Acne Cascade and Treatment Options

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Questions and Answers

What is one reason why many people are nervous about dermatology?

  • Rashes are complex and require a good system for examination (correct)
  • Derm complaints are not very common
  • Dermatology does not play a significant role in patient care
  • Skin diseases are easy to diagnose and treat

In school-based practice, what is dermatology second only to in terms of sending students home?

  • Stomach ache
  • Fever (correct)
  • Headache
  • Cough

Why is it important to know what home treatments have been used on a rash?

  • To criticize the patients' choices
  • To understand the effectiveness of the treatments (correct)
  • To impress the patients with your knowledge
  • To avoid providing any treatment

What is one of the first things to inquire about when discussing dermatology with a patient?

<p>Itching (A)</p> Signup and view all the answers

How common are dermatologic complaints among children?

<p>About a third of all children (A)</p> Signup and view all the answers

Why does the text suggest building strength in dermatology as an important area?

<p>Because it is always relevant and important in patient care (B)</p> Signup and view all the answers

What is the purpose of using Lac Hydrin cream on patients?

<p>To remove scale (C)</p> Signup and view all the answers

Why should patients with atopic dermatitis avoid nylon and wool clothing?

<p>To prevent allergic reactions to certain fabrics (D)</p> Signup and view all the answers

Which product inhibits T-cell activation and works differently than steroids?

<p>Elidel or Protopic (C)</p> Signup and view all the answers

What is the recommended approach to treating seborrhea?

<p>Soaking the scale with olive oil, then using Dawn dish washing liquid (D)</p> Signup and view all the answers

Why should patients with atopic dermatitis avoid products with fragrance?

<p>To prevent allergic reactions (A)</p> Signup and view all the answers

What common antihistamine is mentioned in the text as not being very effective for itching in patients with atopic dermatitis?

<p>Cetirizine (D)</p> Signup and view all the answers

What is a characteristic symptom of atopic dermatitis?

<p>Itching (C)</p> Signup and view all the answers

What is the purpose of using hydroxyzine in treating itching in patients with atopic dermatitis according to the text?

<p>Reduction of itching (B)</p> Signup and view all the answers

What is the main reason for avoiding nylons and wools in clothing for patients with atopic dermatitis?

<p>Skin irritation and allergic reactions to certain fabrics (D)</p> Signup and view all the answers

What should be done if a patient with seborrhea develops the condition suddenly?

<p>Evaluate for conditions like HIV infection or diabetes (A)</p> Signup and view all the answers

Why do infants typically develop atopic dermatitis around two months of age?

<p>Their immune system has developed enough to allow allergies. (A)</p> Signup and view all the answers

What skin manifestations are characteristic of infantile atopic dermatitis?

<p>Moist lesions with weeping or yellow crusting. (C)</p> Signup and view all the answers

Why does atopic dermatitis spare the diaper area in infants?

<p>The diaper seals in wetness, keeping it moist. (A)</p> Signup and view all the answers

What is the key aspect of treatment to protect against infection and irritation in patients with atopic dermatitis?

<p>Educating patients on water loss concepts. (A)</p> Signup and view all the answers

Which product is commonly recommended by dermatologists to restore moisture and build a better barrier for patients with atopic dermatitis?

<p>Cerave cream (A)</p> Signup and view all the answers

Why should oil be added to bath water for older children with atopic dermatitis?

<p>To prevent the skin from drying out after bathing. (B)</p> Signup and view all the answers

What is a common sign of staphylococcus infection in patients with atopic dermatitis?

<p><strong>Weeping</strong> or yellow crusting (D)</p> Signup and view all the answers

What is the Greek meaning of the word 'eczema'?

<p>To boil over (C)</p> Signup and view all the answers

What skin condition is characterized by a disruption in the stratum corneum and a lack of a good skin barrier?

<p>Eczema (A)</p> Signup and view all the answers

Which term is sometimes used interchangeably with 'dermatitis' to describe skin inflammation?

<p>Eczema (C)</p> Signup and view all the answers

What is a recommended treatment for patients with recurrent herpes simplex?

<p>Applying sunscreen and sun block (C)</p> Signup and view all the answers

In patients with atopic dermatitis, what visible sign is characteristic of lichenification?

<p>Prominent skin lines (A)</p> Signup and view all the answers

What is a common characteristic of vesicular and bullous lesions suspected of bacterial infection?

<p>Red base (D)</p> Signup and view all the answers

For patients with intertrigo underneath the breasts, what is recommended to keep the area dry?

<p>Blow-drying after showering (C)</p> Signup and view all the answers

What is the primary reason for the development of infantile dermatitis in young children according to the text?

<p>Rubbing against clothing (A)</p> Signup and view all the answers

What is a characteristic feature of a fungal diaper rash?

<p>Satellite lesions (C)</p> Signup and view all the answers

Which component is associated with an allergic reaction in patients with atopic dermatitis?

<p>IgE (A)</p> Signup and view all the answers

Which type of dermatitis is caused by prolonged contact with irritants like urine or feces?

<p>Contact dermatitis (B)</p> Signup and view all the answers

What is a characteristic symptom associated with patients with herpes simplex infections?

<p>Lymphadenopathy (A)</p> Signup and view all the answers

What does the presence of lichenification on the skin indicate?

<p>'Thickening' of the skin (A)</p> Signup and view all the answers

What is the primary step in treating contact dermatitis caused by irritants?

<p>Remove the source of contact (C)</p> Signup and view all the answers

Which product is recommended for patients with recurrent intertrigo underneath the breasts?

<p>Zeasorb antifungal powder (D)</p> Signup and view all the answers

What should individuals who wash their hands frequently do to prevent hand contact dermatitis?

<p>Use barrier creams (D)</p> Signup and view all the answers

What is a common cause of irritant contact dermatitis in infants?

<p>Contact with detergents and soaps (C)</p> Signup and view all the answers

What is a common characteristic of the earliest signs of atopic dermatitis in infants?

<p>'Tiny red papules' or 'pink papules' (A)</p> Signup and view all the answers

What substance is commonly found in barrier creams for irritant contact dermatitis?

<p>Zinc oxide (D)</p> Signup and view all the answers

What is the main substance in poison ivy that causes allergic contact dermatitis?

<p>Uroshiol (C)</p> Signup and view all the answers

In allergic contact dermatitis from poison ivy, when does the reaction typically occur?

<p>After a few days (A)</p> Signup and view all the answers

Why is a Dosepak not a recommended treatment for poison ivy?

<p>It causes patients to rebound (B)</p> Signup and view all the answers

What is the recommended treatment for patients affected by poison ivy on less than 10% of their body?

<p>Topical steroids (B)</p> Signup and view all the answers

What type of product should be used to correct the hyperkeratinization seen in early stage one acne?

<p>Retinoate products (C)</p> Signup and view all the answers

Which substance commonly found in acne treatment products helps to unclog pores?

<p>Salicylic acid (C)</p> Signup and view all the answers

What is the primary cause of little clogs and bumps in early stage one acne?

<p>Hyperkeratinization of follicular ducts (C)</p> Signup and view all the answers

Why does a patient need oral Prednisone for more than 10% body affected by poison ivy?

<p>To prevent rebound effects (C)</p> Signup and view all the answers

What can happen if a patient with poison ivy uses a Dosepak for treatment?

<p>Rebound effects (C)</p> Signup and view all the answers

Which medication is most commonly used to treat patients in stage two of the acne cascade?

<p>Benzoyl peroxide (C)</p> Signup and view all the answers

What type of patients should avoid the use of spironolactone or aldactone for acne treatment?

<p>Males (B)</p> Signup and view all the answers

What organism thrives in the sebum secreted during the acne cascade?

<p>Bacteria (C)</p> Signup and view all the answers

What is the believed cause of rosacea according to the text?

<p>A combination of genetics and environmental factors (A)</p> Signup and view all the answers

Which inflammatory skin disease can be mistaken for acne due to facial redness?

<p>Rosacea (A)</p> Signup and view all the answers

In rosacea, what can patients develop if the condition is left untreated?

<p>Skin thickening and damage (B)</p> Signup and view all the answers

What is the specific area on the face where rosacea is typically limited to as it progresses?

<p>Cheeks and chin (D)</p> Signup and view all the answers

What cosmetic issue can develop in patients with long-standing rosacea?

<p>Rhinophyma (A)</p> Signup and view all the answers

What treatment is needed for patients with severe acne in stage four to help reduce inflammation?

<p>Non-steroidal anti-inflammatories (C)</p> Signup and view all the answers

What type of medication is typically needed for patients with redness and pustules on their faces in the acne cascade?

<p>Antibiotic (D)</p> Signup and view all the answers

How is rosacea typically treated based on the text?

<p>Using sunscreen daily and antibiotic treatments (B)</p> Signup and view all the answers

What is a recommended method to prevent rosacea flare-ups according to the text?

<p>Using metrogel before moisturizing (A)</p> Signup and view all the answers

Why are patients advised not to use alcohol in relation to rosacea according to the text?

<p>It can cause flushing and worsen rosacea (B)</p> Signup and view all the answers

What can help counteract the appearance of redness in patients with rosacea based on the text?

<p>Yellow or green-tinted cream or powder (A)</p> Signup and view all the answers

What is tinea pedis, as described in the text?

<p>A fungal infection of the feet (D)</p> Signup and view all the answers

What are common symptoms of tinea pedis as mentioned in the text?

<p>Itching, scaling, and maceration between the toes (A)</p> Signup and view all the answers

How is tinea pedis usually treated based on the text?

<p>Using a topical product like Micatin powder or alcohol-based cream (A)</p> Signup and view all the answers

Why is it recommended to wear closed-toe shoes according to the text?

<p>To promote airflow and reduce fungal infections (A)</p> Signup and view all the answers

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