1/29/13 c

Question 1

What 3 meds should be given for acute bronchitis?

Answer 1

analgesics, bronchodilators, and antitussives

Question 2

What is the best first diagnostic test for all dermatological fungal infection?

Answer 2

KOH preparation of skin scrapings

Question 3

What ddermatophyte infection looks like spaghetti and meatballs on KOH prep?

Answer 3

Tinea versicolor

Question 4

What Tx is given for a dermatophyte infection without hair/nail involvement?

Answer 4

any topical antifungal (e.g. any “-azole”)

Question 5

How do you treat onychomycosis?

Answer 5

oral terbinafine or itraconazole

Question 6

What is the most common adverse effect of terbinafine?

Answer 6

increased liver function tests

Question 7

What do you call the condition in which the dermis and epidermis are infected, causing swelling of the dermal lymphatics and bright red, warm areas of skin?

Answer 7

erysipelas

Question 8

What bacteria causes erysipelas?

Answer 8

GAS

Question 9

Acyclovir, famcyclovir, valacyclovir, and gancyclovir must be activated by _______ within the infected cell.

Answer 9

thymidine kinase

Question 10

What is the best initial test for primary syphilis?

Answer 10

darkfield microscopy

Question 11

What is given for primary and secondary syphilis in pts. who can’t take IM penicillin d/t rash?

Answer 11

doxycycline

Question 12

What is given to pts w/ tertiary syphilis who can’t take IV penicillin d/t rash?

Answer 12

desensitize to penicillin

Question 13

What is the best initial therapy for scabies?

Answer 13

permethrin

Question 14

What drug should be used to treat Herpes simplex that is resistant to acyclovir?

Answer 14

foscarnet

Question 15

Why can’t you use gancyclovir or another “-ovir” to treat HSV ressistant to acyclovir?

Answer 15

Thymidine kinase mutation w/in HSV confers resistance.