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There are several scales for psoriasis assessment. BSA is one example, what are two other examples?
Any two of the following:
PASI: Psoriasis area and severity index
PGA: Physician Global Assessment
PGA x BSA
PSI: Psoriasis Symptom Inventory (PSI)
DLQI: Dermatology Life Quality Index
Pruritus assessment E.g. Visual analog scale (VAS) and/or Numeric rating scale (NRS) – either one
Name one area of the body where high-potency corticosteroids should be avoided.
Any of the following:
What percentage of patients with psoriasis meet criteria for moderate-to-severe disease requiring consideration of systemic therapy?
About 20%
Name three lifestyle and behavioural strategies that patients should be encouraged to adopt to help improve psoriasis.
Any three of the following:
Name two ways that psoriasis presentation or treatment may differ in skin of colour.
Any two of the following:
Vitamin D supplementation should be avoided with which class of topical therapy?
Vitamin D analogues
**DAILY DOUBLE**
With which conventional systemic therapy do you need to avoid pregnancy and blood donation during therapy and for 3 years after?
Acitretin
**DAILY DOUBLE**
According to treat-to-target principles, which outcome ultimately supersedes formal disease activity targets?
Overall patient satisfaction
**DAILY DOUBLE**
When trying to achieve ideal MDA (minimal disease activity), what PGA score are we aiming for?
PGA ≤1
**DAILY DOUBLE**
Name 3 formulations that could be appropriate for scalp psoriasis.
Any 3 of the following:
Which 6 body sites are considered “high-impact” regardless of BSA and therefore often drive escalation beyond topical therapy?
All 6 of the following (will accept palms/soles as 2): Face, scalp, genitals, palms, soles, nails
Which patient-reported outcome tool is most commonly used to assess psoriasis-related quality of life?
DLQI
**DAILY DOUBLE**
In general, super-potent corticosteroids should not be used daily for longer than ___ weeks
-AND-
Potent corticosteroids should not be used for longer than __weeks without interruption regardless of plaque location.
Super-potent 2 weeks and potent 6 weeks
**DAILY DOUBLE**
According to Delphi consensus data, approximately what proportion of psoriasis patients under-dose their topical therapy?
About 95%
Name 3 key patient counselling points with methotrexate.
Any 3 of the following:
**DAILY DOUBLE**
More than half of psoriasis patients report difficulty with which two daily activities?
Physical exercise and sleep
Which of the following statements is TRUE regarding maintenance therapy approaches for topicals:
A. Proactive refers to preventative/intermittent treatment (i.e. Maintaining treatment 1 or 2 times per week to prevent flares)
B. Reactive refers to tapering (deintensification) & stopping treatment and then using on demand as needed for flares
C. Expert opinion states that the proactive approach can be used for all topical treatments
D. A & B
E. All of the above
E. All of the above
Which class of topical agents can cause flushing at the application area after ingesting alcohol?
Calcineurin inhibitors (will also accept individual names: pimecrolimus (Elidel) or tacrolimus (Protopic)
**DAILY DOUBLE**
List 3 situations in which biologics would be considered for psoriasis.
Any 3 of the following - conventional treatments:
Failed
Contraindicated
Not tolerated
Unlikely to result in treatment success
By how much does psoriasis shorten the average life span?
5 years