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NAPLEX > Chapter 39: Common Skin Conditions > Flashcards

Chapter 39: Common Skin Conditions Flashcards

1
Q

Drugs That Can Discolor Skin and Secretions: Brown

A

Entacapone
Levodopa
Methyldopa

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2
Q

Drugs That Can Discolor Skin and Secretions: Brown/Yellow

A

Nitrofurantoin

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3
Q

Drugs That Can Discolor Skin and Secretions: Orange/Yellow

A

Sulfasalazine

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4
Q

Drugs That Can Discolor Skin and Secretions: Red-Orange

A

Phenazopyridine

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5
Q

Drugs That Can Discolor Skin and Secretions: Red

A

Anthracyclines

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6
Q

Drugs That Can Discolor Skin and Secretions: Blue

A

Methylene Blue

Mitoxantrone

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7
Q

Drugs That Can Discolor Skin and Secretions: Blue-Gray

A

Amiodarone

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8
Q

Determinants of Ance

A

Androgens
Cutibacterium acnes
Fatty acids (sebum) present in oil (sebaceous) glands

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9
Q

OTC Acne Tx

A

Benzoyl Peroxide

Salacylic Acid

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10
Q

Rx Drug of Choice

A

Retinoids

must be avoided in pregnancy and breastfeeding

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11
Q

Oral Retinoid

A

Isotretinoin approved for severe recalcitrant nodular acne only
Cholesterol and pregnancy tests required

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12
Q

Azelaic Acid

A

Azelex, finacea

OTC and RX for acne and rosacea

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13
Q

Clascoterone

A

Winlevi
Mild acne in patient >=12 years
topical androgen receptor inhibitor

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14
Q

First Line for Mild Acne

A

Topical BPO and/or retinoid

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15
Q

First Line for Moderate Acne

A

Topical combo
or
PO abx + BPO + topical retinoid +/-topical abx

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16
Q

First Line for Severe Acne

A

Topical combo + po abx
or
PO isotretinoin

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17
Q

PO Isotretinoin Requirements

A

Female pts must sign informed consent about birth defects
Must have 2 negative pregnancy test before starting
Cannot get pregnant for 1 month before, while taking, or 1 month after stopped
Females must use 2 forms for BC (cannot use progestin only)

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18
Q

Minocycline info

A

Minocin, Solodyn
Can cause photosensitivity
Fetal harm if administered during pregnancy
Discoloration of teeth if used when teeth are forming

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19
Q

Cold Sores OTC

A

Abreva (docosanol)

Apply 5x daily at first sign of outbreak until healed

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20
Q

Cold Sore Rx

A

Acyclovir topical cream or oint

Apply 5x qd for 4 days

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21
Q

Dandruff Tx OTC

A 
Ketoconazole 1% (nizoral ad) 
Selenium sulfide (selsun)
Pyrithione zinc (head and shoulders)
Coal tar (t-gel)
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22
Q

Dandruff Rx

A

Ketoconazole 2% shampoo (nizoral)

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23
Q

Alopecia Rx

A

Finasteride (propecia)
1mg qd
can take >3 months to see effects

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24
Q

Alopecia Topical

A

Minoxidil

5% foam, 2% and 5% solution

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25
Q

Hypotrichosis Tx

A

Thinning eyelashes
Bimatoprost (Latisse)
Do not use with PG analogs for glaucoma (IOP may increase)

26
Q

Eczema OTC

A

Aquaphor

Eucerin

27
Q

Eczema Rx 1st Line

A

Topical Steroids

28
Q

Eczema Rx of Steroids Fail

A
  • Topical CNI: tacrolimus (protopic), pimecrolimus (elidel)
  • Topical PDE-4 inhibitors: crisaborole (eucrisa)
  • MAB IL-4 antagonist: Dupilumab
29
Q

Tinea Pedis

A

Athlete’s foot

30
Q

Tinea Cruris

31
Q

Tinea Corporis

32
Q

OTC Antifungals: Terbinafine

A

Lamisil AT

33
Q

OTC Antifungals: Butenafine

A

Lotrimin Ultra

34
Q

OTC Antifungals: Clotrimazole

A

Lotrimin AF

35
Q

OTC Antifungals: Miconazole

A

Lotrimin AF

36
Q

OTC Antifungals: Tolnaftate

37
Q

OTC Antifungals: Undecylenic acid

38
Q

Rx Antifungals: Betamethasone/Clotrimazole

39
Q

Rx Antifungals: Ketoconazole

40
Q

Onychomycosis Systemic Tx

A

Itraconazole and terbinafine
(pulse therapy sometimes used to reduce cost and toxicity)
(20% KOH smear is essential for diagnosis

41
Q

OTC Topicals for Vaginal Fungal Infections

A

Clotrimazole

Miconazole (monistat 3)

42
Q

Rx Topicals for Vaginal Fungal Infections

A

Butoconazole (gynazole-1)

Terconazole

43
Q

Rx Oral for Vaginal Fungal Infections

A

Fluconazole 150mg po once

44
Q

Hemorrhoids Non-Pharm

A

Fiber

Witch Hazel

45
Q

Hemorrhoids OTC and Rx

A

Phenylephrine (preparation h)

Hydrocortisone (anusol hc)

46
Q

Pinworm OTC

A

Pyrantel pamoate

47
Q

Pinworm Rx

A

Albendazole (take with a high fat meal to increase absorption)
Mebendazole

48
Q

Lice OTC Preferred Drugs

A

Topical pyrethrins (Rid) and permethrin (Nix)

49
Q

Lice Tx: Ovide

A

Malathion lotions 0.5%

Can irritate skin and is flammable

50
Q

Lice Tx: Lindane

A

No longer recommended due to neurotoxicity and is reserved for refractory cases. Never used in pregnancy

51
Q

Neosporin

A

polymixin/bacitracin, neomycin

52
Q

Bactroban

A

Mupirocin

Very good staph and strep coverage (including MRSA)

53
Q

Cortisporin

A

Bacitracin/neomycin/polymixin b/ hydrocortisone (RX)

54
Q

Poison Ivy, Oak, and Sumac Tx

A

Aluminum acetate astringent (drying agent)
Wash off with soap and water
Topical or oral steroids will help (PO needed in severe rash)
Cold compress can help

55
Q

Very High Potency Steroids

A

Clobetasol 0.05%

Fluocinonide 1% cream

56
Q

High Potency Steroids

A

Betamethasone Dip 0.05% crm
Fluocinonide 0.05% oint
Mometasone furoate 0.1% oint

57
Q

High-Medium Potency Steroids

A

Fluocinonide 0.05% crm

58
Q

Medium Potency Steroids

A

Mometasone furoate 0.1% crm

Triamcinolone acetonide 0.1% crm

59
Q

Lowest Potency Steroids

A

Hydrocortisone 0.5, 1%

60
Q

Time To Burn Formula

A

TTB (with sunscreen) = SPF x TTB (without sunscreen)

61
Q

Sunscreen Labeling

A

No longer allowed to say “waterproof” or “sweatproof” since they all wash off at least partially in the water
“water-resistant” but only for 40-80 minutes

NAPLEX (45 decks)

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