skin mycotic infections Flashcards

Diagnose and treat superficial fungal skin infections. Differentiate black and white piedra. Identify ringworm infections. Diagnose and treat subcutaneous fungal skin infections.

1
Q

discrete hyper-pigmented or hypopimented macular lesions on trunk, or arms

A

tinea veriscolor

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2
Q

KOH treated skin scrapings show “spagetti and meatballs” fungus

A

tinea versicolor

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3
Q

generally asymptomatic, but consisting of brownish macular skin lesions on palms and soles

A

tinea nigra

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4
Q

endemic areas for tinea nigra

A

florida, tropics

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5
Q

diagnosis confirmed on sabourand’s medium

A

tinea nigra

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6
Q

superfical fungal infection of the hair, consisting of black, hard nodules on the hair shaft

A

black piedra

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7
Q

softwhite pasty growths on hair shafts

A

white piedra

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8
Q

hair infection caused by yeast-like orginism

A

white piedra

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9
Q

treatment of tinea versicolor/tinea nigra

A

miconizole nitrate

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10
Q

MOA of miconizole nitrate

A

inhibits ergosterol

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11
Q

treatment of black/white piedra

A

shave the hair

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12
Q

area of skin lesion to scrape

A

edges (has more fungal agent)

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13
Q

chemical used in fungal microscopic identidification

A

KOH

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14
Q

medium used for fungal microscopic identidification

A

sabourand’s dextrose agar

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15
Q

criteria used to identify funusd

A

size, color, texture of colonies as well as fungal element ans spore morphology

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16
Q

ergosterol sythesis inhibitors

A

mconazole, clortrimazole, and econazole

17
Q

oral drug for tiniea

A

griseofulvin

18
Q

MOA of griseofulvin

A

inhibits fungal microtubular system and mitotic spindle formation

19
Q

nodular and ulcerative lesions starting at site of trauma and spreadin alon lymphatics

A

lymphocutaneous sporortrichosis

20
Q

initially white colonies chanin to dark pimentations

A

lymphocutaneous sporortrichosis

21
Q

treatment for lymphocutaneous sporortrichosis

A

KOH orally, amphotericin for systemic

22
Q

slow devloping warty cutanous califlower lookin lesions

A

chromoblastomycosis

23
Q

exibits pseduoepitheliomatous hyperplasia

A

chromoblastomycosis

24
Q

diagnosed by sclerotic/medlar bodies

A

chromoblastomycosis

25
treatment for chromoblastomycosis
cautery/debridement. Fluorocytosine in advanced cases
26
solitary cysts in subQ tissues, esp in extremities
phaeohypomycosis
27
dark, pigmented hyphae
phaeohypomycosis
28
can lead to brain abcesses
phaeohypomycosis
29
treatment for phaeohypomycosis brain abcesses
amphotericin
30
common in tropical plant debris
zygomycosis
31
firm movable masses localized to subQ of face or limbs
zygomycosis
32
ranulomatous lesions rich in eosinophils
zygomycosis
33
treatment for zygomycosis
topical nystatin and oral KOH
34
chronic deformin, swollen lesions on feet, lower extremties and hands
eumycotic mycoses
35
treatment for eumycotic mycoses
nystatin and KOH. Possible surgery