Ear
Nose
Dermatology
Dermatology Part 2
Antivirals
100

This is used to remove cerumen from an auditory canal.

Emulsifiers/emollients

Hydrogen peroxide, mineral oil, liquid docusate

100

What is a side effect of nasal steroid use?

Oral/nasal candidiasis 

100

When do you use a powder versus an ointment?

The powder is used for perspiring (Moist) areas

The ointment is used for dry areas

100

Which antiviral agent can be used IV?

Acyclovir

100

Which medications are the nucleic acid analogs? They block cellular division or viral replication by impairment DNA/RNA synthesis 

Acylcovir, Famcyclovir, Valacyclovir

200

This antibiotic is exclusively used in tympanic membrane perforation.

What is fluoroquinolones?

200

Which type of antihistamine produces more paradoxical CNS side effects?

First-generation H1 blockers: 

Central features of paradoxical reactions are emotional lability, agitation, excessive movement, and confusion. also may include tachycardia, hypertension, and tachypnea. 

200

Does an occlusion increase/decrease absorption of medications?

Increase

200

Name a side effect of the use of silver sulfadiazine for burns.

Skin discoloration. Not recommended for face.

200

Name the endonuclease inhibitor. When should it be used?

Baloxavir - treatment within 48 hours of onset of symptoms, only in >12 years old with resistance to neuraminidase inhibitors

300

Describe the proper patient education on the insertion of otic drops.

Warm solution with hands for 1-2 minutes

Pull earlobe up and back

Pump 4 times to ensure penetration

Remain in position for at least 1 minute

300

How long does it take for nasal steroids to have a full effect?

2 weeks

300

Name the commonly used low, medium, and high potency corticosteroids used in skin conditions.

Hydrocortisone

Trimicinalone

Betamethasone

300

Which psoriasis treatment is the most effective, with the least side effects?

Phototherapy

300

When should neuraminidase inhibitors be given for the best effect?

First 24 to 30 hours

400

Which medication, ophthalmic or otic, can also be used in the eye/ear?

Ophthalmic can be used in the ear, but otic cannot be used in the eye
400

Name the suffix intranasal antihistamine, anticholinergic, and sympathomimetic.

Azelastine 

Ipatropium bromide

Oxymetazoline

400

Name a side effect of mild keratolytic effect.

Hyperpigmentation

400

Name the BBW for topical calcineurin inhibitors.

Not for individuals < 2 years old

Chance of malignancy

400

Which antiviral is pregnancy C?

Ostelamivir 

500

Describe the mode of axtion of polymyxin B.

Increases cell wall permeability

Allow for leakage of intracellular contents

500

why avoid prolonged use of nasal spray oxymetazoline.

Can cause rebound congestion if used for more than 3 days

500

Name pregnancy X medications for Psoriasis treatments.

Tazarotene, Methotrexate, Acitretin

500

Which medications are the retinoids? 

Tretinoin and Isotretinoin, Considered a teratogen, not advised for pregnancy

500

Name the neuraminidase inhibitors. 

Which cannot be used in individuals with COPD/asthma? 

Which is associated with SJS and erythema multiforme?

Zanamivir - not for COPD/asthma, or less than 5 years old

Peramivir - SJS/erythema multiforme

Ostelamivir

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