Skin conditions Flashcards

(94 cards)

1
Q

What do shake lotions e.g. calamine lotion leave on the skin?

A

A film

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2
Q

Gels are most suitable for what parts of the body

A

Face + scalp

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3
Q

Amount of cream and ointment recommended for use on the face

A

15-30g (100mL of lotion)

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4
Q

Amount of cream and ointment recommended for use on the trunk

A

400g (500mL of lotion)

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5
Q

Amount of cream and ointment recommended for use on the groin/genitalia

A

15-25g (100mL)

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6
Q

What is the purpose of urea?

A

permeation enhancer - used in combination with steroids

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7
Q

What is the MHRA alert regarding emoillents

A

Risk of burns with paraffin containing producrts

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8
Q

What is dimeticones purpose in barrier creams

A

water repellent substance

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9
Q

Nappy rash management

A
  1. change nappies regularly, barrier prep, loose fitting nappies
  2. mild corticosteroid (0.5 - 1%) if inflammation an issue but avoid in neonates
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10
Q

Maximum amount of days the mupirocin or fusidic acid should be used for

A

10 days

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11
Q

Silver sulfadiazine is used for what?

A

Infected burns

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12
Q

What antibiotic is used topically for rosacea

A

metronidazole

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13
Q

How long after the disappearance of fungal infection should antifungal treatment be continued?

A

for 1-2 weeks

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14
Q

Where can ringworm infection affect?

A

Scalp (tinea capitis), Foot (tinea pedis), groin (tinea cruris), hand (tinea mamuum), body (tinea corporis), nail (tinea unguium)

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15
Q

What class of antifungals are used to treat ringworm infections

A

imidazoles e.g. Econazole, ketoconazole, miconazole, clotrimazole

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16
Q

How is angular cheilitis treated

A

Miconazole cream

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17
Q

What cream is useful in intertrigo?

A

Hydrocortisone 1%

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18
Q

What cream is used for scabies infection

A

Premethrin or Malathion

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19
Q

Ivermectin is used for what skin condition

A

Norweigian (hyperkeratotic) scabies

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20
Q

All members of a household with scabies have to be treated - T or F

A

True

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21
Q

Where should particular attention be focused at when applying scabies cream

A

Webs or fingers and toes and lotion brushed over nails

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22
Q

How often should malathion / premethrin be applied?

A

Twice - once week apart. Re-apply is hands are washed during treatment

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23
Q

Crotamiton cream can be used to treat what side effect associated wiht scabies

A

Itch

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24
Q

What medication is effective against head lice

A

Dimeticone

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25
How does dimeticone work?
Coats lice and interferes with water balance in lice (less effective against eggs)
26
After how many days should dimeticone treatment be repeated?
7 days
27
Can benyl benzoate be used to treat headlice in children?
No - unlicensed
28
What type of formulation should be used to treat headlice if live lice are present
Lotions or solutions only
29
How long should headlice treatment be in contact with the scalp to treat?
8 - 12 hours overnight
30
Do the rest of a headlice containing household need to be treated?
Yes - all members
31
What is the MHRA warning regarding head lice ?
Caution with open flames or sources of ignition
32
How long should a wet combing method of headlice removal be used for to eradicate the lice?
2 weeks
33
What medication is used to eliminate crab lice
Premethrin or malathion
34
How should crab lice treatment be applied?
Apply solution allow to dry and wash off after 12 hours a second treatment is needed after 7 days
35
What parts of the bdy need to be treated if a patient has crab lice
all parts including scalp, facial hair, neck and face (eyebrows etc)
36
If large areas of the body are treated with neomycin, what is a potential side effect
Otoxicity
37
How large is the tube of ketoconazole availble for purcahse OTC
15g
38
120mL of 2% ketoconzaole shampoo can be sold OTC for what condition
seborrheic dermatitis / dandruff
39
Terbinafine is associated with what organ toxicity
Liver - need to monitor hepatic function before treatment then after 4-6 weeks
40
How old must a patient be to buy terbinafine OTC
16
41
What does hedrin contain
Dimeticone
42
How long should Dimeticone be in contact with skin
8 hours
43
How long should malathion e in contact with skin
12 hours
44
Larger patients may require how many packs of permethrin
2 x 30g
45
Lyclear is the brand of what medication
Permethrin
46
How large is the pack of aciclovir cream that isavailbe OTC
2g
47
In patients with frequent flares of eczema, how often can they apply steroid cream
2 consecutive days a week
48
What solution can be used on exudating eczema
potassium permangenate
49
Vitamin D analogue examples
Calcitriol, Calcipotriol, Tacalcitol
50
Coal tar products can be used to treat what skin condition
psorasis
51
Major disadvantage of Dithranol use in psorasis
Stain clothes, irritant, shouldnt be used in flextures or face
52
What class of drug is tazarotene
Retinoid
53
What systemic retinoid can be used for psorasis
Acitretiin
54
After stopping Acitretin, how long is teratogenicity a risk for?
3 years
55
What corticosteroid can be used on perioral lesions
hydrocortisone 1% max 7 days
56
Suitable quantity of corticosteroid to apply to the face and neck
15-30g
57
Suitable quantity of corticosteroid to apply to the tunk
100g
58
Suitable quantity of corticosteroid to apply to the hands
15-30g
59
Suitable quantity of corticosteroid to apply to the scalp
15-30g
60
Suitable quantity of corticosteroid to apply to both legs
100g
61
Suitable quantity of corticosteroid to apply to both arms
30-60g
62
Examples of mild corticosteroids
Hydrocortisone 0.1-2.5% Dioderm Mildison Synalar 1 in 10
63
Canestan HC is what strength of steroid
Mild + antimicrobial
64
Daktocort is what potency of steroid
Mild + antimicrobial
65
Timodine is what potency of steroid
Mild + antimicrobial
66
Moderate potency steriods
Betnovate RD (Betamethasone 0.025%) Eumovate (clobetasone) Modrasone Synlar 1 in 4 dilution
67
Trimovate is what potency of steroid
moderate + antimicrobial
68
What cortiscosteroid is moderate potency + urea
Alphaderm
69
Potent corticsteroid exampels
``` Beclomethasone dipropionate 0.025% Betamethasone valerate 0.1% Betnovate Elocon (mometasone furorate) Locoid (hydrocortisone butyrate) Mometasone furorate 0.1% synlar ```
70
Fucibet is an example of what type of corticosteroid
Potent + antimicoribal
71
Example of potent corticosteroid + salcylic acid
Diprosalic
72
Very potenti corticosteroids
Dermovate (clobetasol) Calrelux Etrivex Nerisone
73
Very potent corticosteroid + antimicrobial
Clobetasol + neomycin + nystatin
74
One fingertip unit is equivalent to how many mg
500mg (5mm diameter nozzle)
75
One fingertip unit is sufficient to cover what
An area that is twice that of the flat adult handprint
76
Betamethasone with clioquinol counselling advice
stains clothing
77
Clobetasone butyrate with nystatin and oxytetracyline is what brand of cream
Trimovate (moderate potency + antimicrobial)
78
Aluminium salts can be used to manage what condition?
Hyperhydrosis
79
What medications can be used in the management of hyperhydrosis
Aluminium salts, botox, gylcopyronium bromide
80
Benefit of azelaic acid over benzoyl peroxide
less irritation
81
What antibacterial medication is normally given first line for acne
Oxytetracyline or tetracylcine | alternatives: Doxy /lymecycline
82
What risk does minocycline hold that makes its less acceptable to prescribe for acne
Risk of SLE + irreversible pigmentation
83
What anti androgen medication can be prescribed for women with acne
Co-cyprindol
84
How many weeks is isotretinoin usually given for
16 weeks
85
Side effects of isotretinon
Severe dryness, nose bleeds, joint pain, tertaogenic, psychiatric changes
86
Rare reports of erectile dysfunction and decreased libido are associated with what acne medication
Isotretinoin
87
What conditions is isotretinoin contraindicated in
Hyperlipeadamia + hypervitaminosis A
88
What monitoring requirements are necessary with isotretinoin treatment
monitor LFTS + serum lipids at baseline, 1 month after starting and every 3 months
89
How loing should each rescription of isotretinoin be limited to
30 days
90
Brimonidine is an alpha 2 antagonsit that can be used in what skin condition
Rosacea
91
How can cradle cap be treated?
Coconut or olive oil followed by shampoo
92
what causes warts
HPV virus
93
First line medications for wart removal
Salicyclic acid (keratolytic)
94
How long is treatment of warts using salicylic acid required for
3 months