QuestionSBA
QuestionChoice
Tacrolimus is a calcineurin inhibitor, which are second-line treatments for moderate to severe eczema.

It is this patient's initial presentation, meaning that this is the first time that she has presented with this problem.

We would first try emollients to resolve her symptoms - this is the first-line treatment - before using second-line treatments for more severe symptoms.
10001865
d
Topical tacrolimus
QuestionChoice
Phototherapy is a proven procedure used to manage eczema symptoms. However, it is not the first-line option that physicians should offer patients.

This is this patient's first presentation with eczema - emollients should be trialled to control her symptoms before medication and procedures are introduced.

This prevents the patient from being over-treated for their condition, which can be both time-consuming and financially costly.
10001863
b
Phototherapy
QuestionChoice
This patient is presenting with symptoms of Eczema (atopic dermatitis).

Eczema classically presents with dry, itchy skin. This is usually accompanied by erythema (redness), scaling and lichenification in skin flexures (e.g. elbow).

Emollients - moisturising cream - are the first-line treatment for eczema. Topical corticosteroids are then considered if emollients insufficiently control symptoms.
10001862
a
Emollients
QuestionChoice
This patient is presenting with symptoms of eczema.

Systemic corticosteroids such as prednisolone, are a second-line treatment for eczema.

First-line treatments are emollients, followed by topical corticosteroids if symptoms are not controlled. Topical antibiotics are considered if there are signs of bacterial infection.
10001864
c
Systemic corticosteroids
QuestionChoice
This patient is presenting with symptoms of eczema, but there are **no** indications of bacterial infection.

We would not use topical antibiotics in this case as there is no need for antibacterial therapy.
10001866
e
Topical antibiotics
Concept
Chapter
2693
3982
Atopic Dermatitis
Topic
144
Dermatology
12919
A 12-year-old female makes an initial presentation to General Practice with a red, itchy rash on the insides of her elbows. Upon inspection, the rash is dry, scaly, with **no** signs of infection.

What is the first-line option to manage this patient's symptoms?
a