Skin Disorder Medicines

For questions 1-5, match the symptoms in the table with a skin disorder (a-e) by writing the correct letter into the answer column.  You should use each skin disorder once. 

Descriptions	Answer
Q1) Itching, peeling and cracking of the skin between the toes
Q2) Blackheads, whiteheads, pimples, pustules and sometimes abscesses and nodules on the face, neck, back and shoulders
Q3) A small lump on the sole of the foot that may be more painful on standing.
Q4) Flushing of the face accompanied by small papules and pustules. The skin may become thick.
Q5) Itchy scaly plaques on the elbows, knees and scalp

(b) Athlete’s Foot

(d) Verruca Pedis

(e) Acne

(a) Psoriasis

(c) Rosacea

 

6) Which two of the following can be caused by a fungal infection?

a) Impetigo

b) Seborrhoeic dermatitis

c) Allergic contact eczema

d) Psoriasis

e) Nail infection

7) Give two symptoms of atopic eczema and two sites on the body that are commonly affected

8) Name three allergens that can trigger atopic eczema

9)Patients with atopic eczema are particularly susceptible to infections. What symptoms would indicate that a patient’s eczema is infected?

10)Describe the symptoms of scabies?

11)Briefly describe how classical scabies is transmitted from person to person

For each of the skindisorders in questions12-19 you will be given the name of a drug and an action. Firstly decide whether the drug can be used for the disorder. Then decide if the action described would help the disorder. Then make a decision on whether the action is a correct description of how the drug is used to help the patient. (P18)

After this, select the appropriate answer using the options below:

A – The drug can be used for this disorder and the action is a correct description of how the drug works B – The drug can be used to treat this disorder but the action is not the correct description of how the drug works C – The drug is NOT used for this disorder but the action described would help to treat a patient with this disorder D – The action is a correct description of how the drug works, however the drug is NOT used for this disorder

Questions 12 and 13 are concerned with scabies

 

12)Drug: Malathion liquid

 Action: It is an organophosphate insecticide

13)Drug:Crotamiton cream

 Action: Reduces irritation and itching

Questions 14and 15 are concerned with thepsoriasis

 

14)Drug: Isotretinoin capsules

Action: Reduces sebum secretion

15) Drug:Terbinafine cream

 Action: Keratolytic action

Questions 16 and 17 are concerned with Athlete’s Foot

16) Drug: Miconazole cream

Action: Anti-fungal action

17)Drug:Mupirocin cream

Action:Antibacterial action

Questions18 and 19 are concerned with Verruca Pedis

 

18) Drug: Salicylic acid gel

Action: This works by freezing the cells so that the skin dies

 

19) Drug: Coal tar solution

Action: Destroys the verruca and the virus that caused it

20) Whichone of the following drugs can cause side effects ofskin dryness, nose bleeds, joint pains and birth defects? (P19)

a) Isotretinoin capsules

b) Co-cyprindiol tablets

c) Tetracycline tablets

d) Calcipotriol ointment

21) Which one of the following drugs can cause side effects of skin irritation, photosensitivity and acne-like eruptions? (P19)

a) Salicylic Acid gel

b) Dithranol cream

c) Coal tar solution

d) Emulsifying Ointment

22) Which two of the following are side effects of topical antibacterials (used for acne)? (P19)

a) Mild skin irritation

b) Permanent skin discolouration

c) Alopecia

d) Diarrhoea

23) Which oneof the following drugs can cause skin malignancy and lymphomas as a side effect? (P19)

a) Benzyl Benzoate application

b) Chlorphenamine tablets

c) Tacrolimus ointment

d) Adapalene cream

24) Which two of the following are the main treatments used to manage the symptoms of non-infected eczema? (P18)

a) Emollients

b) Neomycin

c)Tacrolimus

d) Topical corticosteroids

e) Potassium permanganate solution

For the two treatments you have identified above;

Explain how they work (P18)

Explain how they should be used (P18)

State a side effect that can occur as a result of each (P19)

A patient has been prescribed benzoyl peroxide 4% cream.

25) What condition does the patient have? (P18)

26) Counsel the patient about this medication. Your answer must include at least four counselling points (P20)

A patient asks you to recommend a product that they can buy over the counter to treat headlice.

27) Recommend a suitable product. State the product name and the active ingredient (P18)

28) What are the side effects of the medication you recommended in question 27? (P19)

29) Counsel the patient on how to use the product you recommended in question 27. Your answer must include at least two counselling points (P20)

Nasal, Ear, Mouth and Throat Disorder Medicines

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1) Which of the following is correct for otitis externa? (P5)

a) There is inflammation of the skin surrounding the auditory canal

b) There is inflammation of the inner ear

c) There is inflammation of the middle ear

d) Another name for this condition is glue ear

2) Which of the following is correct for otitis media? (P5)

a) There is inflammation of the inner ear

b) This condition does not result in any hearing loss

c) In children, chronic otitis media may result from untreated glue ear

d) This condition is always caused by an infection

3) Which of the following is the correct statement regardingsinusitis?(P9)

a) The skin is colonised with Staphylococcus aureus

b) This condition is also known as hay fever

c) There is inflammation of the nasal passageways due to infection

d) There are often no symptoms

4) Describe at least 2 symptoms of ear wax build up (P5)

5) Describe2 possible triggers and 2 symptoms of allergic rhinitis (P9)

6)Briefly describe the difference between seasonal and perennial rhinitis? (P9)

For each of the ear or nasaldisorders in questions7-13 you will be given the name of a drug and an action. Firstly decide whether the drug can be used for the disorder. Then decide if the action described would help the disorder. Then make a decision on whether the action is a correct description of how the drug is used to help the patient.

After this, select the appropriate answer using the options below:

A – The drug can be used for this disorder and the action is a correct description of how the drug works B – The drug can be used to treat this disorder but the action is not the correct description of how the drug works C – The drug is NOT used for this disorder but the action described would help to treat a patient with this disorder D – The action is a correct description of how the drug works, however the drug is NOT used for this disorder

Questions 7 and 8 are concerned with otitis externa(P6)

 

7)Drug: Betnesol ear drops

 Action: Reduces inflammation

8)Drug:Chloramphenicol ear drops

 Action: Antibiotic action

Questions 9and 10 are concerned with thenasal staphylococci (P10)

 

9)Drug: Mupirocin cream

Action: Reduces inflammation

10) Drug:Aluminium Acetate Solution

 Action: Treats bacterial infection and inflammation in the ear

Questions 11 and 12 are concerned with acute otitis media(P6)

11) Drug: Neomycin and chlorhexidine cream

Action: Topical antibiotic and antiseptic action

12)Drug:Paracetamol tablets

Action:Local anaesthetic action

Question13 is concerned with sinusitis (P10)

 

13) Drug: Amoxicillin capsules

Action: Antibiotic action

14) Use the BNF or SPCs to determine whichone of the following medications does NOT include sensitivity reactions as a possible side effect?

a) Mupirocin Nasal Ointment

b) Locorten-Vioform ear drops

c) Chloramphenicol ear drops

d) Waxsol ar drops

e) Otex Ear drops

f) Naseptin Nasal Cream

15) State one product that can be used to treat ear wax build-up, state the active ingredient(s) and describe how it works (P6)

16) Outline the common side effects of the drug you have written about in question 15. (P7)

17) What counselling could you give to a patient on how to use the product you have written about in question 15? (P8)

18) Which of the following drugs can be recommended and sold over the counter for the treatment of allergic rhinitis to a person who drivesa taxi for a living? (P10)

a) Chlorphenamine maleate tablets

b) Clemastine tablets

c) Prednisolone tablets

d) Fluticasone propionate nasal spray

19) Outline the common side effects of the drug selected in question 18.(P11)

20) Describe how of the drug selected in question 18 works in the treatment of allergic rhinitis. (P10)

21)Provide at least 2 pieces of general advice to the taxi driver about this medicationselected in question 18 (e.g. use, storage etc). (P12)

22) Which of the following diseases are described correctly? (There are 3 correct answers)

a) Oral thrush – red patches on the gums which often bleed when brushing your teeth

b) Tonsillitis – an infection of the tonsils which results in them swelling

c) Tooth decay – mottling of the enamel caused by a lack of fluoride

d) Cold sores – initially a tingle then sores develop, usually around the mouth or nose

e) Dry mouth – less saliva is present as a result of injury, disease or drug treatment

23) Which one of the following mouth diseases can be caused by bacteria?

a) Tonsillitis

b) Oral thrush

c) Dry mouth

d) Cold sores

24) Which one of the following mouth diseases is caused by a virus?

a) Gingivitis

b) Tooth decay

c) Oral thrush

d) Cold sores

A patient comes into the pharmacy and complains of having a particularly painful crop of mouth ulcers.

25) Describe 4 possible causes of oral ulceration and inflammation

26) What everyday problems might these mouth ulcers lead to? Describe at least 2 problems in your answer.

27)Briefly describe 4 situations in which you would refer a patient with a mouth ulcer to the pharmacist

For each of the mouth and throatdisorders in questions 28-35 you will be given the name of a drug and an action. Firstly decide whether the drug can be used for the disorder. Then decide if the action described would help the disorder. Then make a decision on whether the action is a correct description of how the drug is used to help the patient.

After this, select the appropriate answer using the options below:

A – The drug can be used for this disorder and the action is a correct description of how the drug works B – The drug can be used to treat this disorder but the action is not the correct description of how the drug works C – The drug is NOT used for this disorder but the action described would help to treat a patient with this disorder D – The action is a correct description of how the drug works, however the drug is NOT used for this disorder

Questions 28 and 29 are concerned with a sore throat

 

28)Drug: Dequalinium chloride lozenges

 Action: Local anaesthetic action

29)Drug:Benzydamine hydrochloride rinse

 Action: Reduces pain and swelling

Questions 30and 31 are concerned withgingivitis

 

30)Drug:Artificial saliva

Action: Lubricates the mouth and provides electrolytes

31) Drug:Chlorhexidine gluconate mouthwash

 Action: Anti-microbial action

Questions 32 and 33 are concerned with oral thrush

32) Drug: Nystatin oral suspension

Action: Antibacterial action

33)Drug:Fluoride toothpaste

Action:Antifungal action

Questions34 and 35 are concerned with a dry mouth

 

34) Drug: Xerotin oral spray

Action: This has an acidic pH, which helps to alleviate the dry mouth symptoms

 

35) Drug: Aciclovir cream

Action: Lubricates the mouth

36) Which two of the following medications can lead to discolouration of the teeth?

a) Fluoride

b) Chlorhexidine gluconate

c) Benzydamine hydrochloride

d) AS Saliva Orthana

37) Which two of the following problems can occur as a result of local anaesthetic use in mouth care?

a) Hypersensitivity

b) Oral thrush

c) Anaesthesia of the pharynx leading to choking

d) Reye’s syndrome

38) Which one of the following is a side effect of Nystatin oral suspension?

a) Oral irritation

b) Tooth decay

c) Dry mouth

d) Discoloration of the teeth

Questions 39-42 are concerned with the treatment of mouth ulcers

39)Give the name and form of 4 specific products that can be sold over the counter for the treatment of mouth ulcers (P14)

40)For one of these products, provide instructions on how it should be used (P16)

41) For the product you have named in question 40, name the active ingredient(s) and describe how it works (P14)

42) Outline at least 2 common side effects of the product you have named in question 40 (P15)

Questions 43-45 are concerned with the treatment of cold sores

43) Give the name and form of a specific product that can be sold over the counter for the treatment of cold sores and give details of the product’s storage and expiry. (P14 and P16)

44)Name the active ingredient(s) in this product and briefly describe how it works (P14)

45)Descibe two possible side effects of this product (P15)

46) A lady with a sore throat asks you to recommend something to help relieve the pain and discomfort of her sore throat.  She does not want to take tablets.  Recommend a suitable product and counsel the patient on how it should be used. (P16)