Module 1 MiniModule 5: Topical Therapy Flashcards

(50 cards)

1
Q

What form of topical treatment is the following describing?
- Mechanical effect will always be beneficial (remove skin debris, allergens)
- Chose according to skin condition
- Can be applied in a limited area (chin, paws)

A

Shampooing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What form of topical treatment is the following describing?
- Is better if you shave the affected area for easy application
- Apply products once to twice daily until resolution
- Maintenance frequency based on each case

A

Ointments-creams-lotions-wipes
- avoid the patient from licking/chewing the area for at least 1/2 hour after applying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the “big categories” for topical therapy?

A
  • Keratoseborrheic disorders
  • Infectious dermatitis
  • Allergic dermatitis
  • Otits externa
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The following clinical signs are from:
- Scaling
- Oiliness-rancid smell
- Recurrent infections

A

Keratinization disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Products often used for Keratinization disorders:
- Help remove excess of scale either by increasing desquamation or by reducing intercellular cohesion

A

Keratolytic
- allergic, scabies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Definition:
- shedding of the outer layers of the skin
- your skin’s way of recovering or healing from some type of damage

A

desquamation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Products often used for Keratinization disorders:
- Regulate skin cell proliferation - a cytostatic effect is probably exerted on basal cells, reducing their rate of division (prevents build-up)

A

Keratoplastic
- good for genetic skin conditions, chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Products often used for Keratinization disorders:
- Reduce sebum, degreasing

A

Antiseborrheic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What active ingredient is this describing?
- Keratolytic & keratoplastic
- Mild follicular flushing
- Not a good Degreaser

A

Sulphur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What active ingredient is this describing?
- Keratolytic (remove excess build-up)
- Act synergistically
- Usually, come together

A

Salicylic Acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What active ingredient is this describing?
- Keratolytic
- Follicular flushing (Demodex)
- Degreasing - “seborrhea oleosa”
- Can bleach hair, cloth, furniture

A

Benzoyl peroxide 2.5 - 3%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What active ingredient is this describing?
- Keratolytic & Keratoplastic
- Very degreasing - soborrhea oleosa
- Not a veterinary product
- May be toxic in CATS

A

Selenium sulfide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What active ingredient is this describing?
- Keratolytic
- apply twice a day until resolution of the clinical signs, then decrease frequency to once day or less

A

Salicylic Acid Gel 6.6%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What active ingredient is this describing?
- Restructure stratum corneum
- Control sebum production
- Control microbial flora
- Moisturizes

A

Ceramides/Fatty acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  • HyLyt bath oil (Bayer)
    - fatty acids
  • DermAllay spray (Dechra)
    - oatmeal, safflower oil, ceramide
    What are these?
A

Moisturizers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bacterial Infections:
What is the most common pathogen?

A

Staphylococcus pseudintermedius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Bacterial Infections:
What is the most common clinical presentation?

A

superficial pyoderma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Antibacterial Therapy:
- Chlorhexidine
- Benzoyl Peroxide (anti-bacterial effects)
- Ethyl Lactate (anti-bacterial effects)
- Sodium hypochlorite (bleach)
These are found in the form of what?

A

Shampoo/mousse/wipes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Antibacterial Therapy:
- Silver sulfadianzine
- Medical-grade honey
- Mupirocin (anti-bacterial)
These are found in the form of what?

A

Ointment/Cream

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Antifungal Therapy:
Name the Azoles

A
  • Miconazole
  • Ketoconazole
  • Climbazol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Antifungal Therapy:
Name the Allylamines

A
  • Terbinafine
  • Naftifine
22
Q

Acts by damaging the outer cell wall, causing the bacteria to become more permeable to the antimicrobial agents that act intracellularly

A

Tromethamine-ethylenediaminetetraacetic acid (TrisEDTA)

23
Q

Tris-EDTA is an effective _____________ agent in vitro

24
Q

(T/F) It has been shown to enhance the efficacy of marbofloxacin and gentamicin against Pseudomonas aeruginosa

25
Treatment for Bacterial Infections: - Antimicrobial with a broad spectrum - Gram +/- - Malassezia (yeast) - Concentration 2 -4% - Well tolerated - Over 24h persistence - Not drying
Chlorhexidine
26
What is the following describing? - Bactericidal effect by disrupting the bacterial membrane, leading to impaired cellular exchanges and precipitation of nucleic acid - Fungistatic effect against Malassezia
Chlorhexidine
27
- Antibacterial - Keratolytic - Follicular flushing** - Degreasing - s. oleosa - Can bleach hair, furniture This is:
Benzoyl Peroxide - if the skin is NOT oily, it won't provide the best effects
28
- Antibacterial activity from the lowered skin pH - It is hydrolyzed in the skin to ethanol and lactic acid, lowering the skin's pH This is:
Ethyl lactate 10%
29
- Antibacterial and antifungal - Silver acts on cell membrane - Inhibit protein synthesis This is:
Silver sulfadiazine - can be used close to eye
30
For Bacterial Infections: - High osmolality - Release of oxygen compounds - Lower skin pH
Medical grade honey
31
(T/F) The efficacy of manuka honey is affected by antibiotic resistance
False, it is not affected by antibiotic resistance
32
- Inhibits protein and RNA synthesis - Effective for Staphylococcus infections - Effective against most strains of Methicillin-Resistant S. pseudintemedius (MRSP) This is:
Mupirocin - doesn't intefior with healing
33
- Inhibit wall formation - Bactericidal agent - Decreases skin inflammation This is:
Sodium hypochlorite - very irritant to the eye
34
What are clinical signs for yeast infections?
- Erythema - Brownish discoloration - Itchiness - Oily skin
35
- As adjunctive therapy for dermatophytosis and Malassezia dermatitis - As an alternative to systemic treatment in some cases of Malassezia dermatitis
Antifungal Shampoos
36
Antifungal Active Ingredients: - inhibit the synthesis of ergosterol, a component of fungal cell membranes
Azoles
37
Antifungal Active Ingredients: - Inhibit the synthesis of Lanosterol
Allylamines
38
Antifungal treatments: - Miconazole 2% - Chlorhexidine/miconazole/climbazole/ketocconazole
Antifungal Shampoos
39
Antifungal treatments: - Antifungal - Antibacterial - Antiparasitic (superficial mites)
Lime Sulfur - stinky
40
- Skin inflammation - Pruritus - Defective skin barrier function - Secondary bacterial and yeast infections*
Allergies
41
Pramoxine 1% - topical anesthetic used for... - doesn't last very long
Inflammation/Pruritis
42
Oatmeal is used for...
Inflammation/Pruritis
43
Corticosteroids are used for...
Inflammation/Pruritis
44
Topical Corticosteroids can be divided into: a. Low potency b. Intermediate c. High potency Hydrocortisone is...
a. Low potency
45
Topical Corticosteroids can be divided into: a. Low potency b. Intermediate c. High potency Prednisolone, triamcinolone, dexamethasone are...
b. Intermediate
46
Topical Corticosteroids can be divided into: a. Low potency b. Intermediate c. High potency Betamethasone, and fluocinolone are ...
c. High potency
47
(T/F) When starting corticosteroid treatment, start with an intermediate or high-potency corticosteroid
True, switch to a low potency one for long term use
48
Corticosteroids: - For long-term use - No more than 2 times a week
Hydrocortisone
49
(T/F) Azoles (miconazole, climbazol, ketoconazole) and allylamines (terbinafine) can be used topically to treat yeast (Malassezia) infections
True
50
Both_________ and essetial fatty acids improve the skin barrier function
Ceramides