Sarah Michelle Crash Course Questions with Complete Solutions 2023/2024 Rated A+ Treatment for Rocky Mountain Spotted Fever - Correct Answer Doxycycline for any age and regardless of pregnancy Presentation of Rocky Mountain Spotted Fever - Correct Answer Rash on palms of hands and soles of feet pops up after 3-5 days of initial treatment Presentation of Lyme Disease - Correct Answer Bulls eye rash Lyme disease is also known as... - Correct Answer Erythema migrans Treatment for Lyme disease over 8 years old - Correct Answer Doxycycline Treatment for Lyme disease less than 8 years old - Correct Answer Amoxicillin Aphthous Stomatitis vs herpes - Correct Answer Aphthous Stomatits: kanker sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes - Correct Answer Antivirals with 48-72 hours Valtrex or Acyclovir Impetigo - 2 causes of bacteria - Correct Answer Staph aureus & strep pyogenies Impetigo presentation - Correct Answer Honey crusted lesions
2 types of Impetigo treatment - Correct Answer Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation - Correct Answer Christmas tree like pattern rash Herald Patch pityoriasis rosea treatment - Correct Answer Self limiting Rubeola presentation - Correct Answer Cough, congestion, conjunctivitis (3 C's).3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots) Rubeola prevention - Correct Answer MMR vaccine after 12 months old
- live vaccine)
Mumps presentation - Correct Answer Parotid gland swelling 1 / 3
Sialolithiasis: what is it! - Correct Answer Salivary gland stone
Mass under chin when eating actinic keratosis presentation - Correct Answer Dry pink lesions on a sun exposed area actinic keratosis treatment - Correct Answer 5FU cream (topical chemo) and use liquid nitrogen (cryotherapy) If actinic keratosis is left untreated, what can it develop into? - Correct Answer squamous cell carcinoma sqamous cell carcinoma presentation - Correct Answer Slow growing scaly ulcerated, bleeds easily if squamous cell CA is suspected and a visible lesion is present, the next step should be
- Correct Answer Refer to dermatology
ABCDEs of melanoma - Correct Answer asymmetry, border, color, diameter >6 mm, evolving seborrheic keratosis: do lesions need to be removed - Correct Answer No- they are benign most common type of skin cancer - Correct Answer basal cell carcinoma basal cell carcinoma presentation - Correct Answer Shiny, waxy, pearly May see telangiectasia with this basal cell carcinoma : what should we do if we see this - Correct Answer Refer to derm Another name for atopic dermatitis - Correct Answer Eczema eczema (atopic dermatitis) presentation - Correct Answer Pruitic, itch scratch cycle.Located on flexor surfaces (like back of knees, axilla, elbows) .Eczema, atopic dermatitis - treatment - Correct Answer Topical corticosteroids 3A's - Correct Answer Asthma, allergies, atopic dermatitis Plaque Psoriasis presentation - Correct Answer Silvery scales, itches auspitz sign, psoriasis - Correct Answer pinpoint bleeding after a scale is removed or after 2 / 3
Koebner phenomenon - Correct Answer new psoriatic plaques form over areas of skin trauma. Trauma to skin leads to having plaque in that spot Plaque psoriasis treatment - Correct Answer Topical steroids Contact dermatitis treatment - Correct Answer avoid offending agents, corticosteroids Shingles presentation - Correct Answer Severe, piercing, burning, stabbing nerve pain along a dermatome Vesicular rash in same area appears a few days after pain Typically unilateral Lesions last 3-5 days Can spread to visceral organs or ocular region shingles (herpes zoster) treatment - Correct Answer Antivirals with 48 hours of onset of symptoms Acyclovir ( cheapest) or Valcyclovir Shingles prevention - Correct Answer Shingrix (50 years and older). Most effective and preferred because it's inactivated. We can give out no matter when the last outbreak was.Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak Which type of shingles must be referred out? - Correct Answer Shingles close to the eyes. Refer to ophthalmology. It may lead to vision loss Scabies presentation - Correct Answer - itching because it burrows into skin and lays eggs.Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow;
- / 3
but infants often do not have burrows on presentation.Scabies treatment - Correct Answer Permethrin 5% cream (Remember you have 5 fingers) Starve mites by sealing them in a bag for about 10 days.Wash everything in house with hot water. Usually have to repeat treatment chicken pox prevention - Correct Answer Live attenuated vaccine Only to be given after 12 months old When can children return to school after chickenpox - Correct Answer When all the lesions are crushed over