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Pharm154 > Footcare > Flashcards

Footcare Flashcards

1
Q

Describe Calluses

A

Localized are of thickened skin

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2
Q

Where can Calluses be found

A

At friction points - (weight bearing)

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3
Q

What are some treatments for calluses?

A

footwear (new tight shoes)
Pumice stone

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4
Q

What type of bandaid is used after you sand down calluses from your foot?

A

Liquid bandage
( Can also use super glue on the cracks )

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5
Q

True or false
The treatment methods for callus’s are NOT similar to ones for corn.

A

False.

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6
Q

What is a callus remover?

A

A cushion with a pliable disk that contains 40% s.a.
The glue is under the cushion where the s.a. is.

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7
Q

Can you use a bandaid to top a callus remover?

A

Yes

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8
Q

When is liquid corn/callus remover useful?

A

When the size of the corn and callus does not exceed the size of the ring. If yes then its absolutely NOT useful.

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9
Q

Describe corns

A

A hyperkeratotic growth
Reaction to local friction and trauma over joint

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10
Q

How many types of corn do we have? describe them.

A

Hard and soft
Hard: develop on the top of the toes - very dry
Soft: in between toes - they are moister - they have cones

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11
Q

Do the cones in corn play a huge part in the disease?

A

No cones play a major role in warts compared to corns.

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12
Q

What’s the best treatment for corn?

A

The best treatment is to remove the cause.
Put some protective material on it.
Use Scholl corn cushions (Foam only)

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13
Q

What is the only suitable Scholl corn cushion dosage form?

A

Foam

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14
Q

How do you use the s.a. preps for corns?

A

Soak the hard corn first then apply the patch OD-Q2d
The treatment is for 6 days

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15
Q

What is the direction of use for Scholl corn removing soln.

A

Soak hard corn first
OD-BID
Treatment period 6 days.

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16
Q

True or false.
We should not use band-aids on soft corn.

A

false.
We want band-aids so it stops it from spreading to the other toes.

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17
Q

Does it only take one day of use for one-step corn removers?

A

No, it takes 6 uses for 6 days and that is false advertising.

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18
Q

Describe bunions.

A

Swelling of joint via deviation of the big toe.
Genetic

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19
Q

True or false.
Not in all cases of bunions the toe is crooked.

A

True

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20
Q

Is bunion pharmacist territory?

A

No

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21
Q

What is the cause of bunions?

A

Structural defect
heredity
exacerbated by shoes

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22
Q

Differentiate bunions from gout and arthritis?

A

Gout: less possibility - don’t see fat in bunion
arthritis: in the big toe joint

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23
Q

Why do you get gout?

A

Uric acid between joints

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24
Q

What are some treatments/products for bunions?

A

Orthotic device / special shoes
bunion protective pads (cushion, no disk)
Foam bunion cushions
Sholl toe flex
Surgery
Gel bunion guard

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25
Q

What is toe straight used for?

A

Hammer toes

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26
Q

do we use antibiotics for some cases of ingrown nails?

A

Yes (Keflex)

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27
Q

What’s the treatment for an ingrown toenail?

A

file off the edge
outgrow (benzocaine 20%)
Sholl toenail softening
Foam cap
Epsom salt

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28
Q

What does bromidrosis mean?

A

Unpleasant smell referring to smelly feet

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29
Q

What’s the treatment for smelly feet?

A

Loose fitting shoe
Wash feet ( more often than actual)
Socks (cotton better than synthetic) - change more often
Odour easter inserts
foot powders and sprays

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30
Q

Why do we use silver in socks for smelly feet?

A

It has antibacterial properties but it cant kill all the bacteria.

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31
Q

What virus causes hand warts?

A

human papilloma virus

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32
Q

True or false.
Hand warts can be transmitted from person to person.

A

True

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33
Q

True or false.
Our bodies on its own can battle warts

A

True

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34
Q

What is the direction of use for salicylic acid preps for hand warts?

A

Soak first
rub off dead skin
(can add some vaseline)
apply drops
cover

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35
Q

What’s the regiment of use for salicylic acid preps for hand warts?

A

OD / 8-12 weeks

36
Q

Whats compound W and whats its duration of use?

A

Basically salicylic acid preps but it has a second ingredient that is not that necessary.
8 weeks

37
Q

True or false.
When applying salicylic acid preps we should also cover the area around the wart to ensure better healing.

A

False.
It should only be on the white puss aka the center of the wart and having it around it might damage the skin and spread the infection in some cases.

38
Q

Is the gel version of compound W better or the fast-acting liquid and why?

A

JT says the gel is better because the area that the salicylic acid is exposed to is much smaller than the FAL so the gel would last much longer (basically patient convenience)

39
Q

How deep do you go with the treatment of hand warts with salicylic acid?

A

We need to make sure that the root of the wart fully is destroyed unlike what we see in corns

40
Q

Are salicylic acid patches a good way of treatment for hand warts? Explain

A

No they are not recommended because they all come in one size.

41
Q

True or false.
For compound W freeze off we do not want the pointy end Q tips.

A

False.

42
Q

How long do you leave compound W to freeze off on warts? and what is the regiment of treatment?

A

20 seconds for each lesion.
apply Q 2-3 weeks — about 4 repeats

43
Q

True or false.
Compound W freeze-off is not as cold as compound W nitrofreeze.

A

True

44
Q

Is duct tape a good option for hand warts?

A

Yes they are very much so a great option for warts

45
Q

What’s the regiment of use for duct tape for hand warts?

A

Cut to fit
Daily use for up to 2 months

46
Q

When do we use oral zinc/cimetidine?

A

We as pharmacists do not even have the power to recommend and prescribe this but this is basically the last level of treatment / it has H2 blocking like zantac

47
Q

Are both salicylic acid and OTC cryotherapy good options for kids and if yes then how do we decide what is the best option for them?

A

They are both equally good and it’s the parent’s choice to go down whatever route of therapy that they want.

48
Q

Whats the legal age for freeze off compound W?

A

4yr >

49
Q

When do we refer hand warts cases in kids?

A

When on face
Multiple lesions

50
Q

What are warts flat and differentiate it from normal warts

A

Happens in kids and its generally on the face
might have some black dots with it too
it’s not only one or two but its more like a dozen of them
smaller and smoother than warts

51
Q

Do we play a role in flat wart cases?

A

No MD referral

52
Q

Do we go for 40 seconds max or 20 seconds for plantar warts?

A

40 seconds - we can also go for a recharge

53
Q

True or false.
There is a therapeutic ladder when it comes to plantar warts.

A

False
There is no therapeutic ladder

54
Q

Whats the regimen of use for dual action in plantar warts?

A

Freeze area - apply salicylic acid OD for 14 days
repeat for 4 cycles

55
Q

Whats the regimen of use for non-dual action in plantar warts?

A

Freeze area for Q3wks * 4
NO salicylic acid here

56
Q

How deep should you go with salicylic acid liquid/paste/gel?

A

Very deep as much as possible and there is a lot of failure in this process.

57
Q

What’s the regimen of use for salicylic acid liquid/ paste/gel?

A

OD to Q2days * 12 weeks.

58
Q

Are salicylic acid band-aid products a good way to treat warts?

A

No they are not because they all come in one size.

59
Q

What is the better product to put around the wart and the scar, skin crack care or vaseline?

A

Skin crack care and we should put it around the age.

60
Q

What is the duration of treatment with canthacur products for plantar warts?

A

Three or more such treatments. and leave it there for 1 week.

61
Q

How does the wart look after using canthacur?

A

Like a blister after 1-2 days later. (inflammatory response of the body)

62
Q

What is one creative way mentioned by a pharmacist to help plantar warts?

A

H2O2 is first followed by vicks vaporub. Cover. Do this every day for 14 days.

63
Q

Does the H2O2 or Vaporub do anything for plantar warts?

A

The H2O2 does not do anything and it is only the VapoRub helping.

64
Q

Can vaccination against HPV prevent cervical cancer?

A

Yes

65
Q

What is plantar fasciitis?

A

A very painful feeling in the foot - A tear in the plantar fascia of the bottom of the foot.

66
Q

When does plantar fasciitis hurt the most?

A

In the morning because the fascia has healed a little bit and as soon as you put your foot down the fascia tears.

67
Q

What is the treatment regimen in most cases of plantar fasciitis?

A

In 80% of the cases, symptoms resolve with OTC and home remedies alone, most often within 6 months of starting therapy.

68
Q

Does stretching your foot upwards help with plantar fasciitis?

A

Yes it does.

69
Q

Is a plantar fascia sleeve a good thing to use to treat plantar fasciitis?

A

No, it is not.

70
Q

What is Strassburg socks and how does it work?

A

A special sock to wear overnight for plantar fasciitis to wear overnight so when you wake up in the morning the bottom of your foot does not hurt.

71
Q

Are NSAIDs and voltaren a good drug to use for plantar fasciitis?

A

No, because they are not good for neuropathic pain.

72
Q

Are NSAIDs and Voltaren good drugs to use for plantar fasciitis?

A

No, because they are not good for neuropathic pain.

73
Q

How often does heel spur appear in plantar fasciitis?

A

About 50% of the time and as you get older they get much worse.

74
Q

Is heel pain pharmacist territory?

A

No MD

75
Q

What are some treatment options for heel spur?

A

shoe inserts
stretching
icing the arch
sound waves
night splints

76
Q

How long does it take on average for a heel spur to heal?

A

9 months

77
Q

Where is the location of plantar fasciitis on the bottom of the foot?

A

on the side and forward.

78
Q

Does plantar fasciitis hurt more or heel spur?

A

plantar fasciitis

79
Q

what is the location for fat pad degradation?

A

In the middle of the bottom foot area at the end.

80
Q

Do we really even pay attention to gel heel cups?

A

No we do not.

81
Q

Does the custom-fit orthotic center work properly when it comes to detecting your foot problems?

A

No, it does not because it doesn’t detect pressure for the high arches.

82
Q

Do magnetic soles even do anything for treating any foot problems?

A

No they do not do ANYTHING.

83
Q

should diabetic people even self-medicate for corn and warts?

A

No because they have less sensation and it can lead to foot ulcers.

84
Q

What type of diabetes are we worried about when it comes to foot care?

A

Type 1.

85
Q

If a lotion has the stamp of the Canadian diabetes association necessarily mean it is for diabetic people?

A

Not at all you can pay to have that stamp on your cream.

86
Q

What is the difference between cryotherapy in warts compared to skin tag removal?

A

In. skin tag removal you approach the area from the side but in warts, you dab it on the top.

Pharm154 (1 decks)

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