Skin

Question 1

When should acne be referred

Answer 1

Babies alderly

Question 2

Severe acne

Answer 2

Large painful papules nodules and cysts

Question 3

Moderate acne

Answer 3

Not confined to the face many inflammatory spots

Question 4

Mild acne

Answer 4

Whiteheads blackhead papules

Question 5

Which severity of acne can be treated otc

Answer 5

Mild

Question 6

Which medication can cause acne like lesions

Answer 6

Lithium carbamazepine oral contraceptives azathioprine rifampicin steroids

Question 7

What is first line for acne

Answer 7

Anti comedogenic and anti bacterial
Benzoyl peroxide
Prevents new lesions from forming
Spread to all areas not just affected

Question 8

Can benzoyl peroxide be used in pregnancy

Answer 8

Yes

Answer 9

Moderate or severe acne
Over 25 for first time
OTC treatment failure
Drug induced

Question 10

What is second line for acne

Answer 10

Niotinamide twice daily to affected areas

Question 11

What is side effects of benzoyl peroxide and what should be done when this occurs

Answer 11

Drying peeling and burning of the skin

Stop for 2 days then resume

Question 12

Side effects of nicotinamide and how handled

Answer 12

Drying of skin so stop then reduce to once daily

Question 13

What is contact dermatitis

Answer 13

Clears when causal agent is removed

Question 14

What is atopic dermatitis/eczema

Answer 14

Long term occurs in ppl with allergies

Question 15

Where does eczema rash occur

Answer 15

Joints neck back of hand feet groin wrist

Question 16

Age for hydrocortisone

Answer 16

Over 10 years

Question 17

Otc used for eczema regularly

Answer 17

Emollients
Hydrocortisone for flare ups
Clobetasone for flare ups

Question 18

Age licensing for clobetasone

Answer 18

12 years

Question 19

When can topical steroid treatment not be used

Answer 19

Open or broken skin not on face or groin

Question 20

What is max duration of treatment for corticosteroids otc

Answer 20

1week

Question 21

How does psoriasis present

Answer 21

Raised large red patches in symmetrical distribution on scalp elbows knees
Putting on fingernails

Question 22

Which meds can exacerbate psoriasis

Answer 22

Lithium beta blockers nsaids anti-malarial

Question 23

Meds for psoriasis

Answer 23

Tar based products-scalp or scalp

Dithranol is P if 1% and under- build up dose. Should be used for 30 mins then wash off with emollient

Question 24

Referral criteria fir psoriasis

Answer 24

No improvement with otc treatment
Pustular psoriasis lesions
Nail psoriasis
Severe and effecting mental or physical health

Question 25

What is seborrhoic dermatitis

Answer 25

Red itch flaky skin
Children-Cradle cap
Adults- Red rash with greasy