SARA MICHELLES CRASH COURSE EXAM ACTUAL

SARA MICHELLE'S CRASH COURSE EXAM ACTUAL /

QUESTIONS AND VERIFIED ANSWERS.

Eschar on the heel -----Answers---typically seen with diabetics if it is stable with no signs of infections it should not be removed or soaked by the patient

Scabies -----Answers---between fingers & ties intently pruritic & everyone in the house has same symptoms

TXT: permethrin cream & wash everything in hot water usually

have to treat twice to get rid of it effectively

Chicken Pox -----Answers---Lesions in various stages of healing Varicella Vaccine- LIVE must be 12 months of age Can return to school when all of the lesions are crusted over

Head Lice -----Answers---Pruitis all throughout the day and night

TXT: permethrin- only kills live lice therefore the nits (eggs)

must be combed out. may need 2 treatments. wash bedding & other items in hot water

Molluscum Contagiosum -----Answers---If located in the groin area- possible sexual abuse Impregnated or dimple lesion highly contagious 1 / 4

TXT: self-limiting takes a few months

Anthrax -----Answers---Cattle Farmer ulcerated & black lesion that is painless

TXT: CIPRO for at least 2 months. also treated with

tetracycline- doxycycline

Hidradenitis Suppurativia -----Answers---Recurrent issue- not due to hygiene more linked to genetics risk factors- smoking & obesity abscess in the axilla

TXT: I&D & wound culture

Mild= warm compresses and ABX- long term

Folliculitis -----Answers---infection of the hair follicles

TXT: topical mupirocin

Severe- oral ABX penicillin or Keflex

Rosacea -----Answers---Erythematous facial rash that does NOT spare the nose

TXT: topical flatly gel

Lupus -----Answers---Erythematous facial rash that DOES spare the nasolabial folds (MALOR RASH)

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Sjogren's Syndrome -----Answers---Very dry eyes & mouth commonly seen in Lupus

Erysipelas -----Answers---Sharply defined with well-defined borders superficial cellulitis

TXT: Keflex or Penicillin

Purulent Cellulitis -----Answers---Possible MRSA Bactrim Clindamyacin Doxycline

Non-Purulent Cellulitis -----Answers---Erythematous angry looking swollen

TXT: Keflex or PCN

Geographical tongue -----Answers---BENIGN caused by spicy & hot foods

Leukoplakia -----Answers---can not scrape off of tongue refer to dentists commonly seen with HIV

Candidiasis -----Answers---Can scrape off of tongue 3 / 4

Rubeola -----Answers---Measles starts with a fever, cough, congestion (Coryza) & conjunctivitis (pink watery eyes)- 10 days after exposure rash on day 15 when fever breaks Koplic Spots- mouth tiny sand grains surrounded by erythematous base on the buccal mucosa (2-3 days after symptoms) contagious airborne- 1 week after exposure 304 days before rash & 3-4 days after rash causes PNA & encephalitis

TXT: antpyretics, hydration & rest (days 22-24 rash resolves

along w/ measles) MMR at 12 months & 4 yrs- LIVE vaccine

Mumps -----Answers---Parotid gland swelling (bulimia can cause this too from repetitive vomiting)

Rubella -----Answers---German measles Rash- pink & starts on face and spreads to rest of the body fever, swollen cervical lymph nodes

TXT: hydration, rest, Tylenol & Motrin

Contagious- do not want pregnant women to catch- fetus= birth defects or miscarriage most worrisome 1st trimester

Roseola -----Answers---6th disease

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