Dermatology PANCE LATEST VERSION COMPLETE
QUESTIONS AND CORRECR DETAILED
ANSWERSVERIFIED 100% GRADED A+NEWEST
UPDATE MEDICINE
Rosacea Treatment
Prevention by avoidance of offending factors (hot foods & liquids, etoh,
emotional stress, sun)
Topical Metronidazole cream 0.75% or gel BID; or 1% cream daily Systemic
antibiotics for unremitting or severe:
TCN 1-1.5 g/day initially then taper or
Minocycline/Doxycyclin50-100mg BID
Accutane for severe disease. Requires Dermatologist referral for Rx due to
toxicity
,Acne Vulgaris
Increased sebum prod.,
Propionibacterium acnes
Abnormal keratinization
and desquamation
Inflammatory response
Comedomes (open &
closed), pustules, papules
Nodules & cysts
Acne, hirsuitism, obesity
& amenorrhea PCOD
,Assessment of Acne
History:
OTC treatments,
Skin care—soaps, moisturizers, cosmetics
Medications—OCP's, corticosteroids, Lithium
Diet
Effect on their life
Mechanical factors—helmets, collars, phone, hands
Assessment
Mild acne: several papules/pustules, no nodules Moderate:
few to several nodules
Severe: generalized nodules, cysts; can scar
, Therapy for Acne
Benzoyl peroxide: OTC in 2%, 5%, & 10%; prevents proliferation of P. acnes Topical
antibiotic: Clindamycin(Cleocin-T), Erythromycin (A/T/S). Can be combined with
BP (Benzamycin)
Topical retinoids: Comedolytic. Retin-A, Tazorac. Start low and increase if
tolerated. + sun sensitivity
Differin: Retinoid activity. Less irritation than Retin-A.
Benzoyl peroxide: OTC in 2%, 5%, & 10%; prevents proliferation of P. acnes Topical
antibiotic: Clindamycin(Cleocin-T), Erythromycin (A/T/S). Can be combined with
BP (Benzamycin)
Topical retinoids: Comedolytic. Retin-A, Tazorac. Start low and increase if
tolerated. + sun sensitivity
Differin: Retinoid activity. Less irritation than Retin-A.
Azelaic acid (Azelex): keratolytic and antibacterial. Apply cream BID.
Hypopigmentation possible
Oral antibiotic: Minocycline, Tetracycline, Doxycycline. Decreases P. acnes
concentration and inflammation. Taper once improvement noted. Continue 1-6
mo. Not first line or single therapy.
Oral retinoid: Accutane. Severe, resistant nodulocystic acne. Requires Rx by
Derm. Many adverse systemic effects. Must be on OCP's.
OCP: Ortho Tri-Cylen FDA approved
QUESTIONS AND CORRECR DETAILED
ANSWERSVERIFIED 100% GRADED A+NEWEST
UPDATE MEDICINE
Rosacea Treatment
Prevention by avoidance of offending factors (hot foods & liquids, etoh,
emotional stress, sun)
Topical Metronidazole cream 0.75% or gel BID; or 1% cream daily Systemic
antibiotics for unremitting or severe:
TCN 1-1.5 g/day initially then taper or
Minocycline/Doxycyclin50-100mg BID
Accutane for severe disease. Requires Dermatologist referral for Rx due to
toxicity
,Acne Vulgaris
Increased sebum prod.,
Propionibacterium acnes
Abnormal keratinization
and desquamation
Inflammatory response
Comedomes (open &
closed), pustules, papules
Nodules & cysts
Acne, hirsuitism, obesity
& amenorrhea PCOD
,Assessment of Acne
History:
OTC treatments,
Skin care—soaps, moisturizers, cosmetics
Medications—OCP's, corticosteroids, Lithium
Diet
Effect on their life
Mechanical factors—helmets, collars, phone, hands
Assessment
Mild acne: several papules/pustules, no nodules Moderate:
few to several nodules
Severe: generalized nodules, cysts; can scar
, Therapy for Acne
Benzoyl peroxide: OTC in 2%, 5%, & 10%; prevents proliferation of P. acnes Topical
antibiotic: Clindamycin(Cleocin-T), Erythromycin (A/T/S). Can be combined with
BP (Benzamycin)
Topical retinoids: Comedolytic. Retin-A, Tazorac. Start low and increase if
tolerated. + sun sensitivity
Differin: Retinoid activity. Less irritation than Retin-A.
Benzoyl peroxide: OTC in 2%, 5%, & 10%; prevents proliferation of P. acnes Topical
antibiotic: Clindamycin(Cleocin-T), Erythromycin (A/T/S). Can be combined with
BP (Benzamycin)
Topical retinoids: Comedolytic. Retin-A, Tazorac. Start low and increase if
tolerated. + sun sensitivity
Differin: Retinoid activity. Less irritation than Retin-A.
Azelaic acid (Azelex): keratolytic and antibacterial. Apply cream BID.
Hypopigmentation possible
Oral antibiotic: Minocycline, Tetracycline, Doxycycline. Decreases P. acnes
concentration and inflammation. Taper once improvement noted. Continue 1-6
mo. Not first line or single therapy.
Oral retinoid: Accutane. Severe, resistant nodulocystic acne. Requires Rx by
Derm. Many adverse systemic effects. Must be on OCP's.
OCP: Ortho Tri-Cylen FDA approved
