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Med - Derm > First line Drugs + Some treatments > Flashcards

First line Drugs + Some treatments Flashcards

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Dermatology Board Prep flashcards
1
Q

Atopic dermatitis

A

Triamcinolone + hydrocortisone (or alclometasone, denoside)
All = topical corticosteroids
Managing = tacrolimus or pimecrolimus creams

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2
Q

Psoriasis

A

Topical corticosteroids
Tar shampoo, salicylic acid gel, P&S solution, fluocinolone acetonide (for scalp)
Phototherapy for widespread

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3
Q

Pityriasis rosea

A

No treatment unless severe

- UVB or prednisone

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4
Q

Seborrheic dermatitis

A

Scalp: zinc pyrithione or selenium shampoo
Facial/non-hairy areas: mild corticosteroid (hydrocortisone, alclometasone, desonide)
Eyelids: Johnson&Johnson baby shampoo

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5
Q

Tinea Corporis or circinata

A

Antifungals (terminating, butenafine, econazole, miconazole, clotrimazole)
Systemic measures: itraconazole (oral) or terbinafine (oral)

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6
Q

Non-steroidal anti-inflammatory agents endings

A
  • Crisaborole
  • Pimecro_limus
  • Tacro_limus
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7
Q

Antipruritics

A
  • Camphor/menthol
  • Capsaicin
  • Doxepin(zonalon)
  • Pramoxine hydrochloride (prax)
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8
Q

Tinea cruris (jock itch)

A

Drying powder (miconazole nitrate)
Topical terbinafine or antifungal (-azole)
Systemic? - itraconazole or terbinafine (oral)

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9
Q

Tinea pedis

A

Aluminum subacetate solution + topical imidazoles (antifungal cream)k

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10
Q

Tinea versicolor

A

Fluconazole (oral) + ketoconazole shampoo

Topical: selenium sulfide

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11
Q

Cutaneous lupus erythematosus

A 
High potency corticosteroid creams
Hydroxychloroquine sulfate (oral) = antimalarial (or other "-quine"s)
Isotretinoin or thalidomide (both are teratogens)
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12
Q

Actinic keratosis

A

Liquid nitrogen

Fluorouracil, imiquimod, ingenol mebutate

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13
Q

Herpes simplex

A

Acyclovir PO
Valacyclovir PO
Famiciclovir PO

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14
Q

Herpes Zoster (shingles)

A

-“clovir”
- Acyclovir, famciclovir, valacyclovir
- Pain reduction: prednisone (oral)
Post-hermetic neuralgia: Gabapentin

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15
Q

Pomphylox (dyshidrotic eczema)

A

High potency topical corticosteroids

I.e. fluocinonide (lidex), clobetasol, halobetasol

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16
Q

Porphyria cutanea tarda

A 
Antimalarial meds (hydroxycholorquine oral)
- Deferasirox (iron chelator)
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17
Q

Dermatitis herpetiformis

A

Dapsone (oral)

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18
Q

Impetigo

A

Bacitracin, mupirocin, retapamulin (topical) - antibiotics

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19
Q

Contact dermatitis

A

Fluocinonide, clobetasol, halobetasol (topical, high potency corticosteroids)
+ taper with triamcinolone

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20
Q

Acne vulgaris

A

Comedomal: Tretinoin (retinoid) + benzoyl peroxide
Papular/cystic mild: clindamycin, erythrmoycin (topical) + benzoyl peroxide
“ “ moderate: doxycycline, minocycline, TMP-SMZ, cephalosporin (oral)
“ “ severe: isotretinoin (oral)

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21
Q

Rosacea

A

Zinc or titanium based sunscreen
Topical: metronidazole (anti-biotic) + ivermectin (anti-inflammatory/parasitic) OR clindamycin (antibiotic)
Systemic: The “-cyclines” - Tetracyclines, minocycline, doxycycline (oral)

22
Q

Folliculitis

A

Topical: anhydrous ethyl alcohol + Xerac AC

23
Q

Pseudomonas folliculitis

A

Ciprofloxacin (oral)

24
Q

Gram negative folliculitis

A

Isotretinoin (oral)

25
Q

Eosinophilic folliculitis

A

Permethrin (topical pedculicides), itraconzole (oral), isotretinoin (oral)

26
Q

Malassezia folliculitis

A

Sulfacetamide lotion + itraconazole or fluconazole

27
Q

Demodex folliculitis

A

Permethrin (topical pedculicides) or ivermectin (topical or oral)

28
Q

Mucocutaneous candidiasis

A

Nail: clotrimazole or thymol (topical)
Skin: nystatin or clotrimazole (topical)
Vulvar/anal: fluconazole (oral) OR intravaginal clotrimazole, miconazole, terconazole, nystatin
The uncircumcised: Nystatin (topical)
Mastitis (mammary): Nystatin or clotrimazole (topical)

29
Q

Urticaria

A

H1 antihistamines - hydroxyzine (oral) or cyproheptadine (oral)
Chronic: doxepin (oral)

30
Q

Erythema multiforme/Stevens-Johnson syndrome/toxic epidermal necrolysis

A

Prednisone (topical) + IVIG (cyclosporine - topical)

31
Q

Erysipelas

A

Penicillin, dicloxacillin, cephalosporin (oral)

- Penicillin allergy = clindamycin (oral) or erythromycin (for strep only)

32
Q

Cellulitis

A

MSSA: Nafcillin, cefazolin, clindamycin, dicloxacillin, cephalexin, doxycycline, TMP-SMZ (oral)
MRSA: vancomycin, linezolid, clindamycin, daptomycin, doxycycline, TMP-SMZ

33
Q

Pemphigus

A

Prednisone (oral), azathioprine or mycophenolate mofetil (oral)

34
Q

Bullous pemphigoid

A

Prednisone (oral)
Tetracycline or nicotinamide (oral) for corticosteroid allergies
Mucus membrane? –> Dapsone (oral)

35
Q

Flat Warts on face

A

Liquid nitrogen
Salicylic acid or benzoyl (keratolytic agent)
Podophyllum resin (topical)
Imiquimod (topical)

36
Q

Molluscum contagiosum

A

Curettage or liquid nitrogen

Cantharadin (topical)

37
Q

Lichen planus

A

Topical corticosteroids

Oral/vaginal: Tacrolimus (topical)

38
Q

Scabies

A 
Multiple doses of Permethrin (topical pediculicides) or benzoyl benzoate 
AND ivermectin (oral)
39
Q

Erythema nodosum

A 
NSAIDS
Potassium iodide (topical)
40
Q

Faruncles/Carbuncles

A

TMP-SMA or clindamycin (oral antibiotics)

41
Q

Leg ulcers secondary to venous insufficiency

A

Pentoxifylline (oral anti-inflammatory)

42
Q

Hyperpigmentation

A

Bleaching preparations with hydroquinone

43
Q

Hypopigmentation (vitiligo)

A

Less than 20%: tacrolimus (topical, nonsteroidal anti-inflammatory)
More than 20%: UVA or oral PUVA

44
Q

Androgenetic alopecia

A

Minoxidil (topical)

45
Q

Alopecia areata

A

Triamcinolone acetonide (topical)

46
Q

Onychomycosis (tinea unguium)

A

Efinaconazole (topical)

Fingernails: griseofulvin (oral)

47
Q

Anogenital warts

A

First line: topical podophylline

48
Q

Common warts

A

Liquid nitrogen

Trichloracetic acid

49
Q

Anogenital warts

A

Podophylline (topical)

Imiquimod (topical)

50
Q

Plantar warts

A

Liquid nitrogen
Keratolytic agents (salicylic acid)
Laser therapy
Bleomycin intralesional injections

51
Q

Vitiligo

A

<20% TBSA: Tacrolimus (topical) or corticosteroids

>20% TBSA: UVB, oral PUVA

Med - Derm (2 decks)

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