PC707 Module 9 –Exam with 100% Verified and Updated Solutions

PC707 Module 9 –Exam with 100% Verified and Updated Solutions Staphylococcus aureus and streptococcus pyrogens (both gram +) - answerWhat are common bacterial pathogens that cause skin infections? If it localized and mild use topical otherwise use systemic - answerWhat factors play a role in choice of pharmacological management I&D, C&S, follow the CDC algorithm - answerTreatment of MRSA? topical mupirocin (bacitracin or bactroban) if localized, otherwise, combined oral and topical if diffuse infection - answerTreatment of Impetigo? can cause allergic reaction that looks like worsening infection Best to avoid. - answerWhat special considerations are there with topical neomycin? for non-infectious inflammatory skin disorders. Must differentiate histaminic vs. bacterial, then determine severity. Includes irritant contact dermatitis. - answerUses of topical steroids? long term use or use on certain parts of the body can cause permanent skin changes. Striae telangiectasia ecchymosis acne hypertrichosis (increased hair growth) cataract formation (when used around the eyes) even with topical application can be absorbed systemically and cause HPA axis suppression, cushing's syndrome, hyperglycemia and glycsouria - answerS/E of topical steroids? 2 weeks for adults 1 week for children - answerHow long should one use topical steroids? use lowest potency for permeable areas such as the face, groin or axilla - answerPrecuations with topical steroid use? fluorinated - answerWhat is stronger, fluorinated or non-fluorinated? gels and aerosols - answerWhat type of topical steroid is good for hairy areas? 1. ointment/emollient- anywhere hard to get to, plaques, elbows, soles palms 2. creams- less greasy, water based and more drying. 3. lotions- dilute creams. 4. Solutions- alcohol based, scalp, drying - answerWhat are the 4 types of topical steroids and in what situation are they used? creams - answerWhich type of topical steroid is good for weeping lesion or interiginous areas? potency selection based on age, area to be covered and severity - answerWhat information should you take into consideration when selecting the form of delivery of topical steroids? occlusive dressings including diapers - answerWhat type of dressings will increase the absorption of topical steroids? the severity and it involves a step wise approach - answerWhat does the choice of acne medication depend on? skin care (wash face 2-3x/day, avoid cosmetics, water based moisturizer, perfume free, use ear buds when on phone, change pillow case regularly) - answerWhat is the 1st line non pharmacologic treatment of acne? topical, incudes comedolytic agent (Retinoic Acid), a comedolytic bactericidal agent (Benzoyl peroxide), or a topical antibiotic (Clindamycin 2% or Erythromycin 2-3%), keratolytic agents - answerWhat is the 1st line pharmacologic treatment of acne? 4-6 weeks - answerHow long does it take to see improvement with 1st line medications to treat acne? oral abx ( tetracyclines, clindamycin, erythromycin). Use erythromycin if tetracycline failes or if patient may be pregnant Retin A OCPs - answerWhat are the 2nd line medications to treat acne? Must be 15 yo 4-6 months - answerHow old must one be to use OCPs for acne treatment and how to see results