WorksheetsDERMA EXAM 1 HAIR LOSS DR. LESNESKI
Total questions: 64
Worksheet time: 42mins
What condition is the loss of hair from the body?
psoriasis
alopecia
candidiasis
eczema
Up to 50% of men and women are affected at some point in their life and there is an amount of $3.5 billion each year.
True
False
Which of the following are the hair loss causes?
hormonal changes
physiological stress
illness
medication
went to the barbershop
Which of the following are the hair loss causes?
local trauma
dietary changes
genetics
went to the hairstylist to get a haircut
Androgenic Alopecia (AGA) needs a medical referral and cannot be treated with self care
True
False
Which of the following are Nonscarring alopecia examples?
tinea capitis
Alopecia areata
AGA
Anagen/telogen
eczema
Which of the following is a Nonscarring alopecia example?
trichotillomania
psoriasis
acne
eczema
Which of the following are scarring alopecia examples?
discoid lupus
AGA
syphilis
lichen planus (auto immune)
Which of the following are true about tinea capitis?
treated with anti inflammatory
more common in children
ring worm of the scalp
caused by dermatophytes (fungi kingdom)
treated with prescription anti fungal
Which of the following are true about tinea capitis?
Dermatophytes have an affinity for the keratinized areas of the body
keratinized areas of the body like hair, nails, skin
refer to primary care provider
treated with anti inflammatory
Which of the following is true about androgenetic alopecia ?
most common form of hair loss
driven by cells
can be hereditary
can be treated with self care
Which of the following is true about androgenetic alopecia ?
driven by hormones
driven by cells
gradual onset with progressive patterned hair loss
it is not hereditary
Which of the following are deficiencies linked to hair loss?
Zinc
Iron
Biotin
Vitamin A
water
Which of the following are deficiencies linked to hair loss?
Niacin
vitamin e
folic acid
vitamin d
selenium
Which of the following phases are part of the hair growth cycle?
anagen
telogen
exogen
catagen
telophase
In the hair growth cycle what phase is shorter with each cycle?
anagen
catagen
telogen
exogen
In the anagen phase we can say that the :
resting
dead hair is released
hair is growing
inactive
In the catagen phase of the follicle steps in the hair growth cycle the catagen is?
resting
inactive
hair is growing
dead hair is released
In the telogen phase of the follicle steps in the hair growth cycle the telogen phase is?
active
hair is growing
inactive
resting
In the exogen phase of the follicle steps in the hair growth cycle the exogen phase is?
hair is inactive
when the dead hair is released
hair is growing
resting
Which of the following are produced by the hair follicles as well as the surrounding sebaceous glands that convert androgens to other sex hormones.
cholesterol
triglyceride
enzymes
catalyzers
Which of the following are true about the enzymes in the hair follicle?
does not maintain the balance of the follicle
maintains the balance of the follicle
are produced by the hair follicle as well as the surrounding sebaceous glands that convert androgens to other sex hormones
are produced by the hair follicle as well as the surrounding apocrine and eccrine glands that convert androgens to other sex hormones
One of the main causes that affects the hair growth is the disruption of balance.
True
False
Which of the following is believed to the culprit for hair loss?
DHT
progesterone
Dihydrotestosterone
Dihydroprogesterone
Which of the following is well known for 5 times improved binding to androgen receptors that testosterone?
Prometrium
Dihydrotestosterone (DHT)
Progesterone
Dihydroprogesterone
Which of the following are true about AGA (androgenetic alopecia) ?
very slow, gradual process
affects 1/4 of the male population
more common in Caucasian males than in other ethnicities
thinning usually occurs at the top rear of head (vertex), frontal hairline and occipital regions.
affects 1/3 of the women population
Which of the following are true about the clinical presentation in women?
more genetic than androgenic
more androgenic than genetic
typically more diffuse
hairs tend to be thin, short, and tapered
Which of the following are exclusions for self care for hair loss ?
pregnancy or breastfeeding
loss of eyelashes
Age 21
Age 12
recent discontinuation of oral contraceptives
Which of the following are exclusions for self care for hair loss ?
positive hair pull test
Age 17
sudden or patchy hair loss
history of endocrine disfunction
medical treatments (chemo)
Which of the following are exclusions for self care for hair loss ?
evidence of fever or inflammation 3-6 months before
fungal infection or trichotillomania
skin lessons cause an autoimmune disease or infection
postpartum women
lost of eyebrows
What is the goal for hair loss treatments?
kill fungi on the scalp
Cure the hair loss
restore patients previous appearance
Cure the hair loss for once
Which of the following drugs can be considered as pharmacological self treatment for hair loss ?
Minocycline
Rogaine
Minoxidil
Renvela
The Pharmacological therapy Minoxidil is a product for self treatment and it needs to be dispensed only with a prescription.
True
False
What is next step if a patient fails OTC therapy (minoxidil) for treatment of hair loss ?
keep using the product for three more years
Refer to to the primary care provider
don't discontinue the product for ten years
keep using it until you see the expected results
Which of the following products is the only one approved OTC option for hair loss?
Mirapex
Rogaine (Minoxidil)
Minocycline
Renvela
Which of the following are true about the mechanism of action for Rogaine?
results in decreased hair growth and an increase in length of anagen phase (Active growth)
increases cutaneous blood flow to hair follicles by promoting and then maintaining vascularization of the follicles.
decreases cutaneous blood flow to hair follicles by promoting and then maintaining vascularization of the follicles.
results in increased hair growth and an increase in length of anagen phase (Active growth)
What are the available strengths for Minoxidil approved for use by men and women?
2%
0.5%
0.2%
5%
In which of the following dosage forms is available Minoxidil for its use?
Solution
Foam
Suppositories
Ointment
The Rogaine is more effective if larger surface area of scalp affected
True
False
Which of the following are true about the effectiveness if smaller surface of scalp affected?
less than 1/4 in men
more than 1/3 in men
less than 1/3 in women
more than 1/4 in women
The onset of action for the Minoxidil we can say is :
6 months for 2%
2 months for 5% (3 months in women)
2 months for 2% (3 months in women)
4 months for 2%
The therapy of Minoxidil should be stopped if no increased hair density seen at 4 months.
True
False
Which of the following are true about Minoxidil?
Once the product is discontinued, hair loss will return to what it was before the product was started
available as 5% strength
stop therapy if no increased hair density seen at 4 months
available as 2% strength
available at solution or foam
Which of the following indications is the correct one when applying Minoxidil?
Apply daily to clean, dry scalp and hair
Apply BID to clean, dry scalp and hair
Apply BID to clean, wet scalp and hair
Apply TID to clean, wet scalp and hair
Which of the following are true when applying Minoxidil?
Apply BID to clean, dry scalp and hair
Do not get into the pool or go to swim without a cap for 2-4 hrs.
apply at night 2-4 hrs. before bedtime
allow 2-4 hrs. for the drug to penetrate scalp
You can go to swim without any problems
Which of the following are true when applying Minoxidil?
wash hands after application
Do not double dose
do not dry scalp with hair dryer after application
product needs to dry completely before lying down or applying any other products.
not too dangerous, so you don't have to wash your hands.
Which of the following are true about the solution dosage form of Minoxidil?
In females the 2% you need to apply 1 ml twice daily
In males the 2% or 5% you need to apply 1ml twice daily
Rub about 1ml of product into affected area of scalp
In females the 5% you need to apply 1ml once daily
In females the 5% you need to apply 1ml twice daily
One of the most common side effects with long term use: transient for Minoxidil is?
low blood pressure
Hypertrichosis
Acne
Systemic
The most common side effects for Minoxidil are which of the following?
cystic fibrosis
local itching at side of application
local irritation at side of application
Hypertrichosis
Which of the following medications or drugs interact directly with Minoxidil or Rogaine?
Simvastatin
Diabetes medications
No drug interactions
Statins
Which of the following are true about the effect of concurrent use of Minoxidil?
In Petrolatum increases absorption and side effects
In Systemic minoxidil increase systemic levels and enhance effects
In Corticosteroids increase absorption and side effects
In Retinoids increase absorption and side effects
In Corticosteroids decrease absorption and side effects
Which of the following are true about Minoxidil pearls ?
Maybe used in combination with prescription finasteride 1mg to have better effects than either drug alone.
Should not be used for 24 hours before or after application of a perm, hair color, or hair relaxant.
Product is more effective in patients age 18 to 65 with limited hair loss
Patients with psoriasis, severe burn, and damage to skin care at increased risk for side effects.
Product is more effective in patients age 16 to 65 with limited hair loss
We can infer that both genders (male and female)
can use 2% and 5% strength.
True
False
The men are generally advised to use only 2%.
True
False
Which of the following are true about Propecia?
indicated for male patter baldness
prescription medication
males only is 1mg per oral route once daily
the mechanism of action is 5 alpha-reductase inhibitor
the mechanism of action is 5 alpha-oxidase inhibitor
The common adverse reactions for Propecia (Finasteride) are:
hypertension
orthostatic hypotension
dizziness
fever
Which of the following agents promote hair growth ?
castor oil
B vitamins
Biotin B7
jojoba oil
butter cream
Please select the exclusions for self care for hair loss (select all that apply)
Age 16
negative hair pull test
Loss of eyebrows
Sudden hair loss
Recent discontinuation of oral contraceptives
There is/are ______________________ over the counter product(s) available for pharmacologic treatment of hair loss.
2
1
3
0
It is generally recommended at the start of hair loss therapy women use the __________ strength and men use the __________ strength topical minoxidil.
2 % in women, 2% in men
2 % in women, 5% in men
5 % in women, 2% in men
5 % in women, 5% in men
Rare systemic side effect will
raise blood pressure
low blood pressure
cause local itching and irritation
cause allergic dermatitis
Common side effect with initial use of Minoxidil is
transient hypertrichosis
low blood pressure
allergic dermatitis
local itching and irritation
Rare local side effect in Minoxidil side effects is
allergic dermatitis
transient hypertrichosis
low blood pressure
local itching and irritation
Common side effect with long term use for Minoxidil is
allergic dermatitis
local itching and irritation
low blood pressure
transient hypertrichosis
