Fungus Acne Bugs

Question 0

Black dot* is

Answer 0

Tinea Capitis

Most common in US

Question 1

Gray Patch is what and due to what

Answer 1

Tinea Capitis

Due to pets, endemic

Question 2

Flavus is

Answer 2

Tinea Capitis

Rare

Question 3

Which type doesn’t fluoresce under Wood’s light?

Which fluoresces green?

Answer 3

None: Black dot
Green: Gray patch

Question 4

Tx of Tinea Capitis

Answer 4

Oral AF:
Griseofulvin 6-12 wks
Terbinafine 2-4 wk
fluconazole (3-6 wks)
Pulse therapy
Remove pets
Carriers don't need AF but selsum blue shampoo
FU extended tx

Question 5

Round red plaque with central clearing
Itchy
Advancing border
Annular (round)

Answer 5

Tinea Corporis

Question 6

Tx of Tinea Corporis

Answer 6

TOPICAL* AF

Systemic for severe

Question 7

-inflammation in hair follicle –>Immune response
-axilla, groin (inguinal anogenital)
-*huge nodules (sinus tracts, comedones, scarring)
Tx: Pt edu, clean, wgt mngt, diet

Answer 7

Hidradenitis Suppurative (acne inversa)

Question 8

• *itchy, round (annular), red with central clearing

- *advancing border

Answer 8

Tinea Corporis

Question 9

• round (annular) red *plaque with scale *raised border
• *itches and pain
• from inguinal fold to inner thigh
• spares scrotum

Answer 9

Tinea Cruris

Question 10

*Autoinnoculation with T Crusis

Answer 10

T. pedia

Question 11

griesefulvin
terbinafine
fluconasole are for

Answer 11

T. Capitis

Question 12

Topical AF “azole” is for

Answer 12

T. Cruris (resistant: oralgirseofulvin)

T. Corporis

Question 13

Oral AF

Answer 13

Tx for mocassin type of T Pedis

Question 14

T Pedis Tx

Answer 14

topical AF

Question 15

Tx for mocassin

Answer 15

oral AF, most diff to tx

Question 16

KOH for T Versicolor reveals

Wood lamp

Answer 16

hyphae and SPORES

Woods: yellow

Question 17

Selenium Sulfide (shampoo lotion) is tx for

Answer 17

T Versicolor

Question 18

T Versicolor Tx

Answer 18

Topical AF: Azole and selenium sulfide

Systemic: oral azole AF (terbinafine and griseofulvin not effective)

Question 19

Rosacea Tx

Answer 19

Topical
1) BP/clyndamycin or erythromisin
2) Metrogel
(Azeleic acid, sulfur)
Oral:
*Tetracylines: doxycycline
Laser light

Question 20

Pediculosis Capitis

Answer 20

Head lice , *itchy
Egg hatch after 10 days - 2 txs
5-10 eggs/day for 30 days

Question 21

Head lice fluoresce

Answer 21

Light blue

Question 22

Pediculosis Capitis (head lice) tx

Answer 22

Topical Pediculicides - neurotoxic to lice
No Lindane
Benzoyl peroxide - asphyxiation

Question 23

Permethrin 5% cream is to Tx

Answer 23

Scabies

Question 24

Scabies tx

Answer 24

*Permethrin 5% cream

Question 25

Vitiligo tx

Answer 25

Top syst steroids

UV

Question 26

• depigmentation
• autoimmune disease attack melanocytes
• sharp edges
• bigger than tinea versicolor
• slow progression

Answer 26

Vitiligo

Question 27

Hidradenitis Suppurativa Tx

Answer 27

Local:
top clyndomycin
injection steroids
Systemic ABs:
doxycycline monocycline
-anti-androgenic agents
Surgery
Severe: oral retinoids

Question 28

Hidradenitis Suppurativa complications:

Answer 28

fistulae
lumph obstruction
malaise, depressioin, suicide
SCC
Infections