Addressing Skin Disease in Community Medicine

Question 1

who should you check for ear mites in?

Answer 1

cats»>dogs
black, dry debris
extremely itchy, positive pinnal/pedal reflex

Question 2

what is an impression smear best for?

Answer 2

moist/exudative lesions

Question 3

what are you looking for in a wood’s lamp exam?

Answer 3

apple green fluorescence of hair shafts

Question 4

who should you treat fleas in?

Answer 4

every itchy pet

Question 5

what can you use for acute itch relief?

Answer 5

steroids
oclacitinib
lokivetmab
bathing

Question 6

who can you use antihistamines in?

Answer 6

dogs
cats

Question 7

what are corticosteroids helpful in?

Answer 7

short-term flares/significant inflammation

Question 8

what is oclacitinib/apoquel?

Answer 8

very effective anti-pruritic drug
janus kinase inhibitor- decreased cytokine activity

Question 9

who can you use oclacitinib/apoquel in?

Answer 9

labeled in dogs
can be used in cats off-label

Question 10

what is cytopoint/lokivetmab?

Answer 10

very effective anti-pruritic
monoclonal anti interleukin-31 antibody

Question 11

what is cyclosporine/atopica?

Answer 11

calcineurin inhibitor- T cell activation
immunosuppressive and anti-inflammatory
effective long-term allergy management

Question 12

what should you biopsy?

Answer 12

autoimmune
cancer
miscellaneous uncommon skin diseases

Question 13

which slides should you consider?

Answer 13

skin cytology
ear cytology
skin scrape- mites

Question 14

the same diseases that make pets itchy also predispose to __________

Answer 14

otitis

Question 15

which slide should you not stain?

Answer 15

skin scrape

Question 16

what is a good alternative to the skin scrape slide for places that are hard to scrape?

Answer 16

trichogram

Question 17

when should you do a wood’s lamp exam?

Answer 17

cats
juvenile animals
high density settings

Question 18

when should you think allergy?

Answer 18

if still itchy after treated for infection/fleas/mites

Question 19

are environmental or food allergies more common?

Answer 19

environmental
food a bit more common in cats than dogs

Question 20

what is lesion distribution like with demodex?

Answer 20

goggles
patchy, multifocal

Question 21

what is the most common ingredient for bathing/topicals?

Answer 21

chlorhexidine

Question 22

in whom are essential fatty acids safe?

Answer 22

dogs and cats
best source fish oil

Question 23

what do antihistamines do?

Answer 23

H1 receptor blockers
mild itch or multi-modal treatment

Question 24

what are corticosteroids useful in?

Answer 24

short-term flares or significant inflammation

Question 25

what are the contraindications for apoquel/oclacitinib?

Answer 25

<1 year old
demodex
severe infection

Question 26

who can you use cytopoint/lokivetmab in?

Answer 26

dogs only

Question 27

is cytopoint/lokivetmab anti-itch and anti-inflammatory?

Answer 27

no- only anti-itch

Question 28

how long does cytopoint/lokivetmab last?

Answer 28

4-8 weeks

Question 29

who can you use atopica/cyclosporine in?

Answer 29

dogs and cats
only on-label option for cats