Derm- Bacterial, Viral, Fungal, Insects/Parasites Flashcards

1
Q

golden honey crusted lesions around nose
dx
organism
tx

A

impetigo
staph or strep -MC staph

topical bacitracin
rarely PO cephalexin or doxy

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2
Q

tx erysipelas

A

IV PCN G

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3
Q

tx mild cellulitis

tx MRSA cellulitis

A

mild- cephalexin or dicloxacillin

MRSA- Bactrim

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4
Q

koplik spots
brick red rash starts on face then down and out
affects palms and soleslast

A

Measles

aka rubeola

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5
Q

4yo unvaccinated male presents with 4 days of fever, malaise, and HA
now with irregular pink papules on face that is starting to spread down neck and trunk, suboccipital LAN

A

Rubella

aka Third Disease, German measles

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6
Q

slapped check
pink lacy macular rash on torso

dx
organism

A

Erythema Infectiosum
aka Fifth disease

parvovirus B19

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7
Q

few days of fever. fever stops and then rose pink morbilifom rash develops

dx
organism
tx

A

roseola infantum
aka Sixth Disease

HHV6
acetaminophen for fever control
(prevention of febrile szs)

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8
Q

dome shaped waxy umbilicated papules
dx
organism

A

Molluscum Contagiosum

poxvirus

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9
Q

Chicken Pox medical name

Shingle medical name

A

pox- Varicella

shingles- Herpes Zoster

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10
Q

In herpes zoster opthalmicus branches of the __________ are involved and pts will have lesions on ______

A

trigeminal nerve

on face, in mouth, on tongue, & the eye

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11
Q

In Ramsay Hung syndrome _______ virus affects the _____ ganglion of the sensory branch of the _____ nerve. Pts will have _______ symptoms

A

geniculate ganglion of facial nerve (7)
pain and vesicles in external auditory cancal
loss of tast ant 2/3 of tounge
ipsilateral facial palsy

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12
Q

genital warts are MC what type of HPV?

A

6 or 11

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13
Q
prodromal GI or URI
herald patch
salmon colored plaques Christmas tree distribution
dx
tx
A

Pityriasis Rosea

no tx

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14
Q

yellow discoloration and thickening of distal nail plate
dx
tx

A

onychommycosis

PO!!!! griseofulvin or terbintine

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15
Q

red scale soles of feet with blister on instep and fissuring between toes

A
Tinea Pedis (Athelets Foot)
topical antifungal (terbinatine)
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16
Q

annular marginated plaqe with thin scle and central clearing

what test will confirm dx?

A

KOH scraping

(+) tinea corporis

17
Q

tx scabies

A

Permethrin cream 5%

maybe PO ivermectin

18
Q

spider bite that is PAINFUL
10min-1hr
muscle spasms of abdomen and trunk
HA,n/v, piloerection, diaphoresis

spider species=
tx

A

Black Widow (Latrodectus)

narcotic analgesics
calcium gluconate
sxs peak in few hrs, may last a few days
~antivenom for serious ill infants and elderly

19
Q

spider bite followed by local tissue destruction (craterlike lesion)

A

Brown Recluse (Loxosceles)

~dasone
excision of necrotic tissue after stabilized