3 - Topical Agents for Haemostasis and Hyperhidrosis

Question 1

Aluminium chloride, Ferric subsulfate (Monsel’s solution) and silver nitrate are haemostatic agents

Answer 1

True

Question 2

Aluminium chloride is also used in hyperhidrosis

Answer 2

True

Question 3

Aluminium chloride reversibly inhibits eccrine gland secretion by obstructing the eccrine pores and inducing transient secretory cell atrophy

Answer 3

True

Question 4

Aluminium chloride creates a low grade generation of thrombin which is followed by activation of the platelet-dependent clotting factor XI to XIa

Answer 4

True

Question 5

Aluminium chloride does not cause scarring when used as a haemostatic agent

Answer 5

True (does not cause scarring, unlike electrocautery)

Question 6

Monsel’s solution (ferric subsulfate) leaves an iron residue that can persist in the dermis and is less preferred than aluminium chloride as a haemostatic agent

Answer 6

True

Question 7

Aluminium chloride may cause an irritant contact dermatitis

Answer 7

True

Question 8

Aluminium chloride may cause burning

Answer 8

True

Question 9

Aluminium chloride may cause a prickling sensation

Answer 9

True

Question 10

Aluminium chloride should be used with caution near the eye

Answer 10

True

Question 11

Aluminium chloride is flammable if not allowed to dry completely before electrocautery

Answer 11

True

Question 12

Aluminium chloride used for hyperhidrosis should be applied to dry skin

Answer 12

True

Question 13

Monsel’s solution (ferric subsulfate) acts as a precipitating agent

Answer 13

True (the coagulated protein mechanically seals the small blood vessels)

Question 14

The application of Monsel’s solution (ferric subsulfate) may result in hyperpigmentation and iatrogenic tattooing

Answer 14

True

Question 15

Monsel’s solution (ferric subsulfate) is no longer used in dermatology

Answer 15

True (other haemostatic methods are preferred)

Question 16

Silver nitrate has antimicrobial properties

Answer 16

True