Acne

Question 1

most common skin problem

Answer 1

acne vulgaris (preadolescent stage)

Question 2

whitehead, blackhead (exposed)

Answer 2

blackhead (it is oxidized

Question 3

a sebaceous follicle that is osbtructed

Answer 3

microcomedone

Question 4

which contains pus (papules or pustules)

Answer 4

PUSTules

Question 5

main factors of acne

Answer 5

follicular hyperkeratinization, incr sebum production, cutibacterium acnes, inflammation

Question 6

differentiate moderate and severe acne

Answer 6

severe- with scarring and cysts, moderate- comedones, papules, pustules, nodules

Question 7

first line for mild acne vulgaris

Answer 7

benzoyl peroxide, or retinoids (or combination), BPO and clinda or BPO and adapalene

Question 8

when can you see the improvement after using BPO for MILD

Answer 8

after two to three months

Question 9

first line for moderate acne vulgaris

Answer 9

BPO/retinoids (combina), or BPO +clinda or BPO + adapane PLUS COC or oral antibiotics

Question 10

first line of SEVERE acne vulgaris

Answer 10

oral isotretinoin (if contra use BPO+retinoid OR COC

Question 11

oral isotretinoin – lab tests required

Answer 11

preg test, LFT, CBC, cholesterol, COC + USE BARRIER method

Question 12

SE of tretinoin

Answer 12

peeling, scarring, dryness (use SUNSCREEN)

Question 13

when to use birth control, 2 forms of birth control even

Answer 13

1 month before, and 1 month after

Question 14

mmost powerful anti acne

Answer 14

isotretinoin

Question 15

oral agents for acne

Answer 15

tetra/doxy, COC, and SPIRONO (antiandrogen)

Question 16

COC SE

Answer 16

VTE

Question 17

SPIRO SE

Answer 17

hyperkalem, irregular menses, breast tender, fatigue

Question 18

avoid concurrent use with systemic retinoids

Answer 18

retinoids with tetracyl/doxycyl (risk of htn intracranial)

Question 19

erythnromycin in pregnancy

Answer 19

erythromycin ESTOLATE (never in preg), other eyrhtomycin- allowed in preg

Question 20

breastfeeding

Answer 20

allowed tretinoin

Question 21

what to do in moderate / severe acne

Answer 21

start oral tetra

Question 22

seeing improbement in acne while using COC but with mood changes, what to do

Answer 22

change to a diff COC