Pharm dermatology

Question 1

exzema - allergens and triggers

Answer 1

Foods-strawberries, carrots, showers with hot hot water. bacterial, fungal, or viral infection.

Question 2

Eczema is a

Answer 2

nonspecific term that refers to a group of inflammatory skin conditions characterized by pruritus, erythema, and scale.

Question 3

Atopic dermatitis - what ages?

Answer 3

specific type of eczematous dermatitis. usually clears up by adulthood. display weeping, crusting, or scale

Question 4

atopic dermatitis symptoms

Answer 4

Primary symptom is pruritus (itch)
* AD is often called “the itch that rashes”
* Scratching to relieve AD-associated itch gives rise to
the ‘itch-scratch’ cycle and can exacerbate the disease

Question 5

atopic dermatitis - infants and toddlers - plaques where?

Answer 5

Infants and toddlers: eczematous plaques appear on the`
cheeks forehead, scalp and extensor surfaces

Question 6

atopic dermatitis - Older children and adolescents - where?

Answer 6

Older children and adolescents: lichenified, eczematous plaques in flexural areas of the neck, elbows, wrists, and
ankles

Question 7

atopic dermatitis - adults - where? (Einar)

Answer 7

lichenification in flexural regions and involvement of
the hands, wrists, ankles, feet, and face (particularly the forehead and around the eyes)

Question 8

atopic dermatitis - baths?

Answer 8

tepid water. use Emollients: petrolatum and moisturizers. use thick creams.

Question 9

AD - corticosteroid treatments

Answer 9

ointments better than cream, low potency for face. potential side effects striae (red streaks), telangiectasis (dilated capilaries), atrophe, acne.

Question 10

Dilute bleach baths (sodium hypochlorite)

Answer 10

have been shown to help decrease skin bacteria and AD severity, although the data is still somewhat limited

Question 11

Neosporin (mix poly with neo)

Answer 11

Neosporin: neomycin + polymyxin B + bacitracin

Question 12

mupirocin

Answer 12

used for Intranasal form for MRSA

Question 13

silver sulfadiazine - can’t be used if ppl have what allergy? (it’s literally in the name)

Answer 13

topical, used for site of second-
and third-degree burns. ***Cannot be used if allergic to sulfa drugs

Question 14

fungal

Answer 14

hard to treat, may take up to a year.

Question 15

anti-fungal - pills

Answer 15

Pills include Diflucan®, Lamisil® and Sporanox®  Requires liver function monitoring**!!

Question 16

Acyclovir (Zovirax®) and Penciclovir (Denavir®)

Answer 16

Both used to treat initial and recurrent herpes simplex
infections. Doesn’t cure but may speed up healing time.

Question 17

benzoyl peroxide

Answer 17

 Causes death of the anaerobic P. acnes bacteria by
slowly releasing oxygen. Produces improvement in 4 to 6 weeks

Question 18

accutane

Answer 18

• Required patient counseling regarding use of two forms of contraception and not becoming pregnant during use
• Required “iPLEDGE” program for safety
• Monitor for signs of depression, suicidal ideations (BBW)

Question 19

Always use benzoyl peroxide with

Answer 19

an antibiotic

Question 20

Isotretinoin is the

Answer 20

most effective acne treatment available and patients are safe because they are monitored so closely

Question 21

pimecrolimus (Elidel®) (pim for AD)

Answer 21

• Treats atopic dermatitis

Question 22

imiquimod (Aldara®)

Answer 22

• Treats actinic keratosis, basal cell carcinoma, and anogenital warts

Question 23

emmolients

Answer 23

Forms occlusive barrier. Most contain waxes, fats, and/or oils
* Most effective when applied after shower or bath
* Do not use on skin lesions that are moist or exudative

Question 24

keratolytics (kerats at target)

Answer 24

Applied after area has been bathed or soaked
* More effective if covered with occlusive dressing
* Kept on skin overnight; removed in morning
* Repeated applications are effective

Question 25

EMLA (Emily has lidocaine)

Answer 25

EMLA: lidocaine/prilocaine combination

Question 26

scabies

Answer 26

Symptoms caused by reaction to mites
 Pimple-like rash or burrows between fingers, on wrist, elbows, armpits, belt line, navel, abdomen, and/or buttocks
 Intense itching over most of the body, especially at night
 Sores on the body caused by scratching
 Incubation period:
 2-6 weeks without previous exposure
 1-4 days after re-infestation (usually milder)

Question 27

scabies meds (perm the scabies)

Answer 27

below head - 5% permethrin cream (wash after 8-14 hrs)
 1% lindane cream (wash after 8-12 hrs)

Question 28

aloe - drug interactions

Answer 28

digoxin
Antidysrhythmics
Diuretics

Question 29

aloe adverse affects

Answer 29

Diarrhea
Abdominal pain
Dermatitis

Question 30

Keep in mind that systemic absorption is higher in the

Answer 30

very young and very old because the skin may be more permeable