Lice, scabies, spider bites

Question 1

Ectoparasites that live on the body and feed on human blood. Cause pruritis

Answer 1

pediculosis (lice)

Question 2

Treatment for pediculosis (lice) for all persons who have contact with infested patients

Answer 2

permethrin (Nix) crm or malathion.

Question 3

Used to treat lice when other measures have failed

Answer 3

ivermectin

Question 4

Results from infestation of mite that burrows under the host’s skin causing intense itching that is worse with warmth and at night

Answer 4

scabies

Question 5

Three most common skin disorders in children

Answer 5

scabies, tinea, pyoderma

Question 6

Linear tunnel that mite lives in.

Answer 6

burrow

Question 7

Common sites of involvement unique to infantile scabies

Answer 7

facial and palmoplantar

Question 8

Preferred treatment for scabies applied head to toe and left on for 8-14 hrs then washed with soap and water

Answer 8

permethrin crm

Question 9

Given to help relieve itching associated with scabies

Answer 9

atarax (hydroxyzine) or benadryl

Question 10

What should patient education for scabies treatment include?

Answer 10

Wash clothing, bedding or towels in hot water and dried using hot temperature

Question 11

Two spiders most likely to inflict medically significant bites

Answer 11

black widow and brown recluse

Question 12

Most prominent feature of widow spider bite

Answer 12

muscle pain, rigidity, tenderness

Question 13

What type of spider bite is a blanched circular patch with surrounding red perimeter and central punctum? Appears like a target

Answer 13

widow

Question 14

Treatment for mild envenomation of widow bite

Answer 14

clean w/soap and water, analgesia, muscle relaxers, tetanus prophylaxis

Question 15

Used to reduce frequency and severity of muscle spasms of widow bites with moderate to severe envenmation

Answer 15

parenteral benzos

Question 16

Where are brown recluses usually found?

Answer 16

midwestern and southeastern states

Question 17

Complication of brown recluse bite

Answer 17

skin necrosis

Question 18

Typical location for brown recluse bite

Answer 18

upper extremities, thorax, inner thigh

Question 19

When do symptoms of severe pain and itching from recluse bite usually present?

Answer 19

2-8hrs after bite

Question 20

What is included in wound care treatment for brown recluse bite?

Answer 20

clean w/soap and water, cold packs, elevate affected site

Question 21

Used to prevent progression to necrosis and reduce pain from brown recluse bite

Answer 21

dapsone

Question 22

What do you need to screen for before prescribing dapsone?

Answer 22

G6PD