Skin Disorder

Question 1

Classification of acne

Answer 1

1. Non-inflammatory, comedonal
2. Mild Inflammatory, superficial
3. Moderate inflammatory
4. Severe inflammatory

Question 2

Classification of acne

Answer 2

1. Non-inflammatory, comedonal
2. Mild Inflammatory, superficial
3. Moderate inflammatory
4. Severe inflammatory

Question 3

Nodulocystic acne is classified as…

Answer 3

Severe inflammatory acne

Question 4

True or false. Diet increases acne formation.

Answer 4

False

Question 5

Name 3 types of acne cleansers

Answer 5

Salicylic acid
Benzoyl peroxide
Antibacterial

Question 6

How should you recommend patient clean their face on a regular basis?

Answer 6

Non-soap based cleansers or water to prevent drying

Question 7

1st line for comedonal acne

Answer 7

Topical retinoids: retinA

Question 8

1st line for mild and moderate inflammatory acne

Answer 8

Topical retinoid + Benzoyl peroxide +/- topical antibiotics

Question 9

How long does it take to see an effect from topical acne treatment?

Answer 9

6 weeks, until stable then wean

Question 10

How long do you treat acne with oral antibiotics?

Answer 10

3-4 months, trial off after (switch to topicals)

Question 11

Typical antibiotics for acne

Answer 11

Doxycycline and minocycline preferred

Question 12

How do OCPs work for acne?

Answer 12

Anti-androgenic effect of the progrestin

Question 13

What is accutane?

Answer 13

Oral cis-retinoic acid

Question 14

How do you dose accutane?

Answer 14

0.5-1mg/kg BID to a total of 120-150mg/kg over 4-6 mo

Question 15

Side effects of accutane

Answer 15

Cheilitis
Hair loss
Dry mucous membranes and skin
Increased transaminases, glucose, cholesterol
Teratogenic

Question 16

Side effects of oral antibiotics

Answer 16

Gi intolerance
Inflammatory arthritis
Photosentivity

Question 17

How often donyou do lab tests for patients on Accutane?

Answer 17

1-2 months