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Board Review > commonskinconditionsFC > Flashcards

commonskinconditionsFC Flashcards

1
Q

acne first line

A

retinoids (tretinoin cream)

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2
Q

acne tx drug classes

A

retinoids , salicylic acid, bezoyl peroxide, antibitiocs

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3
Q

differin generic and class

A

adalpene (differin) retinoid

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4
Q

which patients should not use retinoids

A

do not use retinoids in pregnancy.

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5
Q

which retinoid formulations are less irritating

A

RETin-A, AVITA, and DIFFERIN are less irritating b/c more alcohol based.

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6
Q

how often to apply the retinoid creams on face to reduce irritation ?

A

begin with reduced frequency of application- and shorter duration of contact to improve tolerance.

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7
Q

can you use salicylic acid with retinoids

A

DO NOT use saliciylic acid while using retinoids

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8
Q

how long to see effect of retinoids

A

takes 4-12 weeks to see a response.

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9
Q

what are retinoids derrivatives of ?

A

some of these are derivatives of VITAMIN A

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10
Q

which is the most effective acne med OTC

A

YES most effective OTC agent. Benzoyl peroxide

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11
Q

Benzaclin generic

A

Clindamycin + BPO (benzamycin) duac

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12
Q

duac storage clindamycin + BPO

A

dispense w/ 60 day expiration, apply at night and do not freeze

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13
Q

benzamycin and benzaclin differences and similarities

A

benzamycin is refrigerated (has a lil bit erythromycins)
and benzaclin is kept at room temp (has lil bit clindamycin) BOTH have 3 months expiration
benzamycin mixed w/ alcohol and benzaclin mixed w/ water

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14
Q

isotretinoin DO NOT USE IF

What is the indication

A

pregnant- need to get tested for pregnancy before and must use two forms of birth control if on it.
indicated for SEVERE acne recalcitrant, nodular acne

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15
Q

age restriction of minocycline

A

12 years or older

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16
Q

commonly used oral antibiotics

A

minocycline- 12 years and OLDER

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17
Q

dandruff antifungal dosing

A

ketoconazole (nizoral shampoo) leave it in for five mins, use TWICE a week

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18
Q

why ketoconazole not first line

A

not first line since more expensive. use head/shoulder first

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19
Q

fungal infections most effective antifungal for skin

A

terbinafine is first line and most effective OTC (lamisal)

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20
Q

how to apply terbinafine, and for how long

A

apply 1-2 inches PAST the rash, do not walk bare foot, use at least for 2-4 weeks even if the rash has healed.

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21
Q

which antifungal formulation works best

A

creams work best!

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22
Q

other fungal infection meds names

A

clotrimazole and ketoconazole

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23
Q

finger nail tx for antifungal duration

A

6 weeks

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24
Q

toe nail tx druation antifungal

A

12 weeks

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25
Q

nail tx

A

needs systemic medications- test with KOH smear to monitor for hepatotoxitiy

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26
Q

be careful w/ fungal tx po because can cause?

A

HEPATOTOXICITY

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27
Q

ezema tx options

A

topical or oral steroids, antibiotics, or antihistamines.

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28
Q

application of steroids for eczema how often ?

A

topical steroids only twice a DAY MAX b/c regardless of potency b/c it can cause thinning.

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29
Q

preferred for dry skin in eczema ?

A

emollients are preferred for dry skin b/c they only contain abt 20% water and is mostly oil

30
Q

lice DOC ? And dosing ?

A

permethrin is OTC DOC for lice (nixrid) tx and soon as posisble and do second tx 7-10 days after.
Permethrin, Nix, rid all first line

31
Q

which lice tx is flammable >

A

ovide- flammable

32
Q

lice what u gotta do for success

A

u gotta remove the live lice and nits OR the OTC product w// not work.
wash clothing etc in hot water and hot dryer

soak combs and brushes in hot water for 10 mins

33
Q

external genital warts tx and how to apply

A

imiquimod cream (aldara) apply 3 x a week. apply to entire area until cream is not visible. wash off after 8 hrs.

34
Q

hydroxyzine (atarax) indication

A

hives which itch badly - antihistamine

35
Q

psoriasis use main treatments

A

keratolytics retinoids, calcipotriene and bethamethasone ointment

36
Q

taclonex and taclonex scalp suspension generic

A

Calcipotriene and betamethasone ointment comes as Taclonex and Taclonex scalp suspension.

37
Q

dermazinc tx indication

A

is afor psoriasis maybe OTC

38
Q

moa of calcipotriene for psoriasis

A

vitamin D analog

39
Q

dovonex generic

A

Calcipotriene comes alone as Dovonex.

40
Q

alopecia-tx

A

finasteride or minoxidil

41
Q

minoxidil

A

more so for facial hair growth

42
Q

bimatoprost inidication in hair?

A

can be used to increase eyelashes.

43
Q

UVA sunscreen purpose

A

blocks AGING

44
Q

UVB sunscreen purpose

A

Blocks BURNING

45
Q

broadspectrum sunscrena means

A

UVA and UVB

46
Q

finasteride MUST be avoided by ?

A

finasteride PREGNANCY cateogry x. onLY FOR MEN.

47
Q

SPF

A

sun exposure factor.

48
Q

isotretinoin drug interactions

A

vitamin A, tetracyclines, steroids, POP or st. john’s warts

49
Q

ADR of isotretinoin

A

arthralgias, OSTEOPOROSIS, psych issues, dry skin, contact lens issues, chapped lips, decrease night vision which may be permentant and elevated cholestrol, glucose, chest pain, and hearing loss

50
Q

pulse therapy w/ ketoconazole

A

has less side effects, less cost, similar efficacy

51
Q

butenafine indication

A

for fungal OTC first line along with terbinafine.

52
Q

ketoconazole needs what type of enviorment to work

A

ACIDIC enviorment. rabeprazole and other PPI h2ra’s need to be stopped.

53
Q

elidel inidcations and generic

A

pimecrolimus - used to treat ezema once topical steroids have failed. applied twice a day . only short term therapy. associated w/ cases of skin cancer

54
Q

tacrolimus

A

protopic.

55
Q

Imiquimod dosing

A

aldara- 3 times a week. 1 application per packet

56
Q

for hairy skin what skin formulations to use ?

A

lotions gell foam.

57
Q

when do you bandage a wound

A

if its likely to get dirty….always?

58
Q

mupirocin

A

bactroban has good coverage of staph and strep

59
Q

sunscreen should be reapplied every x amt of time

A

2 hours

60
Q

sunscreens that contain are recommended

A

zinc oxide, avobenzone and titanium dioxide

61
Q

scabies tx

A

tiny mites- permetherin, sulfer ointment
lindane can be used 2nd line

62
Q

stronger benzoyl peroxide or salicylic ?

A

benzoyl

63
Q

sunscreen math usually burn in 10 mins spf of 5

A

10 x 5 = burn in 15
f a patient would normally burn in 10 minutes, if they used a sunscreen with an SPF of 5 they would burn in 50 minutes (5 x 10 = 50).

64
Q

tinea cruris

A

jock itch

65
Q

tinea pedis

A

atheletes foot

66
Q

mupirocin coverage

A

staf and steph coverage great!

67
Q

what to do about scrapes

A

if a wound is in an area that IS NOT rubbed by clothing or gets dirty dont cover it.

scrapes should be kept MOIST and clean to prevent scarring- use semi occlusive bandaids

68
Q

topical abx how many times a day

A

1 to 3

69
Q

poison ivy use

A

ivy block, zanafel (binds to toxin urshodiol) burrow, aveeeno, caladryl, cold compress

70
Q

high to low potency steroids

A

clobetasol is HIGH, mometasone, fluocininnide, desoximetasone, hydrocortisone

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