IE 3: Fungal, VVC, Warts, Wounds/Burns (T2 SELF CARE)

dosing: CLOTRIMAZOLE / MICONAZOLE

• for pedis

BID x4 weeks

dosing: CLOTRIMAZOLE / MICONAZOLE

• for corporis

BID x4 weeks

dosing: CLOTRIMAZOLE / MICONAZOLE

• for cruris

BID x2 weeks

dosing: BUTENAFINE

• for pedis

QD x4 weeks

dosing: BUTENAFINE

• for corporis

QD x2 weeks

dosing: BUTENAFINE

• for cruris

QD x2 weeks

dosing: TERBINAFINE

• for pedis

  • btwn toes

  • sides of foot

• btwn toes

  • BID x1 week

• sides of foot

  • BID x2 weeks

dosing: TERBINAFINE

• for corporis

QD x1 week

dosing: TERBINAFINE

• for cruris

QD x1 week

dosing: TOLNAFTATE

• for pedis

BID x4-6 weeks

dosing: TOLNAFTATE

• for corporis

BID (4-6 weeks) x4-6 weeks

dosing: TOLNAFTATE

• for cruris

BID x2 weeks

dosing: CLIOQUINOL / UNDECYLENIC ACID

• for pedis

BID x4 weeks

which non-rx med is approved for BOTH PREVENT AND TREAT tinea infxn

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

TOLNAFTATE

what type of tinea infxn does CLIOQUINOL / UNDECYLENIC ACID treat

a. pedis

b. unguium

c. corporis

d. cruris

e. capitis

• pedis

• cruris

what are salts of aluminum used for in regards to tinea infxn

used as adjunctive treatment w topical antifungals to provide RELIEF OF INFLAMMATORY CONDITIONS

what are the activities of salts of aluminum

a. direct antifungal activity

b. relief of inflammatory conditions

relief of inflammatory conditions

what is the max # weeks a pt can use salts of aluminum

a. 1 week

b. 2 week

c. 4 week

d. 6 week

1 week

when should a person w a tinea infxn contact their PCP if no improvement

a. 1 week

b. 2 week

c. 4 week

d. 6 week

1 week

when should a patient start to see some improvement after starting treatment

a. 1 week

b. 2 week

c. 4 week

d. 6 week

1 week

up to how many weeks does a successful treatment take depending upon product

a. 1 week

b. 2 week

c. 4 week

d. 6 week

4 weeks

which antifungal med can be used during 1st trimester pregnancy

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

topical clotrimazole / miconazole

which antifungal med can be used but should be avoided in pregnancy bc incr risk of spontaneous abortions

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

topical clotrimazole / miconazole

which antifungal med is category C in all pregnancy trimesters

a. clotrimazole / miconazole

b. terbinafine HCl

c. butenafine HCl

d. tolfanftate

e. clioquinol / undecylenic acid

butenafine

which is the exclusion criteria for TINEA INFXN

a. face, mucous membrane, genitalia involved

b. < 12 yo

c. diabetes, systemic infxn, immunosuppression

d. use of corticosteroids, antineoplastic, immunosuppresants

e. diabetes, HIV / AIDS

• face, mucous membrane, genitalia involved

• diabetes, systemic infxn, immunosuppression

which is the exclusion criteria for VVC

a. face, mucous membrane, genitalia involved

b. < 12 yo

c. diabetes, systemic infxn, immunosuppression

d. use of corticosteroids, antineoplastic, immunosuppresants

e. diabetes, HIV / AIDS

• < 12 yo

• use of corticosteroids, antineoplastic, immunosuppresants

• diabetes, HIV / AIDS

is this a COMPLICATED or UNCOMPLICATED VVC

• recurrent infections

complicated

is this a COMPLICATED or UNCOMPLICATED VVC

• infrequent episodes

uncomplicated

is this a COMPLICATED or UNCOMPLICATED VVC

• > 3 infections / yr

complicated

is this a COMPLICATED or UNCOMPLICATED VVC

• 4 infections / yr

complicated

is this a COMPLICATED or UNCOMPLICATED VVC

• previous infection ≤ 2 months ago

complicated

is this a COMPLICATED or UNCOMPLICATED VVC

• previous infection 2 months ago

complicated

is this a COMPLICATED or UNCOMPLICATED VVC

• ≤ 3 episodes / yr

uncomplicated

is this a COMPLICATED or UNCOMPLICATED VVC

• 3 episodes / yr

uncomplicated 3

is this a COMPLICATED or UNCOMPLICATED VVC

• previous infection > 2 months ago

uncomplicated

is this a COMPLICATED or UNCOMPLICATED VVC

• previous infection 3 months ago

uncomplicated

what is preferred time to insert vaginal product

a. daytime

b. bedtime

bedtime

• minimize leakage from vagina

when should a person w VVC contact their PCP

a. if sx do not improve within ______ days of starting treatment

b. if sx persist for more than ______ days beyond treatment

• 3 days

• 7 days

  • 8 days

skin injury involves epidermis / dermis

a. abrasion

b. laceration

c. puncture

abrasion

skin injury involves perforation / puncturing of soft tissue

a. abrasion

b. laceration

c. puncture

puncture

skin injury tearing / slicing of skin

a. abrasion

b. laceration

c. puncture

laceration

unbroken skin / erythema and pain

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 1

damage to epidermis / dermis

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 2

damage to epidermis, dermis / SQ fat

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 3

damage to epidermis, dermis, SQ fat / muscle or bone

a. stage I

b. stage 2

c. stage 3

d. stage 4

stage 4

what stage of wounds is considered an exclusions for self care?

stage 3 / 4

injuries LARGER than _____ inch in diameter is an EXCLUSION for wound self care

3

no improvement within ______ days is an EXCLUSION for wound self care

7

apply TOPICAL ANTISEPTICS to a ______ skin

a. open

b. intact

INTACT

what are topical antiseptics used for

Indicated for DISINFECTION OF SKIN SURROUNDING WOUNDS TO PREVENT INFECTION 

topical ______ help PREVENT INFECTION via ______ activity

• antibiotic

• bactericidal

can you apply topical antibiotics ointments to treat wounds?

no

• traps contamination of the open wound

T/F: apply topical antibiotic ointments DIRECTLY to wound bed

true

______ ointment (topical antibiotic) contains neomycin and polymyxin

a. neosporin

b. polysporin

neosporin

______ ointment (topical antibiotic) contains only polymyxin

a. neosporin

b. polysporin

polysporin

if a person is allergic to neomycin, you give them ______ ointment (topical antibiotic)

a. neosporin

b. polysporin

polysporin

which first aid self care do you apply to DRY WOUNDS ONLY

a. topical anesthetic

b. topical antibiotic ointments

c. skin protectant ointments

skin protectant ointments

which first aid self care do you apply to PROMOTE WOUND HEALING

a. topical anesthetic

b. topical antibiotic ointments

c. skin protectant ointments

skin protectant ointments

which first aid self care do you apply to MINIMIZE SCARING

a. topical anesthetic

b. topical antibiotic ointments

c. skin protectant ointments

skin protectant ointments

can you self treat chemical, electrical, inhalation burns

no

can you treat NON sunburns

no (non)

which stage of burns can you NOT self treat?

stage 3 / 4

refer to PCP regarding burns if no improvement within ______ days

7

if burn within past 3 hours, do you

a. apply cool water x20 min

b. systemic analgesic

c. skin protectant, aloe vera gel, dressing

apply cool water x20min

if burn is past 3 hours and there is pain present, do you

a. apply cool water x20 min

b. systemic analgesic

c. skin protectant, aloe vera gel, dressing

systemic analgesics

• NSAIDS > APAP

• past 3

if burn past 3 hours and NO pain present, do you

a. apply cool water x20 min

b. systemic analgesic

c. skin protectant, aloe vera gel, dressing

skin protectant, aloe vera gel, dressing

how many days do you reasses burn after self treatment

a. 1-2 days

b. 7 days

c. 3-4 days

1-2 days

which additional burn treatment option do you avoid INTERNAL USE & APPLICATION ON BROKEN SKIN

a. aloe vera gel

b. honey

c. calendula

aloe vera gel

which additional burn treatment option do you avoid in pts w severe garlic, onion, and tolip allergies

a. aloe vera gel

b. honey

c. calendula

aloe vera gel

which additional burn treatment option provides moist healing environment, absorbs exudate, antibacterial

a. aloe vera gel

b. honey

c. calendula

honey

which additional burn treatment option do you JUST avoid application to broken skin

a. aloe vera gel

b. honey

c. calendula

honey AND aloe vera gel

is honey an anti inflammatory treatment for burns?

no

is fever an EXCLUSION for sunburn self treatment

yes

a ______ area of blistering / severe swelling is an EXCLUSION for sunburn self treatment

a. small

b. large

large

which treatment has the greater role for wounds / burns

a. systemic analgesics

b. skin protectants

c. topical anesthetics

d. skin protectants

e. dressings

systemic analgesics

UV ______ is for photoaging

a. A

b. B

UVA

UV ______ is for sunburn

a. A

b. B

UVB

a broad spectrum suncreen protects against ______

a. UVA

b. UVB

c. both

UVA AND UVB

apply sunscreen to DRY skin ______ mins BEFORE going out

15

reapply sunscreen every ______ hrs

2

______ is the min amnt of time it takes to burn WITHOUT any skin protection

a. minimal erythema dose (MED)

b. sun protection factor (SPF)

minimal erythema dose (MED)

______ how much LONGER sunscreen gets to stay on skin

a. minimal erythema dose (MED)

b. sun protection factor (SPF)

sun protection factor (SPF)

exclusion to warts self treatment

• less than ______ yrs of age

4

T/F: exclusion to warts self treatment

• large / multiple warts located in one area of body

true

T/F: exclusion to warts self treatment

• warts located on face, breasts, armpits, fingernails, toenails, anus, genitalia, mucous membrane

true

warts: can you give someone who has a salicylate allergy

• salicylic acid product

no (SA)

warts: can you give someone a salicylic acid products

• if immunosuppressive meds / meds that contradict use of salicylic acid

no

which one is more effective to treat common / plantar warts

a. salicylic acid

b. DMEP

c. both equally effective

both equally effective

salicylic acid 17% used for ______ warts

a. plantar

b. common

common

salicylic acid 40% used for ______ warts

a. plantar

b. common

plantar

which warts treatment causes a blister to form under the wart, wart will fall off after abt 10 days

a. salicylic acid

b. cryotherapy w DMEP

cryotherapy w DMEP

warts: is compound W one step pads

a. salicylic acid

b. cryotherapy DMEP

salicylic acid

warts: is compound W Freeze Off Wart Removal

a. salicylic acid

b. cryotherapy DMEP

cryotherapy DMEP

cryotherapy DMEP products

• a blister will form and the wart should fall off after abt ______ days

10

contact PCP

• if wart has not cleared after ______ weeks of treatment

12