Integumentary 4

Question 1

folliculitis - avoid what

Answer 1

shaving or scrubbing the area

Question 2

folliculitis - tx

Answer 2

mupirocin (Bactroban) ointment or cream

Question 3

furuncles

Answer 3

an infected hair follicle that fills with pus

Question 4

an infected hair follicle that fills with pus

Answer 4

furuncle

Question 5

furuncle - tx

Answer 5

apply abx ointment BID and cover with a dressing until healed

Question 6

best imaging to detect bone infection

Answer 6

MRI

Question 7

herpetic whitlow

Answer 7

viral skin infection of the fingers caused by HSV type 1 or type 2 virus infection and results from direct contact with either a cold sore or genital herpes lesion

Question 8

viral skin infection of the fingers caused by HSV type 1 or type 2 virus infection and results from direct contact with either a cold sore or genital herpes lesion

Answer 8

herpetic whitlow

Question 9

patient c/o acute onset of extremely painful red bumps and small blisters on sides of fingers, cuticle area, or on terminal phalanx of one or more fingers

Answer 9

herpetic whitlow

Question 10

herpetic whitlow at home measures

Answer 10

analgesics or NSAIDs for pain prn

Question 11

herpetic whitlow severe infection or immunocompromised patients, treat with

Answer 11

acyclovir

Question 12

herpetic whitlow - do you cover them

Answer 12

yes until they heal

Question 13

hidradenitis suppurativa

Answer 13

chronic and recurrent inflammatory disorder of the apocrine glands that results in painful nodules, abscesses, and pustules in locations such as axillary, mammary area, perianal are and groin

Question 14

hidradenitis suppurativa - stage I disease treatment

Answer 14

1. initial - topical clindamycin
2. if failure with initial tx - oral tetracycline 500 mg BID or minocycline BID for 7-10 days

Question 15

impetigo

Answer 15

acute contagious superficial bacterial infection often caused by gram positive bacteria

Question 16

impetigo limited lesions tx
2

Answer 16

topical mupirocin
topical retapamulin

Question 17

impetigo numerous lesions tx

Answer 17

cephalexin 4 x day
dicloxacillin 4 x day
erythromycin 4 x day

Question 18

impetigo - cleanse with

Answer 18

antibacterial soap, betadine, or chlorhexidine wash

Question 19

antimicrobial prophylaxis for meningitis include
3

Answer 19

rifampin
ciprofloxacin
ceftriaxone

Question 20

meningitis vaccine children

Answer 20

all children 11-12 years old with booster at 16

Question 21

meningitis tx

Answer 21

ceftriaxone 2 G IV q12H

Question 22

molluscum contagiosum

Answer 22

dome shaped papules with central umbilication/white plug, caused by skin infection with poxvirus

Question 23

dome shaped papules with central umbilication/white plug

Answer 23

molluscum contagiosum

Question 24

molluscum contagiosum - spread by

Answer 24

skin to skin direct contact

Question 25

nec fasc s/sx

Answer 25

reddish to purple colored lesions that increases rapidly with size; infected area appears indurated; severe pain

Question 26

paronychia

Answer 26

acute local bacterial skin infection of the proximal or lateral nail folds that resolves after the abscess drains

Question 27

acute local bacterial skin infection of the proximal or lateral nail folds that resolves after the abscess drains

Answer 27

paronychia

Question 28

painful and red swollen area around the nail on a finger

Answer 28

paronychia

Question 29

paronychia - tx plan w/o abscess

Answer 29

soak affected finger in warm water for 20 minutes TID, apply topical abx such as triple antibiotic or mupirocin

Question 30

inherited skin disorder in which squamous epithelial cells undergo rapid mitotic division and abnormal maturation

Answer 30

psoriasis

Question 31

koebner pnehomenon is to

Answer 31

psoriasis

Question 32

auspitz sign is to

Answer 32

psoriasis

Question 33

patient c/o pruritis erythematous plaques covered with fine silvery white scales with pitted fingernails

Answer 33

psoriasis

Question 34

psoriasis limited disease tx
3

Answer 34

topical steroids
emollients
retinoids

Question 35

psoriasis severe disease treatment

Answer 35

phototherapy
systemic agents such as methotrexate, cyclosporine