

Answer 26

ADRs: Skin irritation, itching, burning, rash – Gentian violet: may cause staining of skin and clothing

Question 27

Topical antifungal drug interactions

Answer 27

Few interactions

Question 28

Theoretical interaction with

Answer 28

azoles and | amphotericin B

Question 29

Clotrimazole intravaginal preparations: should not be administered concurrently with

Answer 29

nonoxynol-9 and | octoxynol

Question 30

Systemic antifungals: have

Answer 30

several | interactions

Question 31

Topical retinoids reduce

Answer 31

cohesion between keratinized cells

Question 32

topical antibiotids example for acne

Answer 32

benzoyl peroxide - keratoytic effect

Question 33

Systemic Retinoids considerations

Answer 33

Systemic Retinoids – pregnancy category X, cheilitis, hypertriglyceridemia, CNS effects

Question 34

Acne is classified as

Answer 34

mild, moderate and severe

Question 35

mild and moderate acne is treated with

Answer 35

topical

Question 36

systemic reinoids used for

Answer 36

moderate to severe, nodular cystic acne

Question 37

hypertriglyceridemia can occur in

Answer 37

45% of patients

Question 38

oral contraception is used to treat what sometimes

Answer 38

acne

Question 39

Topical corticosteroids

Answer 39

use the lowest does possible for the shortest amount of time

Question 40

Topical corticosteroids do not

Answer 40

abruptly discontinue that are high potency

Question 41

Topical corticosteroids classes

Answer 41

1 through 7. One is the most potent and seven is the least potent.

Question 42

Topical Corticosteroids has

Answer 42

Nonspecific anti-inflammatory effects

Question 43

Topical Corticosteroids absorption

Answer 43

Absorption varies by drug and vehicle used – Ointments: more occlusive, so more potent – Creams: less occlusive, so less potent – Lotions: least potent – High dose or over large areas may cause systemic steroid effects

Question 44

Smooth nonhairy skin, thick, hperteratotic leasions

Answer 44

Ointment +++ Cream ++ Foam++

Question 45

Hairy Areas

Answer 45

Solution +++ Foam +++ Gel ++ Lotion ++

Question 46

Palms, soles

Answer 46

Ointment +++ cream ++ Foam ++

Question 47

Infected areas

Answer 47

Solution +++ Foam ++ Lotion ++

Question 48

Between skin folds; moist, macerated lesions

Answer 48

cream ++ lotion ++ solution ++ foam ++