Derm management

Question 1

lichen Planus

Answer 1

potent topical steroids

Question 2

rosacea

Answer 2

1: brimonidine
2: topical ivermectin
3: topical ivermectin + oral doxycycline

Question 3

shingles

Answer 3

analgesia with paracetamol and NSAIDs
oral acyclovir within 72h

Question 4

otitis externa

Answer 4

1: topical ciprofloxacin with dexamethasone
2: oral fluclox if spreading, fungal swabs

Question 5

plaque psoriasis

Answer 5

1: potent corticosteroid applied once daily plus vitamin D analogue
2: a vitamin D analogue twice daily
3: coal tar etc, referrals consider

Question 6

chronic sinusitis

Answer 6

avoid allergen
intranasal corticosteroids
nasal irrigation with saline solution

*if unilateral 2ww referral

Question 7

toxic epidermal necrolysis

Answer 7

• stop precipitating
• supportive intensive care unit
• IVIG
• immunosuppression?

Question 8

acute otitis media

Answer 8

*more than 4 days and not resolving

• 5-7 day course of amoxicillin is first-line
• erythromycin or clarithromycin in allergy

Question 9

otosclerosis

Answer 9

hearing aids
stapedectomy

Question 10

acute sinusitis

Answer 10

• analgesia, decongestants
• Intranasal corticosteroids may be considered if the symptoms have been present for more than 10 days
• oral if PenV

Question 11

seborrhoiec dermatitis

Answer 11

• ketoconazole shampoo
• topical steroids

Question 12

quinsy

Answer 12

broad spectrum IV antibiotics and surgical drainage

Question 13

tinea

Answer 13

• topical antifungals such as clotrimazole and ketoconazole
• tinea capitis and onychomycosis - systemic agents such as terbinafine

Question 14

long term psoriasis mx

Answer 14

Calcipotriol is a vitamin D analogue that reduces epidermal proliferation

Question 15

fungal nail infections

Answer 15

• mild: topical treatment with amorolfine
• extensive: oral terbinafine
  upto 6

Question 16

acne in pregnancy

Answer 16

• topical benzoyl peroxide
• oral erythromycin

Question 17

rosacea

Answer 17

1: topical brimonidine
2: topical ivermectin
3: topical ivermectin + doxycycline

Question 18

erythema multiforme

Answer 18

• identify course
• supportive
• systemic steroids if severe

Question 19

Otitis externa in diabetics

Answer 19

treat with ciprofloxacin to cover Pseudomonas

Question 20

tonsilitis

Answer 20

antibiotics are indicated then either phenoxymethylpenicillin or clarithromycin

*feverPAIN and CENTOR

Question 21

eczema herpeticum

Answer 21

IV acyclovir

Question 22

idiopathic sudden sensorineural hearing loss

Answer 22

High-dose oral corticosteroids are used by ENT for all cases of SSNHL

Question 23

meniere’s

Answer 23

• Prophylactic use of betahistine to reduce the frequency of attacks
• Acute use of prochlorperazine to manage symptoms during attacks
• Diuretics by specialists
• Surgical approaches, Low-salt diets can also help prevent attacks, by reducing the volume of endolymphatic fluid

Question 24

cellulitis

Answer 24

flucloxacillin
clarythromycin

Question 25

dermatitis herpetiformis

Answer 25

• Gluten-Free Diet
• Medications: In some cases, dapsone, an anti-inflammatory medication, may be prescribed to relieve itching and skin lesions