Skin

Question 1

What is the difference between cellulitis and erysipelas?

Answer 1

Cellulitis is an infection if the deeper tissue where erysipelas is a superficial infection

Question 2

What is the first line treatment for cellulitis and what is the alternative if a patient is allergic?

Answer 2

Fluxoxacillin

Alt
Clarithromycin

Erythromycin (if pregnant)

Question 3

What is the first line treatment for cellulitis and what is the alternative if a patient is allergic?

Answer 3

Fluxoxacillin

Alt
Clarithromycin

Erythromycin (if pregnant)

Question 4

What is the treatment for erysipelas/cellulitis if its by the eyes or nose?

Answer 4

Co-amoxiclav

Alt
Clarithromycin and metronidazole

Question 5

What are the two types of impetigo?

Answer 5

Non bullous

Bullous

Question 6

Describe non bollous impetigo

Answer 6

A thin walled vesicle that ruptures quickly forming a golden crust

Question 7

Describe bullous impetigo

Answer 7

Fluid filled vesicles & blisters that rupture leaving a thin flat yellow brown crust

Question 8

What is the initial treatment for impetigo if they’re not systemically unwell?

Answer 8

Hydrogen peroxide 1%

Question 9

What is the treatment if a pt with impetigo is systemically unwell for the infection is around their eyes?

Answer 9

Topical or oral antibiotics

Fusidic acid - topical
(Mupirocin if the organism is resistant)

Flucoxacillin - oral
Clarithromycin or erythromycin for an alternative

Question 10

How long should fusidic acid and mupirocin be used for and why?

Answer 10

10 days only!

To avoid resistance

Question 11

What skin condition can metronidazole used for?

Answer 11

Rosacea or BAD BO

Also infection wounds

Question 12

How long must you treat topical fungal infections for with topical preparations?

Answer 12

1-2 weeks after the infection disappearance

Question 13

Is a fungal infection is on the scalp do you treat it systemically or topically?

Answer 13

Systemically

Question 14

When should you use systemic antifungals to treat topical fungal infections?

Answer 14

If the infection is on the scalp, widespread or hard to control

Question 15

What part of the body is affected by tinea capitis ?

Answer 15

The scalp

Question 16

What part of the body is affected in tinea corporis?

Answer 16

The body

Question 17

What part of the body is affected by tinea cruris?

Answer 17

Groin

Question 18

What part of the body is affected by tinea manuum?

Answer 18

Hand

Question 19

What part of the body is affected by tinea paedis?

Answer 19

The foot (athletes foot)

Question 20

What part of the body is affected by tinea unguium?

Answer 20

The nail

Question 21

Imidazole is effective treatment for ringworm. Name the drugs (4)

Answer 21

Clotrimazole
Econazole
Ketoconazole
Miconazole

Question 22

What are the treatment options with tinea unguium ?

Answer 22

Amorolfine

Tioconazole

Question 23

What is the treatment for pityriasis versicolor?

Answer 23

Ketoconazole shampoo and is used for 5-7 days

Question 24

Is relapse common in pityriasis versicolor?

Answer 24

Yes

Question 25

What systemic treatment is used to treat pityriasis versicolor ?

Answer 25

The triazoles for 1-4 weeks

Question 26

Describe angular cheilitis

Answer 26

Inflammation of one for both corners of the mouth. The corners are red with skin breaking down and crusting

Question 27

What sort of conditions would you use preparations with antifungal and steroid activity?

Answer 27

Ezcematous intertrigo Severely inflamed ringworm Intertrigo

Question 28

What is the treatment for scabies?

Answer 28

Permethrin Malathion as an alternative

Question 29

What treatment is to be avoid in children for the treatment of scabies and why?

Answer 29

Benzyl benzoate as it is an irritant and does work as well as the first line treatment

Question 30

If there is a scabies out break. Who should be treated?

Answer 30

The whole household

Question 31

Where should you apply the permethrin for scabies?

Answer 31

EVERYWHERE. Face and scalp included

Question 32

How often should permethrin and malathion be applied ?

Answer 32

Twice being a week apart

Question 33

How often should benzyl benzoate be applied?

Answer 33

Up to 3 times on consecutive days

Question 34

What is the treatment for head lice?

Answer 34

Dimeticone

Question 35

How does dimeticone work?

Answer 35

It affects the water balance of the lice preventing their excretion causing them to suffocate

Question 36

Why should treatment be repeated in 7 days?

Answer 36

Because it is less active against the eggs so need to kill the lice that are hatched after the first treatment

Question 37

How long must you leave the dimeticone lotion or liquid on for?

Answer 37

8-12 hours

Question 38

If a house hold member has head lice. Who should be treated?

Answer 38

Only affected members of the house

Question 39

What is the wet combing technique?

Answer 39

Use it for 30 minutes at a time over the whole scalp Needs to be repeated every 4 days for 2 weeks and must be continued until no lice are found on three consecutive sessions Applying veggie oil and conditioner can help the combing process

Question 40

What drugs can aggravate psoriasis ?

Answer 40

``` Lithium Chloroquine Hydroxychloroquine Beta blockers NSAID ACE inhibitors ```

Question 41

What formulation of steroid is useful for moist or weeping lesions?

Answer 41

Water-miscible

Question 42

What formulations of steroid is used for dry, lichenified, or scaly lesions?

Answer 42

Ointments

Question 43

What formulation is useful for application to large or hair bearing areas or for exudative lesions?

Answer 43

Lotions