Final exam lecture 8

Question 1

Lifestyle mods to avoid rosacea

Answer 1

Avoid triggers (sun, temperature,etc)
Mild soaps
topical meds should be allowed to penetrate the skin for 5-10 mins before make up

Question 2

treatment of mild rosacea

Answer 2

avoid triggers
topical antibiotics
topical retinoids

Question 3

treatment of moderate rosacea

Answer 3

Oral antibiotics
topical retinoids

Question 4

Treatment of severe rosacea

Answer 4

Oral isotretinoin
laser treatment

Question 5

1st choice for topical antimicrobial for rosacea

Answer 5

Metronidazole

Question 6

topical retinoid drug used in rosacea

Answer 6

Azelaic acid

Question 7

Psoriasis non-pcol treatments

Answer 7

Sun, baths, emollients

Question 8

treatments of psoriasis + psoriatic arthritis

Answer 8

Biologic (anti-TNF, MTX)

Question 9

Treatment of psoriasis without psoriatic arthritis

Answer 9

Topicals/photo therapy

Question 10

Topical therapies for psoriasis

Answer 10

Corticosteroids
Calipotriene/calcitrol
Cort+ Vit D
Cort + tazarotene
Calcineurin inhibitors

Question 11

Why do we limit corticosteroid use to 1 month at a time

Answer 11

Tachyphylaxis

Question 12

How to avoid tachyphylaxis or corticosteroid when treating psoriasis

Answer 12

Alternate HCS with other agents (calcipotriene) to reduce exposure to corticosteroid

Question 13

two types of phototherapy

Answer 13

UVA
UVB

Question 14

Compare UVA and UVB

Answer 14

UVA penetrates thick lesions better than UVB
UVA is riskier than UVB

Question 15

First line biologic therapy for severe psoriasis

Answer 15

TNF and T-cell activation inhibitors

Question 16

Define Pediatric

Answer 16

birth to 18 years

Question 17

define neonate

Answer 17

0-28 days of life

Question 18

Define pre term and term labour

Answer 18

Pre-term- less than 37 weeks
term- 37 weeks gestational age

Question 19

Infant definition

Answer 19

1-12 months

Question 20

Child definition

Answer 20

1-11 yo

Question 21

adolescent definition

Answer 21

12-18 yo

Question 22

Define gestational age

Answer 22

Time from first day of last menstrual period to birth

Question 23

Define postnatal age (chronological age)

Answer 23

Birth to present

Question 24

Define postmenstrual age

Answer 24

first day of last menstrual period to present

Question 25

corrected age calculation

Answer 25

IF the baby was born normally (40 wks) how old would baby be?

Question 26

pediatric patients should grow

Answer 26

weight double by 4-6 months weight triples by 12 months length increases 50 percent by 12 months

Question 27

What happens to HR as infants grow

Answer 27

HR is v high in babies Slows to adult levels over time

Question 28

What happens to BP as infants grow

Answer 28

It rises to adult levels

Question 29

What happens to RR as infabts grwo

Answer 29

It slows to adult levels

Question 30

When to refer for fever based on age

Answer 30

Under 3 months old- everyone less than 2 yo- Fever>24 hrs If older than 2 yo- fever greater than 104

Question 31

What are two OTC options for fever and pain for children

Answer 31

Acetaminophen Ibuprofen (given only to children older than 6 months old)

Question 32

Dosing and max dosing of acetaminophen in children

Answer 32

10-15mg/kg Q4-6 H max dose- 75 mg/kg/day or 4 g/day (whichever is lower)

Question 33

Dosing and max dose of ibuprofen in children

Answer 33

5-10 mg/kg/dose Q 6-8 H GIVEN ONLY TO CHILDREN ABOVE 6 MONTHS OLD max dose- 40 mg/kg/day

Question 34

Absorption difference between adults and neonates

Answer 34

Thinner skin layers in neonates- leads to stuff being easily absorbed Slower enteral absorption Increased gastric PH

Question 35

How does total body water % and total body fat change with age

Answer 35

Body fat increases, water decreases

Question 36

Protein binding in infants compared to adults

Answer 36

Decreased protein binding in babies

Question 37

Urine output (appropriate, oliguria, anuria) expectations

Answer 37

appropriate- 1 ml/kg/hr oliguria- <0.5 ml/kg/h anuria- 0

Question 38

creatinine clearence formula

Answer 38

0.413x (height in cm/Serum creatinine)