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)