Common skin conditions
67 important questions on Common skin conditions
What is the primary determinant of acne?
How do retinoids work?
What is first line for mild acne?
OR topical combo
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What is an alternative first line for mild acne?
What is 1st line for moderate acne?
OR
PO abx + BPO + topical retinoid (+/- topical abx)
What is an alternative 1st line for moderate acne?
switch PO abx, or
add combined OCP or spironolactone (females) or isotretinoin
What is 1st line for severe acne?
OR
PO isotretinoin
What is an alternative for severe acne?
add combined OCP or spironolactone (females) or PO isotretinoin (if not tried already)
What are the topical combo options?
BPO + retinoid
BPO + topical abx + retinoid
How should topical retinoids be applied?
How should topical retinoids be applied if causing irritation?
Avoid salicylic acid scrubs/astringents.
How long does it take to see response of topical retinoids?
acne may get worse at first
Isotretinoin capsules is only FDA approved for what type of acne?
Do not get pregnant for how long before taking, or how long after stopping isotretinoin?
1 month after
What must be done before starting isotretinoin if the patient is able to get pregnant?
How is isotretinoin dispensed?
1-month Rx at a time
What does isotretinoin cause in some females?
Isotretinoin counseling points
2 forms of birth control (cannot use progestin-only pill)
What are the PO abx for acne?
Herpes simplex labialis "cold sores" are caused by what and spread how?
What is the natural product used to prevent & treat cold sores?
What is the OTC treatment for cold sores that should be applied 5x daily at the first sign of outbreak?
What is the Rx treatment for cold sores that should be applied 5x daily for 4 days?
What is a mild form of seborrheic dermatitis that involves the scalp, with white, itchy flakes of dead skin cells in the hair?
How should the 1st line OTC for dandruff be applied?
do not use if open sores on scalp.
How should the 2nd line Rx for dandruff be applied?
rub shampoo in well, leave in for 5 min, then rinse out
What drug for alopecia (hair loss) is a 1 mg tablet taken daily that can take >3 months to see effects, and is contraindicated in pregnancy?
What is the other name for Finasteride that is used for BPH?
What is the topical drug used for alopecia (hair loss)?
Eczema (atopic dermatitis) appears how and mainly affects what areas?
Elbows, behind knees/ears, face, butt, hands, feet
What OTC moisturizers can be used to reduce eczema severity?
1st line for eczema
2nd line for eczema
What should be done after applying any topical products for eczema?
Topical calcineurin inhibitors counseling points
Associated with lymphoma and skin cancer
Avoid exposure to natural/artificial sunlight
What are the topical calcineurin inhibitors?
Pimecrolimus (Elidel) cream
Diaper rash can be prevented with skin protectants:
Petrolatum with zinc oxide (a desicant) [Desitin, Boudreax's butt paste]
Diaper rash can be treated with:
If stubborn & yeast: nystatin
What drug is a vasoconstrictor that shrinks the hemorrhoid and reduces burning/itching?
What is used for treatment of pinworms (vermicularis)?
What is typically OTC 1st line for lice?
Permethrin 1% lotion (Nix)
What drug is an organophosphate only for 6 years and older, used for lice? It can cause skin irritation and is flammable.
When should 1st line treatment for lice be repeated?
After lice treatment, how often should a nit comb be used to remove nits and lice?
Which Rx drug is an antibiotic cream or ointment with very good staph & strep coverage, including MRSA?
What is an allergic reaction that results from touching the sap of plants, which contain the toxin urushiol?
What can be done to help with poison ivy symptoms?
Topical or PO steroids-if severe rash
What OTC drugs can be used for poison ivy?
Calamine lotion (Caladryl)
What are the two OTC strengths of hydrocortisone?
What drug is used for general urticaria (hives) with severe itching?
"fingertip" unit (fingertip to the 1st joint) is used to measure estimate amounts and provides how much medication?
Very high potency topical steroids
Fluocinonide 0.1% cream (Vanos)
Halobetasol
High potency topical steroids
Fluocinonide 0.05% ointment
Mometasone furoate 0.1% ointment
High-medium potency steroids
Medium potency steroids
Triamcinolone acetonide 0.1% cream & spray (Kenalog)
Lowest potency steroids
0.5%
1% (Cortizone-10)
Best for thick or dry skin to give the best moisture barrier
Topical that is less potent than ointments
Best topicals for hairy skin
UV that causes damage below skin surface
(A= aging)
UV that causes the skin to burn
(B=burning)
What type of sunscreen protects against both UVA and UVB?
How should babies less than 6 months old be protected from the sun?
What can sunscreens claim to be for 40-80 minutes?
Time To Burn (with sunscreen in mimutes)=
What are the recommended physical sunscreens?
If avoiding the sun, what supplement may be needed?
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