Skin Flashcards
(95 cards)
1
Q
What is this?
A
Chicken pox
2
Q
What is this?
A
Acne
3
Q
What is this?
A
Atopic Dermatitis
4
Q
What is this?
A
Cold Sores
5
Q
What is this?
A
Cradle Cap
6
Q
What is this?
A
Dandruff
7
Q
What is this?
A
Fungal Nail Infection
8
Q
What is this?
A
Hand Foot and Mouth
9
Q
What is this?
A
Impetigo
10
Q
What is this?
A
Measles
11
Q
What is this?
A
Meningitis
12
Q
What is this?
A
Mumps
13
Q
What is this?
A
Nappy Rash
14
Q
What is this?
A
Psoriasis
15
Q
What is this?
A
Rubella
16
Q
What is this?
A
Scarlet Fever
17
Q
What is this?
A
Slapped Cheek Syndrome
18
Q
What is this?
A
Tinea Capitis (fungal infection of the scalp)
19
Q
What is this?
A
Tinea Corporis (fungal infection of the body)
20
Q
What is this?
A
Jock itch
21
Q
What is this?
A
Tinea Pedis (Athlete’s foot)
22
Q
What is this?
A
Wart / Verruca
23
Q
As well as runny nose, cough and a high fever, what is another symptom of measles?
A
Conjunctivitis
24
Q
Do you refer measles to the GP?
A
Yes - advise the patient to phone first to reduce risk of spreading the infection
25
What is the advice for patients with measles, mumps or rubella?
To stay hydrated
26
How long after symptoms disappear should a child stay off school with measles, mumps or rubella?
Measles - 4 days
Mumps - 5 days
Rubella - 6 days
27
Which over the counter products can be given to patients with measles, mumps or rubella?
Paracetamol and Ibuprofen
28
As well as fever, headache and malaise, what is another symptom of mumps?
Swelling of one or both glands which shows at the sides of the face
29
As well as fever, headache and malaise, what is another symptom of rubella?
Swelling of glands which shows up at the **back of the neck**
30
What are the 3 OTC treatments for chicken pox?
1. Calamine lotion
2. Cooling gels
3. Paracetamol
31
What are the two pieces of lifestyle advice given to patients with chicken pox?
1. Stay hydrated
2. Cut nails short to avoid scratching
32
Flu-like symptoms, nausea, vomiting, lethargy and muscle ache are non-specific signs of meningitis. What are the specific signs? (7)
1. Severe headache
2. Stiff neck
3. Altered mental state
4. Non-blanching rash
5. Photophobia
6. Seizures
7. Unconsciousness
33
As well as Olive Oil BP and gently brushing flakes away, which shampoo can be used in the treatment of cradle cap?
Ketoconazole 2% Shampoo
34
What are the referral criteria for nappy rash? (5)
1. Yellow/weeping (infection)
2. Broken skin
3. Symptoms for over 2 weeks
4. Concomittant genital / oral thrush
5. Rash in other areas of the body
35
What are the treatment options for nappy rash? (5)
1. Clotrimazole 1% cream
2. Dimeticone
3. Zinc
4. Lanolin
5. Castor oil/Cod liver oil (creates a water resistant barrier)
36
What are the referral criteria for eczema/atopic dermatitis?
1. Yellow/Weeping (infection)
2. Sever symptoms (cracked/bleeding)
3. Treatment failure
4. Not previously diagnosed / No identifiable cause
5. Symptoms for over 2 weeks
37
What are the two types of topical treatment used in atopic dermatitis?
1. Emolients
2. Corticosteroids
38
Which two corticosteroids can be used in atopic dermatitis?
1. Hydrocortisone
2. Clobetasone
39
What is the minimum age can hydrocortisone cream be sold for OTC?
10
40
What is the minimum age that clobetasone can be sold for OTC?
12
41
As well as moisturising creams, when else can emolients be applied to treat atopic dermatitis?
In the shower/bath as a soap substitute
42
What is the maximum duration of treatment for OTC hydrocortisone and clobetasone cream?
7 days
43
Which drugs can cause acne as an adverse effect? (5)
1. Lithium
2. Phenytoin
3. Progestogens
4. Levonorgesterol
5. Norethistrone
44
When treating acne OTC, after how long do you refer if unresponsive?
8 weeks
45
Which OTC product is used to treat acne?
Benzylperoxide: 2.5%, 5% or 10%
46
Especially during the initial stages of treatment with benzoyl peroxide, which side effects can patients experience?
1. Drying
2. Stinging
3. Soreness
4. Peeling
47
What are the counselling points for OTC acne treatment with benzyol peroxide? (4)
1. Regular use is required
2. Might take a while to work
3. Avoid greasy, oil-based cosmetics
4. Sunglight is helpful
48
Occuring 6-24hrs before, what is the prodomal symptom of cold sores?
Tingling and irritation
49
How long do most cold sores take to heal?
1 week
50
What are the referral criteria for cold sores? (5)
1. Painless lesions (may be cancerous)
2. Babies/young children
3. Sore and lasting for over 2 weeks
4. Affecting the eyes
5. Immunocompromised patients
51
Which antiviral can be used topically to treat cold sores?
Aciclovir
52
To treat cold sores, how many times a day should aciclovir be applied?
5 times a day
53
When treating cold sores, when should patients start using topical aciclovir to maximise effectiveness?
During the prodromal phase
54
As well as topical aciclovir, what can be sold OTC for the treatment of cold sores?
Hydrocolloid patches - promote wound healing
55
What is the duration of treatment for cold sores using OTC Zovirax cream?
At least 4 days, up to 10 days
56
How long does it usually take for warts and verrucas to disappear on their own?
6 months - 2 years
57
What are the referral criteria for warts and verrucae? (8)
1. Facial warts
2. Change in size/shape
3. Bleeding
4. Itching
5. On the genitals
6. Immunocompromised patients
7. No improvement after 3 months with OTC treatment
8. Diabetes
58
What are the 2 OTC treatment options for warts and verrucae?
1. Salicylic acid
2. Cryotherapy
59
Counselling patients with warts: what should they do before applying treatment?
Soak their hands/feet in warm water for 5-10mins
60
Counselling patients with warts: what should they do once a week?
Remove dead skin with pumice stone
61
When should you refer someone who presents with dandruff?
If you suspect it might be psoriasis
62
What is the first line treatment for dandruff?
Ketoconazole 2% shampoo
63
How often should ketoconazole 2% shampoo be applied when treating dandruff?
Twice a week for the first 2-4 weeks then,
Weekly/Fortnightly thereafter
64
After ketoconazole 2% shampoo, what is the other OTC treatment option for treating dandruff?
Selenium Sulphide 2% Shampoo
65
What is the least effective OTC treatment for dandruff but is still used?
Coal tar
66
How long does it take to see improvement of dandruff after starting OTC treatment?
12 weeks
67
When using shampoos to treat dandruff OTC, what counselling advice should you give patients?
Leave it on for 5 minutes before rinsing off
68
Which skin condition can be trigger by stress?
Psoriasis
69
What are the referral criteria for psoriasis? (2)
1. No previous diagnosis
2. Moderate - Severe (may need dermatologist)
70
What is the only OTC option to treat psoriasis?
Emollients
71
Athelete's Foot, Jock Itch, Tinea Capitis and Tinea Corporis are all caused by which type of infection?
Fungal
72
What is Tinea Corporis better known as?
Ringworm
73
What are the referral criteria for fungal infections? (5)
1. Spreading of symptoms
2. Signs of bacterial infection
3. Diabetics
4. Immunocompromised
5. Unresponsive to treatment
74
What is the referral criteria for someone presenting with athlete's foot?
If the **toenail** is also affected
75
Which 3 topical antifungals can be used to treat fungal "tinea" infections?
1. Clotrimazole
2. Ketoconazole 2% (Daktarin Gold)
3. Miconazole (Daktarin)
76
How long after symptoms subside should patients continue to treat fungal "tinea" infections?
7 days
77
As well as antifungal creams, what are other OTC treatment options for fungal "tinea" infections? (2)
1. Combination products (Antifungal and Corticosteroid) - e.g. Daktacord
2. Terbinafine
78
Should you refer impetigo?
Yes
79
Which recent POM to P OTC product is used for the treatment of fungal nail infections?
Amorolfine 5% nail laquer
80
What is the specific indication for OTC amorolfine 5% nail lacquer use?
No more than 2 nails affects
Only beneath the tips or sides of nails
81
Is amorolfine 5% nail lacquer used in the OTC treatment of fungal nail infections licensed for use in patients of all ages?
No, over 18 only
82
How often should amorolfine 5% nail lacquer be applied when treating fungal nail infections OTC?
once a week
83
What should the patient do before applying amorolfine 5% nail lacquer for the OTC treatment of fungal nail infections?
File down the nail, cleanse and degrease
84
How long is treatment duration for amorolfine 5% nail lacquer for the OTC treatment of fungal nail infections? TOES
9-12 months
85
How long is treatment duration for amorolfine 5% nail lacquer for the OTC treatment of fungal nail infections? FINGERNAILS
6 months
86
Should you refer a baby with slapped cheek syndrome?
No
87
A self-limiting disease, how long does it take for slapped cheek syndrom to heal?
2 weeks
88
Should you refer someone with shingles?
Yes, GP
89
Can you catch shingles from someone with chicken pox?
No
90
Can you catch chicken pox from someone with chicken pox?
Yes
91
Should you refer a baby with hand foot and mouth disease?
If no improvement after 7-10 days
92
Often with swollen tonsils, after which infection does scarlet fever usually develop from?
Throat
93
Should you refer someone with scarlet fever?
Yes, to the GP
94
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