Warts (on hands and/or feet)

Question 1

Warts are cause by what?

Answer 1

Human papillomavirus (HPV).

Question 2

HPV Infection occurs by….

Answer 2

direct skin contact, with maceration or sites of trauma predisposing patients to inoculation.

Question 3

Cutaneous warts may manifest as:
(a) __________ (verruca vulgaris)
(b) __________ (verruca plantaris)
(c) __________ (verruca plana)
(d) Genital Warts (covered in Infectious Disease Block)

Answer 3

a) Common warts
b) Plantar warts
c) Flat (plane) warts

Question 4

This defines what type of warts
(1) Warts are typically few in number.
(2) Common sites are the hands, periungual skin, elbows, knees and plantar surfaces.
(3) The black dots are thrombosed capillaries.
(4) Warts may occur singly, in groups, or as coalescing warts forming plaques.

Answer 4

Verrucae Vulgaris (Common warts)

Question 5

This defines what type of warts
(1) Slightly elevated and flat-topped.
(2) Vary in size from 0.1-0.3 cm.
(3) May be a few or numerous and often occur grouped or in a line as a result of spread from scratching.
(4) Typical sites are forehead, back of the hands, the chin, neck and legs.
(5) Typically asymptomatic, however, cosmetically distressing.

Answer 5

verruca plantaris
Flat (Plane) Warts

Question 6

This defines what type of warts
(1) Caused by HPV infection on the plantar foot.
(2) Frequently occurs at points of maximal pressure, such as over the heads of the metatarsal bones.
(3) A cluster of many warts is called a “mosaic wart”.
(4) Black dots help discriminate from callus or corn.
(5) Corns have a hard, painful translucent central core.

Answer 6

Plantar Warts
(verruca plantaris)

Question 7

True/False
Many wart therapies require prolonged treatment or multiple office visits and have inconsistent efficacy.

Answer 7

True

Question 8

Clinicians should communicate expectations for the treatment course of warts as well as the possibility of _______ and _________.

Answer 8

treatment failure and recurrence

Question 9

Duct Tape Application:
-Wart covered with duct tape for cycles lasting _____ days then removed. Wart is soaked, gently debrided, and left uncovered for 1 day.

Answer 9

six

Question 10

What is a disadvantage of Salicylic acid

Answer 10

Terrible Compliance