Dermatologic Conditions
If a patient comes in with a wound, what specific vaccination history should we verify
What is tetanus vacccine
Name one common treatment option for chronic management of gout
What is allopurinol
Which type of fracture is most common after age 75?
What is hip fracture
Osteoarthritis is sometimes referred to as a "_____ &_____" disease
What "wear & tear" disease
What is 1 treatment option recommended for any soft tissue injury?
What is RICE
A patient has a prescription for a topical steroid to help manage their eczema. The patient is still experiencing occasional itching that often prevents them from falling asleep. What over the counter recommendation could you provide to help with this symptom?
What is an oral antihistamine
What are the 4 ways that a steroid could be administered for acute treatment of gout?
What is PO, IM, IV or intra-articular
What assessment can be useful to estimate the risk of a major osteoporotic fracture in the next 10 years?
What is FRAX tool
When initiating pharmacologic therapy for osteoarthritis, it is important to acknowledge that medications will not do what?
What is
- reverse pre-existing joint damage
- slow progression of the disease
How should a patient be utilizing the "I" in RICE?
What is: ice on for 20 minutes at a time, do not apply ice directly to skin
A patient presents with a burn that appears to be red with minor swelling. They ask you what they can apply to the burn to help reduce scarring - what would be your suggestion?
What is an ointment such as Aquaphor
Name 3 risk factors for gout
- Increased uric acid production (dietary sources)
- decreased uric acid clearance (CKD, volume depletion, salicylates, diuretics, pyrazinamide, calcineurin inhibitors, niacin)
- rapid decrease of uric acid levels (allopurinol, probenecid)
Name 3 factors and/or conditions that increase osteoporosis risk
What are:
- postmenopausal women
- low body weight
- advanced age
- loop diuretics
- prednisone use
- rheumatoid arthritis
- PPIs
Name 1 nonpharm and 1 pharmacologic option for any type of osteoarthritis
What is exercise and oral NSAIDs
What is the difference of a sprain vs. strain?
What is: sprains are injuries to ligaments while strains are injuries to muscles or tendons
A patient has a chronic pressure ulcer and is seeing wound care for management. Name the most common method of debridement for chronic wounds and what is often applied to the wound
What is enzymatic debridement and collagenase ointment (Santyl)
A patient is experiencing an acute gout flare-up. They have a CrCl of 54. What is the appropriate colchicine dosing regimen for this patient?
What is 1.2 mg now followed by 0.6 mg in 1 hour
A patient has lab testing done which included a vitamin D level. The patient's result comes back with a vitamin D level of 21. Provide a recommendation based on this level
Vitamin D level < 30 = deficiency
- vitamin D2 or D3 50,000 units weekly or 5,000-7,000 units daily for 8-12 weeks followed by lower doses for maintenance therpay
For what type of osteoarthritis are topical NSAIDs not recommended at all?
What is hip osteoarthritis
A patient is looking for an OTC recommendation for a sprain. What medication class would you recommend and how long should they use it?
What is an NSAID for 3-7 days
Give 3 counseling points and/or requirements related to isotretinoin
What is
Many safety considerations: REMS program
Pregnancy, lipid and liver function tests required
FDA approved for severe, recalcitrant nodular acne only
Off label: moderate, treatment resistant acne
Do not use with vitamin A supplements, tetracyclines, progestin-only contraceptives, St. John’s wort or steroids
2 forms of birth control required
Can only dispense 1 month at a time and can only be dispensed by a pharmacy registered with iPLEDGE
A provider is trying to choose an appropriate therapy for chronic management of gout for a patient. The patient is HLA-B*5801 positive, takes daily aspirin, has a penicillin allergy. What are potential therapy options for this patient for chronic management?
What is febuxostat or pegloticase
A provider is trying to choose an appropriate bisphosphonate for a patient. This patient wants to avoid an injection, takes omeprazole daily and is worried they will forget to take a medication only once a week. Provide a recommendation based on the above information
What is alendronate 10 mg daily
Name 2 pharmacologic options not recommended for osteoarthritis
What is: bisphosphonates, glucosamine, hydroxychloroquine, methotrexate, TNF inhibitors, IL-1 receptor antagonists, PRP, stem cell injection, chondroitin, intra-articular hyaluronic acid, intra-articular botulinum toxin, topical capsaicin, prolotherapy, colchicine, non-tramadol opioids, fish oil, vitamin D
What is 1 risk of using a glucocorticoid injection for soft tissue injuries?
What is:
- repeated use may damage tendons, ligaments and cartilage
- infection risk
- tendon rupture