QuestionSBA
QuestionChoice
Hydrocortisone cream is a corticosteroid cream used to treat eczema and other skin conditions such as psoriasis. Steroid creams should be applied in the direction of hair growth to reduce the risk of irritation to hair follicles.
50114
d
Apply to the skin against the direction of hair growth
QuestionChoice
Hydrocortisone cream is a corticosteroid cream used to treat eczema and other skin conditions such as psoriasis. Steroid creams should only be applied once or twice daily to reduce the risk of side effects such as skin thinning and skin depigmentation. Emollients used to moisturise the eczematous skin should be applied 3-4 times daily.
50112
b
Apply the cream 3-4 times daily
QuestionChoice
Hydrocortisone cream is a corticosteroid cream used to treat eczema and other skin conditions such as psoriasis. The dose of steroid creams is often given in FTUs. One FTU is the amount of cream in a line squeezed out from the tip of the finger to the first crease, this is approximately 500mg. One FTU is enough to cover one hand, front and back.
50113
c
One fingertip unit (FTU) is enough to cover the palm of one hand
QuestionChoice
Hydrocortisone cream is a corticosteroid cream used to treat eczema and other skin conditions such as psoriasis. The slowing of growth in children is a serious but very rare side effect of prolonged corticosteroid use. This is very unlikely where low doses are used short-term, as in this case, and so would be inappropriate information to provide at this stage.
50115
e
Slowing growth is a common side effect
QuestionChoice
Hydrocortisone cream is a corticosteroid cream used to treat eczema and other skin conditions such as psoriasis. Steroid creams should be applied thinly to reduce the risk of side effects such as skin thinning and skin depigmentation.
50111
a
Apply the cream thinly to the affected areas
Concept
Chapter
Osteoporosis, otherwise known as thin bones, is a condition associated with high risk of low trauma fractures due to reduced bone mineral density. Osteoclast activity exceeds osteoblast activity, meaning that bone resorption is occurring at a greater rate than bone formation.

**Symptoms and Signs**

- Generally asymptomatic until a fragility fracture occurs
- Back pain
- Kyphosis (stooped posture)
- Fragility fractures

**Risk factors**

- Female sex
- Increasing age
- Smoking
- Corticosteroid use
- Low BMI (< 20-25kg/m<sup>2</sup>)
- Low body weight (<58kg)
- Vitamin D deficiency

**Protective factors**

- Higher BMI
- Exercise - mechanical loading stimulates bone formation

**Diagnosis**
Osteoporosis can be detected on dual-energy x-ray absorptiometry (DEXA) scan.
A T score of < -2.5 indicates osteoporosis

**Management**

- Fall prevention
- Vitamin D and calcium supplementation
- Hormone replacement therapy (postmenopausal women)
- Oral bisphosphonates
2657
3602
Topical Corticosteroids
Topic
9
Internal Medicine
10070
Case presentation: A 14-year-old girl attends the GP with erythematous, itchy and sore skin in her elbow and knee flexures. The GP prescribes her 1% Hydrocortisone cream to manage this. 


**PH**
Atopic eczema

**DH**
E45 Lotion
NKDA

Question: Select the most important information that should be provided for this patient.
a