Skin Flashcards Preview

OTC > Skin > Flashcards

Flashcards in Skin Deck (95)
Loading flashcards...
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
Q

What is the advice for patients with measles, mumps or rubella?

A

To stay hydrated

26
Q

How long after symptoms disappear should a child stay off school with measles, mumps or rubella?

A

Measles - 4 days

Mumps - 5 days

Rubella - 6 days

27
Q

Which over the counter products can be given to patients with measles, mumps or rubella?

A

Paracetamol and Ibuprofen

28
Q

As well as fever, headache and malaise, what is another symptom of mumps?

A

Swelling of one or both glands which shows at the sides of the face

29
Q

As well as fever, headache and malaise, what is another symptom of rubella?

A

Swelling of glands which shows up at the back of the neck

30
Q

What are the 3 OTC treatments for chicken pox?

A
  1. Calamine lotion
  2. Cooling gels
  3. Paracetamol
31
Q

What are the two pieces of lifestyle advice given to patients with chicken pox?

A
  1. Stay hydrated
  2. Cut nails short to avoid scratching
32
Q

Flu-like symptoms, nausea, vomiting, lethargy and muscle ache are non-specific signs of meningitis. What are the specific signs? (7)

A
  1. Severe headache
  2. Stiff neck
  3. Altered mental state
  4. Non-blanching rash
  5. Photophobia
  6. Seizures
  7. Unconsciousness
33
Q

As well as Olive Oil BP and gently brushing flakes away, which shampoo can be used in the treatment of cradle cap?

A

Ketoconazole 2% Shampoo

34
Q

What are the referral criteria for nappy rash? (5)

A
  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
Q

What are the treatment options for nappy rash? (5)

A
  1. Clotrimazole 1% cream
  2. Dimeticone
  3. Zinc
  4. Lanolin
  5. Castor oil/Cod liver oil (creates a water resistant barrier)
36
Q

What are the referral criteria for eczema/atopic dermatitis?

A
  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
Q

What are the two types of topical treatment used in atopic dermatitis?

A
  1. Emolients
  2. Corticosteroids
38
Q

Which two corticosteroids can be used in atopic dermatitis?

A
  1. Hydrocortisone
  2. Clobetasone
39
Q

What is the minimum age can hydrocortisone cream be sold for OTC?

A

10

40
Q

What is the minimum age that clobetasone can be sold for OTC?

A

12

41
Q

As well as moisturising creams, when else can emolients be applied to treat atopic dermatitis?

A

In the shower/bath as a soap substitute

42
Q

What is the maximum duration of treatment for OTC hydrocortisone and clobetasone cream?

A

7 days

43
Q

Which drugs can cause acne as an adverse effect? (5)

A
  1. Lithium
  2. Phenytoin
  3. Progestogens
  4. Levonorgesterol
  5. Norethistrone
44
Q

When treating acne OTC, after how long do you refer if unresponsive?

A

8 weeks

45
Q

Which OTC product is used to treat acne?

A

Benzylperoxide: 2.5%, 5% or 10%

46
Q

Especially during the initial stages of treatment with benzoyl peroxide, which side effects can patients experience?

A
  1. Drying
  2. Stinging
  3. Soreness
  4. Peeling
47
Q

What are the counselling points for OTC acne treatment with benzyol peroxide? (4)

A
  1. Regular use is required
  2. Might take a while to work
  3. Avoid greasy, oil-based cosmetics
  4. Sunglight is helpful
48
Q

Occuring 6-24hrs before, what is the prodomal symptom of cold sores?

A

Tingling and irritation

49
Q

How long do most cold sores take to heal?

A

1 week

50
Q

What are the referral criteria for cold sores? (5)

A
  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
Q

Which antiviral can be used topically to treat cold sores?

A

Aciclovir

52
Q

To treat cold sores, how many times a day should aciclovir be applied?

A

5 times a day

53
Q

When treating cold sores, when should patients start using topical aciclovir to maximise effectiveness?

A

During the prodromal phase

54
Q

As well as topical aciclovir, what can be sold OTC for the treatment of cold sores?

A

Hydrocolloid patches - promote wound healing

55
Q

What is the duration of treatment for cold sores using OTC Zovirax cream?

A

At least 4 days, up to 10 days

56
Q

How long does it usually take for warts and verrucas to disappear on their own?

A

6 months - 2 years

57
Q

What are the referral criteria for warts and verrucae? (8)

A
  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
Q

What are the 2 OTC treatment options for warts and verrucae?

A
  1. Salicylic acid
  2. Cryotherapy
59
Q

Counselling patients with warts: what should they do before applying treatment?

A

Soak their hands/feet in warm water for 5-10mins

60
Q

Counselling patients with warts: what should they do once a week?

A

Remove dead skin with pumice stone

61
Q

When should you refer someone who presents with dandruff?

A

If you suspect it might be psoriasis

62
Q

What is the first line treatment for dandruff?

A

Ketoconazole 2% shampoo

63
Q

How often should ketoconazole 2% shampoo be applied when treating dandruff?

A

Twice a week for the first 2-4 weeks then,

Weekly/Fortnightly thereafter

64
Q

After ketoconazole 2% shampoo, what is the other OTC treatment option for treating dandruff?

A

Selenium Sulphide 2% Shampoo

65
Q

What is the least effective OTC treatment for dandruff but is still used?

A

Coal tar

66
Q

How long does it take to see improvement of dandruff after starting OTC treatment?

A

12 weeks

67
Q

When using shampoos to treat dandruff OTC, what counselling advice should you give patients?

A

Leave it on for 5 minutes before rinsing off

68
Q

Which skin condition can be trigger by stress?

A

Psoriasis

69
Q

What are the referral criteria for psoriasis? (2)

A
  1. No previous diagnosis
  2. Moderate - Severe (may need dermatologist)
70
Q

What is the only OTC option to treat psoriasis?

A

Emollients

71
Q

Athelete’s Foot, Jock Itch, Tinea Capitis and Tinea Corporis are all caused by which type of infection?

A

Fungal

72
Q

What is Tinea Corporis better known as?

A

Ringworm

73
Q

What are the referral criteria for fungal infections? (5)

A
  1. Spreading of symptoms
  2. Signs of bacterial infection
  3. Diabetics
  4. Immunocompromised
  5. Unresponsive to treatment
74
Q

What is the referral criteria for someone presenting with athlete’s foot?

A

If the toenail is also affected

75
Q

Which 3 topical antifungals can be used to treat fungal “tinea” infections?

A
  1. Clotrimazole
  2. Ketoconazole 2% (Daktarin Gold)
  3. Miconazole (Daktarin)
76
Q

How long after symptoms subside should patients continue to treat fungal “tinea” infections?

A

7 days

77
Q

As well as antifungal creams, what are other OTC treatment options for fungal “tinea” infections? (2)

A
  1. Combination products (Antifungal and Corticosteroid) - e.g. Daktacord
  2. Terbinafine
78
Q

Should you refer impetigo?

A

Yes

79
Q

Which recent POM to P OTC product is used for the treatment of fungal nail infections?

A

Amorolfine 5% nail laquer

80
Q

What is the specific indication for OTC amorolfine 5% nail lacquer use?

A

No more than 2 nails affects

Only beneath the tips or sides of nails

81
Q

Is amorolfine 5% nail lacquer used in the OTC treatment of fungal nail infections licensed for use in patients of all ages?

A

No, over 18 only

82
Q

How often should amorolfine 5% nail lacquer be applied when treating fungal nail infections OTC?

A

once a week

83
Q

What should the patient do before applying amorolfine 5% nail lacquer for the OTC treatment of fungal nail infections?

A

File down the nail, cleanse and degrease

84
Q

How long is treatment duration for amorolfine 5% nail lacquer for the OTC treatment of fungal nail infections? TOES

A

9-12 months

85
Q

How long is treatment duration for amorolfine 5% nail lacquer for the OTC treatment of fungal nail infections? FINGERNAILS

A

6 months

86
Q

Should you refer a baby with slapped cheek syndrome?

A

No

87
Q

A self-limiting disease, how long does it take for slapped cheek syndrom to heal?

A

2 weeks

88
Q

Should you refer someone with shingles?

A

Yes, GP

89
Q

Can you catch shingles from someone with chicken pox?

A

No

90
Q

Can you catch chicken pox from someone with chicken pox?

A

Yes

91
Q

Should you refer a baby with hand foot and mouth disease?

A

If no improvement after 7-10 days

92
Q

Often with swollen tonsils, after which infection does scarlet fever usually develop from?

A

Throat

93
Q

Should you refer someone with scarlet fever?

A

Yes, to the GP

94
Q
A
95
Q
A