MMedications Flashcards

1
Q

What class should not be used on face and genitals

A

Class 1 (super potent) and 4 (mid strength)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should you think if rash don’t get better (3dx)

A

Undx yeast or fungal
Contact dermatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fingertip Unit

A

how much to apply to affected area. 0.5 G

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Terbinafine
What labs to monitor

Antifungal

A

LFT and CBC q 6 week
No preggos
s/e neutropenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Biologic Agents what to screen for before start

A

Hep B and TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Retinoids preggo rules (2)

A

Check pregnancy q month
2 form of both control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Basal cell carcinoma

A

Biopsy , nl color, raised shiny pearly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bleeds when scraped, non healing

A

Squamous cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Asymmetrical lesion * Border irregularities * Brown to black
* Diameter > 6mm
* Raised

A

Malignant melanoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Topicals Inhibit P.Acnes

TTAABS

A

Tretinoin (Retin A),
Adapalene (Differin),
Tazarotene (Tazorac)
Azelaic Acid (Azelex)
Benzoyl Peroxide
Salicylic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What to check for isotretnoin

(2) Labs and Preggo

A

Triglyceride and LFT

2 x Birth control

check pregnancy q month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Inflammatory papules and pustules, telangiectasis, edema and watery eye.

A

Rosacea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Rosacea erythema med TOPICAL (first line for preggos)

A

Metrodinazole/Azelaic Acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Rosacea oral TDM

A

Tetracycline
Doxycycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hidradenitis Suppurativa

A

Apocrine gland , autosomal dominance

Acute abcess formation, black comedones

Stage 1: mild
Stage 3: Severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

HS Meds
hiDrAniTis

A

Amoxicillin
Tetracycline
Doxycycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Alopecia types

A

Scarring and non scarring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

FeMale Androgenetic Alopecia medication that can be used

A

Minoxidil (Romaine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

well-demarcated patches of hair loss scalp, eyebrows, eyelashes, beard *

A

Alopecia areata

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Animal bite immunization

A

Tetanus
Rabies

transmit hep b, hep c, hiv

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

open animal or human bite >6 hrs leave open or close

A

leave open

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Animal/human fresh bite
Medication

A

Amoxicillin

pcn allergy: Clinda, doxy, bactrim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Rabies prophylaxis

A

Human diploid cell vaccine (HDCV)
1st dose on the day of bite treatment
repeated days 3,7 and 14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Acrochordon

A

Benign
Skin Tags - metabolic disorders and DM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Common after 30 and 40 y/o skin lesion

A

Cherry Angioma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Fitzpatrick sign or dimple

A

Dermatofibroma
Squeeze lesion with thumb or forefinger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Seborrheic Keratosis what should you rule out

A

Malignant Melanoma
“stuck on appearance”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Burn size is quantified as how

A

% of body surface involved b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Used to calculate burn size

A

Rule of Nines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Glossy Red Painful , superficial/partial thickness, Sunburn

A

First Degree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Dull, glossy, red, pink, white, blister, partial thickness

A

Second Degree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Full thickness , subcutaneous fat layer , matte, red, black, NO sensation

A

Third Degree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Partial thickness burn, what do you do first

A

Irrigate with cold water

33
Q

Chemical burn, what do you do first

A

Remove the garment, aggressive irrigation

34
Q

Should you irrigate metal sodium chemical burns with water?

A

NO. Make it worse

35
Q

Minor Burn Pharmacological

A

Silver sulfadiazine Cream (Silvadene) 2x daily. Don’t give with sulfa allergy

35
Q

Acute generalized exanthematous Pustulosis
Labs to monitor

A

Aminopenicillin, Macrolide, Antifungals, Antimalarials, CCB
Monitor LFT

36
Q

Exanthematous Drug Eruption
Pruritis, low grade fever, mild eosinophilia, facial edema, mucositis, skin tender, blistering

A

Happens 2 weeks after start of medication

36
Q

Red, Brown, Black Macules present at re-exposure to the medication . Lesion burn or itch,

Lichenoid Lesion —> basically
Comes back at the same site

Lips, genitalia, perianal, hands, feet

A

Fixed Drug Eruption

37
Q

SJS / Toxic Epidermal Necrolysis
Buccal, ocular, genital (malaise, sore throat, arthlagia, stinging eyes

A

Epidermis detached from the dermis

38
Q

Nikolsky Sign (SJS)

A

Skin tender to touch and shears easily to touch

39
Q

Folliculitis
Dx
Meds

A

Dx: Culture or scraping

40
Q

Uncomplicated Folliculitis

A

1 Topical Benzoyl Peroxide

41
Q

Recurrent Folliculitis

A

Dicloxacillin

42
Q

Staph. Aureus Med Tx

A

Cephalexin

43
Q

Gram negative Folliculitis

A

Ampicillin

44
Q

Hot tub folliculitis

A

Ciprofloxacin

45
Q

Dermatophyte Folliculitis Antifungal

A

Itraconazole + Terbinafine
- check LFT, QT prolong, p450 enzyme

46
Q

Demodex Folliculitis

A

Permethrin cream or 5% Ivermectin

47
Q

Atopic Dermatitis Meds

A

Emolient, Benadryl, Atarax, Xyzal, Claritin

48
Q

Dermatitis you can use on face, groin, axillae, breast

A

Eucrisa

48
Q

Triamcinolone: Atrophic Dermatitis

A

Peristent Flares

49
Q

SSTI MSSA and MRSA

A

Clindamycin

SMX-TMP / Doxy + PCN,Amoxicillin

49
Q

Impetigo contact or indirect contact

A

Honey crusted when rupture,
Spread Bia self inoculation

Meds:
Mupirocin
Dicloxacillin, Cephalexin, Azithromycin, Augementin

50
Q

Intertrigo Abdominal folds, inner thighs, axillary, interdigital, perianal area

A

Superficial inflammatory bacterial/fungal skin disorder

Mild erythematous plaque patches papules, pustules

Fever, odor discharge, abscess

51
Q

+ KOH Intertrigo
Pseudomonas wood lamp

A

Candida
Yellow green

52
Q

Intertrigo Med TOPICAL

A

Burrow solution
Fungal- Clotrimazole, Ketoconazole, Oxiconazole
Pseudomonas - Acetic acid

53
Q

Intertrigo Med Oral

A

Mupirocin
Erythromycin
Clindamycin

54
Q

HSV1

A

Oral lesions , direct contact

55
Q

HSV-2

A

Genital

56
Q

What outbreak is the worst in Herpes Simplex
Meds

A

Primary , 1-26 day incubation
Meds: Abreva Acyclovir Penciclovir

57
Q

Phase 3 Recurrent

A

Genital herpes, common
tingling shooting pains in legs, hip, buttocks

58
Q

Tzanck Test

A

Fluid by unroofing lesion, obtain the fluid

59
Q

Herpes Zoster Shingles and ophthalmic s/s

A

unilateral single or double dermatome
DO NOT CROSS MIDLINE

trigeminal nerve can results in ocular keratitis, scarring and loss of vision

60
Q

Herpes Zoster Dx

When to get vaccinated

A

PCR and Tzanck test
Meds: Acyclovir, Valacyclovir, Famciclovir

Vaccinated: 50 years

61
Q

Herpes Zoster around nose, eyes, forehead

A

Ophthalmology consult

62
Q

Motor paralysis and facial palsy Herpes Zoster

A

Ramsay Hunt Syndrome

63
Q

Verruca - Benign epidermal neoplasms
Most common STI in US

A

Anogenital HPV most common STI

64
Q

Verruca Warts what is the common pattern

A

Mosaic pattern - dx
Filiform, Common, Plantar

65
Q

Veruca medication

A

Salicyclic Acid, TCA, Dichloroacetic

Flat wart-Tretnoin

Anogenital- Imiquimod

66
Q

Onychomycosis Meds and labs to watch for

A

Terbinafine check CBC (neutropenia) and LFT q 6 weeks

67
Q

Lice medication

A

Permethrin,
Lindane and Ivermectin - don’t use in preggos
Nit combing

68
Q

Fungal infection when should you have referral

A

Recalcitrant infection and Yeast septicemia

69
Q

Scabies s/s

Medications

A

Intractable pruritis at NIGHT

5% Premetherin Cream and oral Ivermectin

70
Q

Herpetic Whitlow - Auto Infection from nail biting

Tenosynovitis

A

HSV 1 or 2

Meds: Acyclovir, Famicyclovir, Valacyclovir

Tenosynovitis: redness, pain, swelling, stiffness

71
Q

Paronychia

A

Warm compress
Topical-neomycin
MRSA- Bactrim
Clindamycin, Cephalexin, Augmentin

72
Q

Seborrheic Dermatitis

A

Yellow white scaling lesions
Ketoconazole and Itraconazole

73
Q

Psoriasis

Ausptiz Sign

A

Silver white scales

Tiny bleeding points if scales are removed

74
Q

What percentage can regular PCP manage psoriasis

A

<3% of total body surface

Meds: Calcipotriene , Betamethasone, Dovonox

75
Q

Vitiligo

Eye pigment changes

A

Hypopigmentation
Meds: Betamethasone and Protopic Elidel

Eyes: refer to ophthalmology