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Atopic dermatitis: an update review of clinical manifestations and ...

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BULLETIN OF THE KUWAIT INSTITUTE FOR MEDICAL SPECIALIZATION 2007;6:55-62<br />

CME/CPD Questions<br />

After you have completed reading the article <strong>Atopic</strong> <strong>dermatitis</strong>: <strong>an</strong> <strong>update</strong> <strong>review</strong> <strong>of</strong> <strong>clinical</strong> m<strong>an</strong>ifestations <strong>an</strong>d m<strong>an</strong>agement strategies in general<br />

practice, take the test given below. Circle T (True) or F (False) in the Answer Sheet on page 92 to show the correct <strong>an</strong>swer to each question.<br />

Questions 1 to 10 are related to the content in this article.<br />

1. <strong>Atopic</strong> <strong>dermatitis</strong> is the most common skin disease encountered in general practice.<br />

2. The chronic form <strong>of</strong> atopic <strong>dermatitis</strong> is characterized by serous exudates with papular rash <strong>an</strong>d vesicles on <strong>an</strong> erythematous base.<br />

3. Posterior cataracts develop usually as a side effect <strong>of</strong> systemic steroids or use <strong>of</strong> topical steroids on periorbital area.<br />

4. Axillary, groin, <strong>an</strong>d intergluteal involvement is common in atopic <strong>dermatitis</strong>.<br />

5. Dietary m<strong>an</strong>ipulation is indicated if there is a clear history <strong>of</strong> flare-up <strong>of</strong> rash after ingestion <strong>of</strong> specific types <strong>of</strong> food.<br />

6. As a general rule in inf<strong>an</strong>ts, treatment should start with the most potent topical steroid <strong>an</strong>d ch<strong>an</strong>ged to mild forms when the rash clears up.<br />

7. Topical steroid <strong>an</strong>tibiotic combinations must be avoided because <strong>of</strong> the risk <strong>of</strong> the development bacterial resist<strong>an</strong>ce.<br />

8. Tacrolimus <strong>an</strong>d Primecrolimus are safe to be used on infected areas in atopic <strong>dermatitis</strong>.<br />

9. Poor prognostic factors include family history, early-disseminated inf<strong>an</strong>tile disease, female gender <strong>an</strong>d coexisting allergic rhinitis <strong>an</strong>d<br />

asthma.<br />

10. The therapeutic effect <strong>of</strong> <strong>an</strong>tihistamines in controlling pruritis in atopic <strong>dermatitis</strong> is primarily due to their sedative action <strong>an</strong>d reduction in<br />

itching.<br />

62<br />

<strong>Atopic</strong> <strong>dermatitis</strong> ● S.T. Jamal

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