Topical Skin Products

J.S. is a 72-year-old male who complains of patches of red, scaly skin on his hands and legs, off and on for several years. The hands and feet are very rough with fissures but no open wounds. He denies any allergies or use of medications. In addition, he takes long hot tub baths 5-6 times per week, keeps the temperature at 75 degrees year-round and uses a humidifier during the winter months.

What nondrug measure would be appropriate for this patient?

• Take a brief 3-5 min. full body bath 2-3 times per week using hot water.

• Bath oils should be used because they make surfaces slippery.

• Apply moisturizers generously every 2 hours after bathing/showering.

• Patient should be referred to his primary care provider immediately

• Taking a diluted bleach bath and using humidifiers are other methods that can be used to help treat atopic dermatitis

A young man is preparing for prom in 6 months and due to an increase in androgens, the presence of C. acnes and sebum production has developed comedones on his face and chin. Which of the following medications is the drug of choice?

• Differin Gel®

• coconut oil

• CeraVe®

• Lamisil®

• salicylic acid

C.D is a 7 year of female who returned from summer camp with nit castings and small red papules throughout her scalp and base of the neck. Her allergies include a rash with both chrysanthemums and amoxicillin. Which of the following topical lice products should the pharmacist suggest?

• minoxidil (Rogaine)

• Natrum muriaticum (sodium chloride)

• pyrethrin with piperonyl butoxide (RID)

• permethrin (NIX)

• lice/nit comb only

Which of the following is the correct way to apply sunscreen?

• Apply sunscreen every day 30-60 minutes prior to going out into the sun.

• Apply ½ teaspoon to your face, neck, arms, legs and feet.

• Apply sunscreen after you have applied DEET insect repellant

• Sunscreen of SPF 50 or higher provide the best protection against UVA and UVB

• If you are in the water, reapply sunscreen every 40-80 minutes

T.K. is a 16-year-old female with a fungal infection on her feet. She reports itching, peeling, redness and mild burning throughout the day. The symptoms began a week after making the varsity high school swim team and are common amongst her friends. Which of the following fungal infections does T.K. have?

• Tinea pedis

• Tinea cruris

• Tinea corporis

• Tinea capitis

• Tinea unguium

A.K. is a 19-year-old male with a fungal infection of his feet presented with wet soggy athlete’s foot with deep fissures. She has no known allergies, no medical conditions, and no access to a medical doctor. Which of the following OTC treatments would be appropriate for her ailment?

• minoxidil

• terbinafine

• Neosporin

• aluminum chloride

• aluminum acetate

Burn patients should be referred to their medical professionals in which of the following cases. Select all that apply.

• Burns characterized as third degree

• Burns from a chemical exposure

• Burns area is less than two inches in diameter

• Burns occur in an immunosuppressed patient

• Burns located on the back or knee

Your patient is a 48-year-old male with plantar warts on the bottom of his foot. He’s requesting the “best OTC recommendation you got. You obtain a medical history and determine the patient is diabetic with a peanut allergy. What is the best choice for this patient?

• Compound W

• Dr. Scholl’s Freeze Away

• Hydrocortisone 1%

• Medical Referral

• Cryotherapy

A patient presents to the pharmacy with a skin mole on his torso which has gotten darker following his last visit to the tanning bed. Using the ABCDE’s Method of Skin Cancer. What change is the patient experiencing?

• Asymmetry

• Border

• Color

• Diameter

• Evolving

A 20-year-old female presents to your pharmacy with female pattern hair loss (androgenic alopecia) for an OTC recommendation. Which of the following is an appropriate regimen if she has NKA and is not pregnant or planning on becoming pregnant?

• Minoxidil 5% foam once daily

• Minoxidil 3% solution once daily

• Minoxidil 2% solution three times daily

• Minoxidil 5% solution twice daily

• Minoxidil 5% foam twice daily