Treatment of Common Skin Conditions

Question 1

What is the first line treatment of eczema

Answer 1

Emollients
Avoid irritants
Steroids

Question 2

What should be used to treat a staph aureus infection of ezcema

Answer 2

flucloxacillin

Question 3

What should be used to treat a step infection of aczema

Answer 3

penicillin

Question 4

Name the steroids that can be used in order of potency

Answer 4

Hydrocortisone
Eumovate (clobetasone butyrate)
Betovate (betamethasone valerate)
Dermovate (clobetasol propionate)

Question 5

What is the first line treatment of acne

Answer 5

benzoly peroxise, topical isotretinoin, topical erythromycin or clarithromycin

Question 6

What is the second line treatment of acne vulgaris

Answer 6

Low dose oral tetracyclein/erythromycin or co cyprindol

Question 7

What is the third line treatment of acne

Answer 7

isotretinoin

Question 8

What is the first line treatment of rosacea

Answer 8

topical metronidazole

Question 9

What is the second line treatment of roscacea

Answer 9

oral tetracycline

Question 10

What is the treatment of mild psoriasis

Answer 10

emollients

Question 11

What is the treatment of chronic plaque psoriasis

Answer 11

vit B analogue
coal tar
tazarotene
steroids
dithranol

Question 12

What can help scalp psoriasis

Answer 12

salicylic acid

Question 13

What is used in extensive psoriasis

Answer 13

PUVA

Question 14

What systemic therapy can be used in psoriasis

Answer 14

retinoic acid derivative (acitretoin)
methotrexate
ciclosporin
TNF alpha
efulizumab

Question 15

How do you treat impetigo

Answer 15

Oral antibiotics for 7-10 days
Flucloxacillin for Staph
Phenomethylpenecillin for strep

Question 16

What is the treatment of dermatophyte infection

Answer 16

Local - clotrimazole cream, amorolfine nail paint
Widespread - oral antifungals
Scalp - oral terbinifine and oral itraconazole

Question 17

What is the treatment of scabies

Answer 17

Malathion lotion applied overnight to whole body and washed off in the morning
Benzyl benzoate (avoid in children)

Question 18

How do you treat lice

Answer 18

malathion

Question 19

what is choanal atresia

Answer 19

Posterior nasal airway occluded by soft tissue or bone.

cyanosis worse when feeding

Question 20

investigation to look for renal scaring due to vesicouteric reflux

Answer 20

DMSA

Question 21

On examination an erythematous rash with flexural sparing is seen. What is the most likely cause?

Answer 21

irritant nappy rahs

Question 22

when is the guthrie test done

Answer 22

between 4-9th day of life

Question 23

what is screened for on guthrie test

Answer 23

congenital hypothyroidism
cystic fibrosis
sickle cell disease
phenylketonuria
medium chain acyl-CoA dehydrogenase deficiency (MCADD)
maple syru1p urine disease (MSUD)
isovaleric acidaemia (IVA)
glutaric aciduria type 1 (GA1)
homocystinuria (pyridoxine unresponsive) (HCU)

Question 24

when is an LP contraindicates

Answer 24

There are signs of raised ICP
GCS< 8 or deteriorating
Post-ictal following a seizure lasting > 10 minutes
Focal neurological signs
Clinical evidence of circulatory or septic shock
CT/MRI suggests CSF pathway obstruction, brain swelling or focal mass lesions

Question 25

lithium in pregnancy causes what heart defect

Answer 25

ebsteins anomoly

Question 26

what is palivizumab

Answer 26

A monoclonal antibody which is used to prevent respiratory syncytial virus (RSV) in children who are at increased risk of severe disease.

Those at risk of developing RSV include
Premature infants
Infants with lung or heart abnormalities
Immunocompromised infants