Exam (elaborations)
MCPHS PA - Derm + ABX Pharm Exam 2: Questions With Proper Answers
- Course
- Institution
MCPHS PA - Derm + ABX Pharm Exam 2: Questions With Proper Answers
[Show more]
Content preview
MCPHS PA - Derm + ABX Pharm Exam 2: QuestionsWith Proper Answers
What conditions are low/medium dose topical steroids used for? Right Ans
- eczema, irritant dermatitis, seborrhea, atopic dermatitis
What conditions are high dose topical steroids used for? Right Ans -
psoriasis, lichen planus, allergic contact dermatitis
Examples of low strength topical steroids Right Ans - alclometasone,
hydrocortisone (base/acetate), desonide
Examples of intermediate strength topical steroids Right Ans - fluticasone,
hydrocortisone valerate, mometasone
Examples of high strength topical steroids Right Ans - amcinonide,
halcinonide
Examples of very high strength topical steroids Right Ans - clobetasol,
halobetasol
*Know that triamcinolone is a common topical steroid but the potency varies
depending on the strength* Right Ans - ...
What's a common ADR with topical steroid use? Right Ans - cutaneous
atrophy - can have telangiectases and purpura, resolves after months
What are other/serious ADRs with topical steroid use? Right Ans - striae,
acne, refractory rosacea, hypopigmentation, alopecia, glaucoma
What is an ADR associated with hormones with topical steroid use? Right
Ans - Adrenal suppression and iatrogenic cushing's - increased with
dose/duration/higher potency, increased with children
What are treatment considerations for topical steroid use? Right Ans - 1.
Use low doses on areas with increased absorption
2. Occlusive dressings - don't use with high/very high potency
3. Ointments have highest effects
, 4. Special considerations for very high potency: don't D/C abrupt but switch to
lower strength, total dose should not exceed 50g/week, max tx duration
should be 2-4 weeks
Remember the Rules of 3 Right Ans - -Ultra-high potency steroids: should
NOT be used for more than 3 weeks
-Low-high potency steroids should NOT be used for more than 3 months
What are some prescribing considerations with topical steroids? Right Ans
- 1. Hydration improves absorption (ex: apply post shower)
2. Most are once or twice daily
3. Fingertip method: half fingertip is 0.5g and covers whole area of hand
What are topical medications to treat psoriasis? Right Ans - 1.
Corticosteroids
2. Vitamin D analogues
3. Retinoids
4. Calcineurin Inhibitors
Info regarding Vitamin D Analogues Right Ans - -Photosensitivity
-Increased calcium levels
-Very irritating (causes stinging, burning, and peeling)
Info regarding Retinoids (ex: tazarotene) Right Ans - -Photosensitivity
-Pregnancy Cat X
-Tazarotene only retinoid approved for plaque psoriasis
-Very irritating (causes stinging, burning, and peeling)
Info regarding Calcineurin Inhibitors (ex: tacrolimus) Right Ans - -Local
stinging and burning but less than Tazarotene and Vit D Analogs
**Consider for facial or intertriginous psoriasis**
Info regarding steroid-free psoriasis treatments Right Ans - safe for long-
term use, can be used on any area of body (even thin skin)
Oral psoriasis drugs (non-biologics) Right Ans - 1. Methotrexate
2. Cyclosporine
3. Oral retinoid (Soriatane)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83100 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
