Derma Block B Flashcards

1
Q

Scabies causing agent

A

Mite sarcoptes scabiei

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2
Q

Rash in scabies is

Pruritic/Not

A

Pruritic

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3
Q

Which layers of epidermis does scabies reach?

A

Not deeper than the S. Granulosum

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4
Q

Female scabies job and how much time does she live?

A

4-6 weeks

Laying 40-50 eggs

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5
Q

Why is scabies itchy?

A

Hypersensitivity reaction

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6
Q

Rash in scabies description

A

Itchy red papules

Vesicles

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7
Q

Other forms of Scabies?

A

Norwegian scabies

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8
Q

Norwegian scabies is also called

A

Crusted scabies

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9
Q

Scabies treatment

A

Topical

Permethrin 5%
Lindane 1%
Benzyl Benzoate 10%
Malathion
Ivermectin for resistant cases
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10
Q

Pediculosis=

A

Infection of lice that lay their eggs on hair shafts or in clothing

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11
Q

Two species of Pediculosis

A

Pediculus humanus- head and body

Pthirius pubis- Pubic

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12
Q

Female Pediculus lives for

A

3 months

Lay 300 eggs during life time

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13
Q

Types of pediculosis rash by location

A

Capitis
Corporis
Pubis

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14
Q

Pediculosis treatment

A
Permethrin cream
Pyrethrin shampoo
Piperonyl butoxide shampoo
Malathion cream
Lindane shampoo
Ivermectin
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15
Q

HIV general

A

Retro virus

Positive sense RNA virus

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16
Q

Mucocutaneous manifestation of AIDS

A
Eosinophilic folliculitis
Oral hairy leukoplakia
Aphtous stomatitis
Nonmelanoma skin cancer
HIV lipodystrophy syndrome
Kaposi sarcoma
Superinfections
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17
Q

Primary syphilis clinical forms

A

Primary chancre
Rectal lesions
Cervical and vaginal lesions

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18
Q

DD in case of syphilis

A

Heres simplex
Chancroid
Donovanosis

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19
Q

Chancroid id caused by

A

Hemophilus ducreyi

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20
Q

Syphilis treatment for patient with fresh symptoms

A

Intramuscular Penicillin G 1 million units per day X 15 days

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21
Q

When does secondary Syphilis occurs?

A

2-6 months after primary

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22
Q

Secondary Syphilis skin symptoms

A

Papulosquamous
Pustular lesions
Macules and papules
Condyloma lata- red pale papules

לאטא זה בסיפיליס כי זה כמו לייט! וואלה הוא מאחרר אנחנו כבר בשני

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23
Q

When will tertiary syphilis occur?

A

Years-decades after

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24
Q

Tertiary Syphilis skin symptoms

A

Gummas

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25
Q

Methods of diagnosis of Syphilis

A

Dark field microscopy
DFA-PT
PCR
Serology

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26
Q

DFA-PT=

A

Direct Fluorecent Antibody T.Pallidum test

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27
Q

Serology methods of diagnosis of Syphilis (5)

A
Non specific measuring of Ab
RPR test
VDRL
4
5
28
Q

Possible causes of urethral discharge

A
Neisseria
Chlamydia
Trichomonas
HSV
HPV
29
Q

Therapy for NGU

A

Doxyxyline 100 mg every 12 h

Azythromycin 1g single dose

30
Q

Diagnosis of vaginal discharge

A
Smear
Urethral smear
Vaginal swab
Throa swab
pH
Urinalysis
Cervical cytology
Wet preparation
31
Q

Where do you take vaginal smear from?

A

Latral vaginal wall

32
Q

Most common STD

A

Herpes genitalis

33
Q

Diagnosis of HSV infections

A
Culture
Tzank smear
Ag
Serology
PCR
34
Q

Topical HSV treatment

A

1% Acyclovir

5% Pancyclovir

35
Q

Systemic HSV treatment

A

Famcyclovir 150-250 mg/day
Acyclovir 400 mg/day
Valcyclovir 1g/day

36
Q

Which HPV causes Condyloma acuminata?

A

6,11

37
Q

Condyloma acuminata clinical presentation

A

Small papular fleshy cauliflower lesions

Flat warts

38
Q

Local treatment for Condyloma acuminata

A

Podophyllin extract 15-20% 1-2 times/week

Trichloroacetic acid

39
Q

Physical therapy for Condyloma acuminata

A

Cryotherapy
Electrocautery
Laser ablation

40
Q

Most common NGU symp. in men

A

Urethritis
Dysuria
Purulent discharge

41
Q

NGU symp. in men treatment

A

Cefixime 400 mg
Ceftriaxone 250 mg
Spectinomycin 2g MI

42
Q

NGU in women complications

A

Infertility
FHK syndrome
Bartholin’s abscess

43
Q

Chancroid is caused by

A

Haemophilus ducrey

44
Q

Bacterial vaginosis etiology

A

Gardnerelaa vaginallis
Anaerobics
Mycoplasma hominis

All replace lactobacillus

45
Q

Trichomoniasis

A
Trichomona vaginalis
Flagellated protozoa
Frothy discharge
Irritation
Strawbeer cervix
46
Q

Candida will cause what in man

A

Balanitis

47
Q

Scabies is caused by

A

Sarcoptes scabiei

48
Q

Describe the Scabies mite

A

Female leav for 4-6 weeks

They lay 40-50 eggs

49
Q

What is the other form of Scabies and when will we see it?

A

Norwegian scabies

Immunocompromized

50
Q

Scabies treatment

A

Permethrin cream
Benzyl benzoate
Malathion
Ivermectin

51
Q

Pediculosis

A

Infestation of lice that lay eggs on haie shafts

52
Q

Two types of Pediculosis

A

Pediculus humanus

Pediculus pubis

53
Q

Pediculosis female leavs for

A

3 months and lay 300 eggs

54
Q

Pediculosis treatment

A

Permethrin
Malathion
Ivermectin

55
Q

AIDS mucocutaneous manifestations

A
Kaposi sarcoma
Eosinophilic folliculitis- prutritic
Oral hairy leukoplakia
Adverse Cutaneous Drug Erraption
HIV lipodystrophy syndrome
56
Q

Adverse Cutaneous Drug Erraption happens due to

A

HAART treatment

57
Q

Incubation period for Syphilis

A

9-90 days

Usually 3 weeks

58
Q

Clinical forms of primary Syphilis

A

Chancre- firm painless red ulcer. Dark field mic.!

Lymphadenopathy

59
Q

Syphilis fresh symp. how do we treat?

A

IM Penicillin G 1 mil. Units / day X 15

Two weeks then repeat

60
Q

Syphilis symp. free how do we treat?

A

MI 2.4 mil. Units X 2

61
Q

Secondary Syphilis occurs when

A

2-6 months after primary

62
Q

Secondary Syphilis manifestation

A

Lacy erythematous maculopapular rash

Condyloma lata

63
Q

Condyloma acuminata=

A

Non tender moist wart like papules

64
Q

DFA-TP

A

Direct Fluorescent Antibody TP

65
Q

Syphilis non specific tests

A

RPR

VDRL

66
Q

RPR
VDRL
What do they measure?

A

IgM, IgG against cardiolipin-lecitin-cholesterol Ag complex

67
Q

Syphilis specific tests

A

FTA-ABS
BAP
TPPA