SM SKIN

Question 1

Topical agents
need to know order of potency

Answer 1

1. ointments- most potent- able to deliver the greatest concentration 80% oil
2. creams- 50% oil
3. lotions-
4. solutions- like alcohol

Question 2

Just because something is potent,

Answer 2

it doesn’t indicate its level of absorption into the skin.

Question 3

The route that’s the easiest to absorb

Answer 3

is the creams

Question 4

Potency is the most important factor in prescribing steroids.
7 classes available

Answer 4

Class 1: most potent-
Classes 3&4- most commonly prescribed potency by primary care
Class 7- least potent includes OTC hydrocortisone cream

Question 5

We should not be prescribing Class ? sterroids to patients in primary care because ?

Answer 5

Class 1
they can lead to serious adrenal suppression and other side effects that need to be handled by a specialist.
High potency steroids should only be used in severe conditions and small areas

Question 6

low potency steroid-

Answer 6

face

Question 7

arm/legs/trunk-

Answer 7

medium potency steroid- skin is thicker than face

Question 8

No steroids

Answer 8

on genitalia

Question 9

hands and feet toughest skin-

Answer 9

can handle a high potency steroid

Question 10

mupirocin ointment
primary treatment for?

Answer 10

*non bullous impetigo
*Gram positive bacteria like staph aureaus and Streptococcus pyogenes

Question 11

Streptococcus pyogenes (group A Streptococcus)

Answer 11

GAS causes infections such as strep throat and impetigo. These bacteria also cause approximately 11,000–24,000 cases of severe (invasive) GAS disease, such as necrotizing fasciitis, in the United States each year.

Question 12

mupirocin ointment pregnancy category?

Answer 12

• Pregnancy category B but not sure if excreted in the breast milk so avoid in breast feeding moms just in case

Question 13

mupirocin ointment
primary treatment for?

Answer 13

*non bullous impetigo
*Gram positive bacteria like staph aureus and Streptococcus pyogenes