Skin

Question 1

What is the ACBS

Answer 1

Advisory committee on borderline substances

Question 2

What is the role of the ACBS

Answer 2

Advises NHS on specially formulated items for medical conditions

Question 3

What do you give for acne that has proven resistant to all common methods including creams, gels, ointments and abx

Answer 3

Isotretinoin

Question 4

What are bath emollients and shower preps?

Answer 4

Added to bath water

Soak in 10-20 mins

Avoid soap in dry conditions

Question 5

What is a the warning for paraffin?

Answer 5

Risk of fire due to build up of residue on clothing and bedding

Question 6

Nappy rash treatment

Answer 6

1st line - change nappy frequently

Hydrocortisone for inflammation (mild 0.5 or 1%) and stop using when inflammation finishes

Can use zinc oxide cream/ointment

For infection - clotrimazole

Question 7

What does cellulitis require?

Answer 7

Abx

Question 8

What is the treatment of impetigo?

Answer 8

Localised non bullous - hydrogen peroxide 1% cream

Widespread non bullous - topical or oral antibiotic (fusidic acid, mupirocin, flucoxicillin or erythro/clari if flucox is unsuitable

Bullous - antibacterial oral or local if localised

Question 9

Treatment for infected burns

Answer 9

Silver sulfadiazine

Question 10

Treatment for staph infections, impetigo, angular chelitis?

Answer 10

Fusidic acid

Flucoxacillin

Question 11

Treatment for rosacea

Answer 11

Metronidazole

Question 12

How are antifungals applied to the skin?

Answer 12

Topically

Systemically if it doesn’t get better

Question 13

Ringworm name - scalp

Answer 13

Tinea capitis

Question 14

Ringworm name - body

Answer 14

Tinea corporis

Question 15

Ringworm name - groin

Answer 15

Tinea Cruris

Question 16

Ringworm name - hand

Answer 16

Tinea Manuum

Question 17

Ringworm name - foot

Answer 17

Tinea pedis (athletes foot)

Question 18

Ringworm name - nail

Answer 18

Tinea unguium

Question 19

Name some imidazole antifungals

Answer 19

Clotrimazole
Econazole
Ketonazole
Miconazole
Terbinafine

Question 20

Name a treatment for candiasis

Answer 20

Topical imidazole antifungal

Oral - antifungal treatment

Question 21

Treatment for angular chelitis

Answer 21

Miconazole,nystatin and fluconazole for extensive infection

Question 22

Name an antiviral for herpes simplex/roster virus

Answer 22

Aciclovir

Question 23

Treatment for scabies

Answer 23

Permethrin

Question 24

Explain how scabies treatment is carried out

Answer 24

Treat all members at the same time
Adults and children over 2 - whole body but not to head/face
Elderly and children under 2 - everywhere
Apply and leave on for 8-12 hours and wash off
Apply again a week later
Child can go back to school after 24 hours of first treatment

Question 25

What in headlice treatment coats headlice?

Answer 25

Dimeticone

Question 26

Treatment for crab lice

Answer 26

Permethrin

Question 27

What eczema is the most common

Answer 27

Atopic

Question 28

If the eczema results in lichenification, what should be applied

Answer 28

potent corticosteroid

Question 29

If the eczema ends up weeping, what should be applied

Answer 29

Potent corticosteroid

Question 30

Treatment for severe refractory eczema

Answer 30

Phototherapy

Question 31

Are corticosteroids recommended for acne

Answer 31

No

Question 32

Potent and mild corticosteroids list

Answer 32

MILD - hydrocortisone

MODERATE - Betamethasone 0.025% (Betnovate RD)/Clobetasone (eumovate)

POTENT - Betametasone 0.1% and Mometasone (elocon)

VERY POTENT - Clobetasol (dermovate)

Question 33

Is isotretinoin last option?

Answer 33

Yes

Question 34

Cautions with isotretinoin

Answer 34

Teratogenic

Severe dryness of skin, eyes, lips