Treatment

Question 1

Chickenpox

Answer 1

• Aciclovir
• Tramadol
• Local cooling agents

Question 2

Shingles

Answer 2

Aciclovir

Question 3

Eczema Herpeticum

Answer 3

Oral antiviral unless serious/extensive/involving eyes when you would use IV

Question 4

Erythema Multiforme

Answer 4

Self-limiting

Question 5

Molluscum Contagiosum

Answer 5

Self-limiting (can take months to disapear)

Question 6

Viral Warts

Answer 6

• Self-limiting
• Liquid nitrogen
• Topical salicylic acid

Question 7

Herpangina

Answer 7

Self-limiting

Question 8

Erythema Infectiosum

Answer 8

Self-limiting

Question 9

Orf

Answer 9

Self-limiting

Question 10

Cellulitis

Answer 10

Flucloxacillin 1g qds

Question 11

Impetigo

Answer 11

• Localised lesions = topical fusidic acid
• More extensive = flucloxacillin 500mg qds

Question 12

Syphilis

Answer 12

IV penicillin

Question 13

Lyme Disease

Answer 13

Doxycycline

Question 14

Tinea/Ringworm

Answer 14

• Small areas of infected skin/nails = Clotrimazole (Canestan) cream
• Extensive infections = Terbinafine/itraconazole orally

Question 15

Candida/Thrush

Answer 15

• Clotrimazole cream
• Oral fluconazole

Question 16

Scabies

Answer 16

Malathion Lotion

Question 17

BCC

Answer 17

• Surgery
• Phototherapy
• Imiquimod cream

Question 18

Psoriasis

Answer 18

1st line:

• Emollients
• Vitamin D analogues (eg Calcipotriol)
• Coal tar
• Topical steroids

2nd line:

• Phototherapy - Narrowband UVB or PUVA
• Immunosurpression (eg methotrexate)

Question 19

Rosacea

Answer 19

• Topical metronidazole (mild rosacea)
• Ivermectin
• Oral tetracycline (moderate-severe)
• Isotretinoin (severe)

Question 20

Lichen Planus

Answer 20

Self-limiting (12-18 months)

Question 21

Bullous Pemphigoid

Answer 21

• Self-limiting -months-years (Average = 3-6 months)
• Systemic steroids
• Tetracycline antibiotics
• Emollients

Question 22

Pemphigus Vulgaris

Answer 22

• Self-limiting - months-years (average = 3-6 months)

Question 23

Dermatitis Herpetiformis

Answer 23

Gluten free diet

Question 24

Eczema

Answer 24

Mild:

• Emollients
• Topical corticosteroid (eg hydrocortisone 1%) for flares

Moderate:

• Emollients
• Moderately potent topical corticosteroid for flare

Severe:

• Emollients
• Potent topical corticosteroid
• Calicneurin Inhibitors
• Phototherapy – mainly UVB
• Systemic immunosuppressants eg methotrexate
• Biologic agents

Question 25

Acne

Answer 25

Topical:

• Benzoyl peroxide
• Topical vitamin A derivatives (retinoid)
• Topical antibiotics

Systemic:

• Antibiotics (doxycycline)
• Isotretinoin (oral retinoid)