Infection

Question 1

How long can OTC chloramphenicol eye drops be used for ?

Answer 1

Maximum 5 days

Question 2

True or false:

Sex should be avoided until cystitis has cleared up

Answer 2

TRUE

Question 3

OTC cystitis products may contain _________ citrate or __________ citrate

Answer 3

Sodium

Potassium

Question 4

Which organism causes thrush

Answer 4

Candida albicans

Question 5

True or false

Thrush can develop due to hormonal changes

Answer 5

TRUE

E.g due to pregnancy or oral contraceptives

Question 6

_____ % clotrimazole can be used to treat vaginal thrush (internal cream)

Answer 6

10 %

Note: the external cream is only 2% !

Question 7

Painful urination
Passing small volumes of dark, strong smelling urine

These can be signs of_______

Answer 7

Cystitis

Question 8

Dysuria, fever and flank pain are symptoms of

Answer 8

Pyelonephritis

Question 9

After how long should ovex (mebendazole) be repeated if re-infected

Answer 9

2 weeks

Question 10

True or false:

Children infected with threadworms should be kept off school

Answer 10

FALSE

Question 11

Lamisil (Terbinafine) for the treatment of athletes foot should not be used in patients under _____

Answer 11

16 years old

Question 12

Maximum length of time OTC steroid creams can be used for

Answer 12

7 days

Question 13

What is intertrigo

Answer 13

A rash in the folds of the skin e.g. under the breasts, in the armpits or groin

Question 14

What is used to treat intertrigo ?

Answer 14

Topical antifungals

Question 15

Amorolfine should not be used OTC in patients under ____

Answer 15

18 years old

Question 16

True or false: Amorolfine can be sold OTC if 3 toe nails are affected

Answer 16

FALSE

Can only be sold if 1-2 nails (finger or toe) are affected

Question 17

Why are insecticide shampoos not recommended for headlice?

Answer 17

Not enough contact time to kill louse eggs

Question 18

How should insecticide lotions or solutions be used to treat head lice

Answer 18

2 applications 7 days apart.

Re-check hair again after 2 weeks to check for re-infestation

Question 19

How should lice be tweeted in pregnant women and children under 2

Answer 19

Wet combing

Every 4 days over a 2 week period until no lice are seen on 3 consecutive occasions

Question 20

True or false:

Scabies is most itchy at night

Answer 20

TRUE

Question 21

Which skin infection appear as fine silvery lines which may sometimes end as a dark spot

Answer 21

Scabies

Question 22

What is the ingredient in the following insecticides:

a) Lyclear cream
b) Derbac M liquid

Answer 22

a) permethrin 5%

b) malathoin 0.5% (preferred in pregnancy and breastfeeding)

Question 23

True or false:

A shingles rash can be on both sides of the body

Answer 23

FALSE

It appears on one side of the body

Question 24

Within how many hours should antivirals be started to reduce the risk of post herpertic neuralgia

Answer 24

72 hours

Question 25

True or false:

Menstruation can be a trigger that reactivates cold sores

Answer 25

TRUE

As can trauma, sunlight, stress, cold and fever (etc)

Question 26

How often is aciclovir cream applied to a cold sore

Answer 26

5 times a day

Question 27

Which form of impetigo is the most common?

Answer 27

Non-bullous

Sores burst and leave golden brown crusts

Question 28

True or false:

Impetigo can be treated OTC

Answer 28

TRUE
It can be treated OTC with hydrogen peroxide 1% cream BUT it is generally better to refer to GP for po antibiotics or fucidic acid cream

Question 29

True or false:

Females under 16 presenting with vaginal thrush can be treated with OTC thrush preparations

Answer 29

FALSE

Under 16s must be referred to their GP for treatment

Question 30

How does the discharge differ between vaginal thrush and bacterial vaginosis

Answer 30

Thrush: Thick, white creamy discharge. Yeasty smell

Vaginosis: Thin, watery discharge. Fishy smell. May become discoloured