Podcast
Questions and Answers
Which ingredient is used in many wart removal products to destroy virus-infected cells?
Which ingredient is used in many wart removal products to destroy virus-infected cells?
Salicylic acid is more effective for warts on the feet than on the hands.
Salicylic acid is more effective for warts on the feet than on the hands.
False
What is the recommended frequency for applying salicylic acid products for effective wart treatment?
What is the recommended frequency for applying salicylic acid products for effective wart treatment?
1–2 times daily
In cryotherapy, the area should be soaked for _____ minutes before treatment.
In cryotherapy, the area should be soaked for _____ minutes before treatment.
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Match the wart product to its vehicle or method of action:
Match the wart product to its vehicle or method of action:
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What is the most common place for the inoculation of warts?
What is the most common place for the inoculation of warts?
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Warts cannot spread through direct contact.
Warts cannot spread through direct contact.
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What is the incubation period for warts?
What is the incubation period for warts?
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____% salicylic acid is effective in treating warts.
____% salicylic acid is effective in treating warts.
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Which of the following is NOT a type of wart?
Which of the following is NOT a type of wart?
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Match the treatment to its description:
Match the treatment to its description:
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Self-care is recommended for warts located on the face or around fingernails.
Self-care is recommended for warts located on the face or around fingernails.
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What is a non-drug measure to prevent spreading warts?
What is a non-drug measure to prevent spreading warts?
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Study Notes
Warts
- Warts are caused by human papillomaviruses (HPVs)
- Approximately 7-10% of people have warts
- HPV is a double-stranded DNA virus; more than 150 have been identified
- HPV infects basal keratinocytes
- Common sites of inoculation include swimming pools
- Incubation period for warts is 1 to 24 months, with warts appearing in different locations
- Warts are categorized based on location, e.g., common warts, plantar warts and flat warts
Wart Objectives
- Describe symptoms related to warts
- Identify signs of inappropriate self-care
- Recommend non-pharmacological alternatives for wart treatment
- Identify potential drug-drug and drug-disease interactions
- Recommend appropriate nonprescription products based on symptoms and underlying diseases
- Counsel patients on the chosen pharmacotherapy, including administration, dosage, adverse effects, and follow-up
Wart Pathophysiology
- HPV enters the epidermal layer and infects basal keratinocytes in the epidermis
- Different HPVs cause different types of warts
Wart Types
- Common warts
- Plantar warts
- Flat warts
- Mosaic warts
- Filiform warts
- Periungual warts
- Genital warts
Wart Referrals
- Refer patients with painful or debilitating plantar warts
- Refer patients with extensive warts at a single site
- Refer patients with warts on the face or around fingernails or toenails, especially those under 4 years old
- Refer patients with genital warts, warts around the anus or mucous membranes, diabetes, poor circulation, or immunocompromised patients or pregnant patients
- Refer patients whose lesions persist after 12 weeks of treatment
- Refer patients with recurrent warts
- Patients with physical or mental impairments
- Patients on immunosuppressive medications
Wart Treatment
- Non-pharmacological treatment: Preventing the spread
- Avoid cutting, shaving, or picking warts
- Wash hands thoroughly after treating or touching warts
- Avoid sharing towels, razors, or shoes
- Use footwear in public areas like pools
- Use lambswool or moleskin to cushion pressure points
- Pharmacological treatment: Salicylic acid, Cryotherapy, and other therapies
- Salicylic acid: Available in various concentrations and formulations (e.g., 12-40% in plaster, 5-17% in collodion, 15% in karaya gum/glycol)
- Cryotherapy: Using liquid nitrogen, dimethyl ether, or propane to freeze the wart tissue -Alternative therapies: Garlic, Vitamin A, Zinc, Vitamin E bath, Duct tape, Apples, and chicken gizzards
Commonly Recommended Wart Removers
- Compound W
- Duofilm
- Dr. Scholl's Clear Away
- Wartner
- Curad Mediplast
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Description
This quiz covers the causes, symptoms, and treatment options for warts caused by human papillomaviruses (HPVs). Participants will explore various wart types, their pathophysiology, and recommendations for non-prescription treatments as well as self-care advice. It aims to enhance understanding of effective patient counseling regarding wart management.
