Leprosy (bacterial)

Question 1

Leprosy is also know as

Answer 1

Hansen’s Disease

Question 2

Chronic disease of skin and peripheral nerves

Answer 2

Leprosy

Question 3

Causative agent for Leprosy

Answer 3

Mycobacterium Leprae

Question 4

Mode of transmission of Leprosy

Answer 4

Direct prolonged skin to skin contact
Droplet

Question 5

Early signs of Leprosy
(CLLUMP)

Answer 5

Change in skin color
Loss of sensation
Loss of sweating
Ulcers that do not heal
Muscle weakness
Painful and redden eyes

Question 6

Late signs of Leprosy
(MSCCLE)

Answer 6

Madarosis: loss of eyebrows
Sinking of the nose bridge
Contractures: hardening of muscles
Clawing of fingers and toes Lagopthalmos: inability to close eyelids
Enlargement of breast: gynecomastia

Question 7

Two classifications of Leprosy

Answer 7

Paucibacillary
Multibacillary

Question 8

Characteristics of Paucibacillary

Answer 8

Tubercoloid and indeterminate Incubation Period: 1-4 yrs
Not infectious
Few lesions
Few bacilli
6-9 mos treatment

Question 9

Characteristics of Multibacillary

Answer 9

Lepromatous and borderline
Incubation Period: 4-8 yrs
Highly Infectious
More lesions
More bacilli
24-30 mos treatment

Question 10

Diagnostic test for Leprosy

Answer 10

Slit skin smear

Question 11

Medical management for Leprosy

Answer 11

RA 4073 - Domiciliary treatment

Question 12

Tx for Paucibacillary Leprosy in adults day 1

Answer 12

Rifampicin 600mg 1/month
Dapsone 100mg daily

Question 13

Tx for Multibacillary Leprosy in adults day 1

Answer 13

Rifampicin 600mg 1/month
Clofazimine 300mg 1/month
Dapsone 100mg daily

Question 14

Tx for Paucibacillary Leprosy in adults day 2-28

Answer 14

Dapsone 100mg daily
6 blister packs monthly for 6-9 months

Question 15

Tx for Multibacillary Leprosy in adults day 2-28

Answer 15

Dapsone 100mg and Clofazimine 50mg daily
12 blister packs monthly, max: 18 months

Question 16

Tx for Paucibacillary Leprosy in child day 1

Answer 16

Rifampicin 450mg
Dapsone 50mg daily

Question 17

Tx for Multibacillary Leprosy in child day 1

Answer 17

Rifampicin 450mg
Clofazimine 150mg
Dapsone 50mg

Question 18

Tx for Paucibacillary Leprosy in child day 2-28

Answer 18

Dapsone 50mg daily

Question 19

Tx for Multibacillary Leprosy in child day 2-28

Answer 19

Clofazimine 50mg every other day and Dapsone 50mg

Question 20

Prevention for Leprosy

Answer 20

Avoid skin-skin contact
BCG vaccine
Personal hygiene
Adequate nutrition

Question 21

Early s/sx of Leprosy

Answer 21

Change in skin color
Loss of sensation
Loss of sweating
Ulcers that do not heal
Muscle weakness
Painful and reddened eyes

Question 22

Late s/sx of Leprosy

Answer 22

Maderosis - loss of eyebrows
Lagopthalmos - can’t close eyelids
Sinking of nose bridge
Contractures
Clawing of fingers and toes
Gynecomastia