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33 Cards in this Set
- Front
- Back
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Useful in scalp dermatosis
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foams
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Which vehicle is translucent, greasy, and provides more lubrication?
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Ointments which are also most lipophilic, moisturizing, and occlusive
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How long can you use foams for?
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No more than 2 weeks
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Who is not allowed to use foams?
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Children under 12
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Useful in poison ivy and plaque psoriasis
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foams
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What do you need to keep in mind as you tx diabetics with steroid agents?
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Topicals can elevated blood sugars
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What has white color and a greasy texture?
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Creams
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Which steroid class is the most potent?
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Class 1
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What can happen with the long use of creams?
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Possible drying
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What is the most common mistake made when prescribing topical steroids?
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Steroid being to weak for the process and the area
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Where can't you used ointments for?
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In occlusive areas. Ointments are too occlusive for acute (exudative) eczematous inflammatory or groin, rectal, axillary areas
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Where are creams useful?
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groin, rectal, and axilary area
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Greaseless, clear, jelly-like describes what?
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Gel
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What are gels used for?
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Scalp and accute exudative inflammation
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What is the least lipophillic of all topicals?
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Solutions/sprays
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What are the downfalls of solutions/sprays?
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least lipophillic, so it can be drying
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What are solutions/sprays good for?
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useful in scalp, drying in the groin, rectal and axillary areas
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What happens when you apply solutions (alcohol) and lotions (water)?
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may cause stinging
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Which topical steroid is good for scalp, moist lesions, and convenient with decreased mobility?
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Aerosols
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What are barriers to absorbtion?
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thicker skin areas (palms and soles), lichenification, thick scales
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What is it that can cause a decreased barrier to absorbtion?
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abrasions, cracking, fissuring, atrophy, kerotolytic agents, propylene glycol
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Which of the decreaser of absorbtion can increase potency, but irritate already inflamed skin?
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propylene glycol
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What's the max dose of a Group 1 steroid per week?
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45-60gm
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How is a group 1 steroid administered?
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everyday, bid for 2 weeks, then take a week off
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How are group 2-7 steroids administered?
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everyday, bid for 2 - 6 weeks
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What percentage of Body Surface Area does one side of the hand represent?
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1% BSA
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How many grams would it take to cover the entire body surface (except for scalp) for everyday, bid coverage for one week?
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282 grams
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How much does it take to cover a foot?
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2 FTU (about 1 gram bid) (disperse a 30 gram tube)
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How much for a leg?
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6 FTU (about 3 grams bid) (disperse a 60 gram tube)
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How much for the face and neck?
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2.5 FTU (about 1.25 grams bid) (disperse a 30 gram tube)
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How much for the trunk (back or front)?
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7 FTU (about 3.5 grams bid) (disperse a 60 gram tube)
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How much for one arm?
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3 FTU (about 1.5 grams bid) (disperse a 30 gram tube)
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How much for the hand (both sides)?
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1 FTU (about .5 grams bid) (disperse a 15 gram tube
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