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A patient who has never had an outbreak of oral lesions reports a burning sensation on the oral mucosa
and then develops multiple painful rounds vesicles at the site. A tzanck culture confirms HSV-1 infection.
What will the provider tell the patient about this condition?
the initial episode is usually the most severe
An older patient experiences a herpes zoster outbreak and asks the provider if she is contagious because
she is going to be around her grandchild who is too young to be immunized for varicella, What will the
provider tell her?
contagion is possible until all of her lesions are crusted.
A patient has a unilateral vesicular eruption which is described as burning and stabbing in intensity. To
differentiate between herpes simplex and herpes zoster, which test will the provider order?
PCR analysis
which medication will the provider prescribe as first-line therapy to treat tinea capitis?
Oral griseofulvin
when collecting a specimen to determine a diagnosis of tinea corporis, the provider will scrape which
portion of the lesion?
the active, leading border
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, When evaluating scalp lesions in a patient suspected of having tinea capitis, the provider uses a wood
lam and is unable to elicit fluoroesence. how is this significant?
the patient may have tinea capitis.
What is true about electrical injuries>
alternating current causes skeletal muscle contraction, electrical injury may cause more necrosis,
lightening is less lethal because duration of shock is short.
An adult patient has epiglottitis secondary to chemical burn. Which medication will be given initially to
prevent complications.
Define the standard of care
This is the obligation of the physician to perform acts that a reasonable or prudent physician in a similar
situation would perform
Define the patient-provider relationship
The relationship is built on trust. The patient trusts the provider with their healthcare and the provider
trusts the patient to fulfill duties recommended by the provider.
A patient who works in a furniture manufacturing ship reports a sudden onset of severe eye pain while
sanding a piece of wood and now has tearing, redness, and light sensativity. What is the next step?
application of topical flourescein dye
A child has localized nodule on one eyelid which is warm, tender, and erythematous. On exam, the
provider notes clear conjunctivae and no discharge. what is recommended treatment?
warm compresses and massage of the lesion
A patient has a gradually enlarging nodule on one upper eyelid and reports that the lesion is painful. On
exam, the lesion appears warm and erythematous. the provider knows that this is likely what?
Hordeolum
A patient reports he has been using artificial tears for comfort because of burning and itching in both
eyes, but reports worsening symptoms. the provider notes redness and discharge along the eyelid
margins. what is recommended treatment?
Compresses, lid scrubs, and antibiotic ointment
A patient who has a cold develops conjunctivitis. The provider notes erythema of one eye with profuse,
watery discharge and enlarged anterior cervical lymph nodes, along with a fever. Which treatment is
inidcated.
artificial tears and cool compresses
A patient reports bilateral reports burning and itching eyes for several days. The provider notes a boggy
appearance to the conjunctivae, along with clear, watery discharge. Which type of conjunctivitis is most
likely?
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