Bengkel Kaunseling Sediaan Topikal

Which of the following statement is TRUE?

i. Atopic dermatitis (AD) is a chronic, pruritic inflammatory skin disease that occurs only in children

ii. Emollient therapy is the mainstay of treatment at any stage of AE.

iii. Topical calcineurin inhibitors may be considered to treat flares in AE for patients aged two years and above.

iv. Topical corticosteroids (TCS) are the first-line anti-inflammatory agents for AE in both children and adults.

• i & ii

• i & iii

• ii & iii

• ii, iii & iv

Some people with atopic dermatitis develop:

• Thick, leathery skin

• Red, scaling skin

• Small raised bumps on the skin

• All of the above

One detail about atopic dermatitis is:

• It affects the face more than the rest of the body

• It can leave pockmarks on the skin

• It cycles through periods of flares and remissions

• It is worse in autumn

Antiseptics may be used as an adjunct therapy to decrease bacterial load in patients who have recurrent infected atopic dermatitis/eczema:

• Potassium permanganate

• Triclosan

• Chlorhexidine

• All of the above

Below are the risk factors in SCORTEN, EXCEPT:

• Serum blood urea nitrogen

• Serum bicarbonate

• Detached or compromised body surface

• Gender

Topical treatments of acne vulgaris:

• Cetrimide 1% , 2%

• Benzoyl peroxide 5%, 10%

• Adapalene Gel

• Azelaic acid 20% cream

• All of the above

Which of the following statement is true about Tacrolimus ointment?

1. i. Inhibits inflammatory cytokine transcription in activated T-cells & other inflammatory cells through inhibition of calcineurin.

2. ii. Steroid-free ointment for patients aged 2 years and below who have moderate to severe eczema.

3. iii. used as treatment of acute cutaneous viral infections

4. iv. Use of tacrolimus ointment should not exceed 3 days

• i

• i & ii

• ii & iii

• iv

All of the statements are incorrect EXCEPT:

1. i. Clobetasol propionate is a potent TCS

2. ii. Clobetasone butyrate is a potent TCS

3. iii. Betamethasone valerate cream/ointment full strength is a potent TCS

4. iv. Hydrocortisone cream/ ointment 1% is a potent TCS

• i

• ii

• iii

• iv

Which of the following statements are FALSE?

i. Pemphigoid gestationis only occurs during first trimester

ii. Melasma is one of the common skin conditions in pregnancy

iii. Low dose oral isotretinoin can be considered for severe acne vulgaris in pregnancy

iv. TCS use is contraindicated in pregnancy

• i & ii

• I & iii

• ii & iii

• i, iii & iv

All of the statements are correct EXCEPT:

i. Coal tar and salicylic acid shampoo to be used as shampoo 2-3 times a week

ii. Coal tar and salicylic acid shampoo should be leave on for 12 hours prior rinsing

iii. Coal tar solution 20% should be diluted prior use

iv. UngCocois Co to be applied to scalp once at night

• i & ii

• ii only

• iii only

• All statements are correct