SARAH MICHELLE CRASH COURSE STUDY GUIDE SOLUTION NEW UPDATE 2025
Treatment for Rocky Mountain Spotted Fever - Correct Answer-Doxycycline for any age and regardless of
pregnancy
Presentation of Rocky Mountain Spotted Fever - Correct Answer-Rash on palms of hands and soles of feet
pops up after 3-5 days of initial treatment
Presentation of Lyme Disease - Correct Answer-Bulls eye rash
Lyme disease is also known as... - Correct Answer-Erythema migrans
Treatment for Lyme disease over 8 years old - Correct Answer-Doxycycline
Treatment for Lyme disease less than 8 years old - Correct Answer-Amoxicillin
Aphthous Stomatitis vs herpes - Correct Answer-Aphthous Stomatits: kanker sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes - Correct Answer-Antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria - Correct Answer-Staph aureus & strep pyogenies
Impetigo presentation - Correct Answer-Honey crusted lesions
2 types of Impetigo treatment - Correct Answer-Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation - Correct Answer-Christmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment - Correct Answer-Self limiting
Rubeola presentation - Correct Answer-Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention - Correct Answer-MMR vaccine after 12 months old
( live vaccine)
Mumps presentation - Correct Answer-Parotid gland swelling
Sialolithiasis: what is it! - Correct Answer-Salivary gland stone
Mass under chin when eating
actinic keratosis presentation - Correct Answer-Dry pink lesions on a sun exposed area
actinic keratosis treatment - Correct Answer-5FU cream (topical chemo) and use liquid nitrogen
(cryotherapy)
If actinic keratosis is left untreated, what can it develop into? - Correct Answer-squamous cell carcinoma
,sqamous cell carcinoma presentation - Correct Answer-Slow growing scaly ulcerated, bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be - Correct Answer-
Refer to dermatology
ABCDEs of melanoma - Correct Answer-asymmetry, border, color, diameter >6 mm, evolving
seborrheic keratosis: do lesions need to be removed - Correct Answer-No- they are benign
most common type of skin cancer - Correct Answer-basal cell carcinoma
basal cell carcinoma presentation - Correct Answer-Shiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this - Correct Answer-Refer to derm
Another name for atopic dermatitis - Correct Answer-Eczema
eczema (atopic dermatitis) presentation - Correct Answer-Pruitic, itch scratch cycle. Located on flexor
surfaces (like back of knees, axilla, elbows) .
Eczema, atopic dermatitis - treatment - Correct Answer-Topical corticosteroids
3A's - Correct Answer-Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation - Correct Answer-Silvery scales, itches
auspitz sign, psoriasis - Correct Answer-pinpoint bleeding after a scale is removed or after
Koebner phenomenon - Correct Answer-new psoriatic plaques form over areas of skin trauma. Trauma to
skin leads to having plaque in that spot
Plaque psoriasis treatment - Correct Answer-Topical steroids
Contact dermatitis treatment - Correct Answer-avoid offending agents, corticosteroids
Shingles presentation - Correct Answer-Severe, piercing, burning, stabbing nerve pain along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
shingles (herpes zoster) treatment - Correct Answer-Antivirals with 48 hours of onset of symptoms
Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention - Correct Answer-Shingrix (50 years and older). Most effective and preferred because
it's inactivated. We can give out no matter when the last outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
, Which type of shingles must be referred out? - Correct Answer-Shingles close to the eyes. Refer to
ophthalmology. It may lead to vision loss
Scabies presentation - Correct Answer-- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow; but infants often
do not have burrows on presentation.
Scabies treatment - Correct Answer-Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
chicken pox prevention - Correct Answer-Live attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox - Correct Answer-When all the lesions are crushed
over
Molluscum contagiosum presentation - Correct Answer-Flesh-colored papules w/ central umbilication.
Contagious
anthrax presentation - Correct Answer-Ulcerated, black, and painless
Who would you typically see anthrax in? - Correct Answer-Cattle farmers
Anthrax treatment - Correct Answer-Ciprofloxacin for another 2 months
alternative treatment doxycycline
Hidradenitis suppurativa presentation - Correct Answer-Painful and reoccurring in axillae
Hidradenitis Suppurativa Treatment - Correct Answer-Warm compress and antibiotics
If large abscess- may need incision and drainage to obtain cultures
Folliculitis - Correct Answer-inflammation / infection of the hair follicles
Follliculitis treatment - Correct Answer-Mupirocin
If severe: PO abx like PCN or Keflex
Leukoplakia - Correct Answer-Cannot be scraped off tongue
Refer to dentist
Most commonly seen in HIV patients
May be detrimental with enamel
Candidiasis (Thrush) - Correct Answer-Thick, white, raised patches in the mouth
Can be scraped off
Candidiasis (Thrush) treatment - Correct Answer-Nystatin swish and spit
Treatment for Rocky Mountain Spotted Fever - Correct Answer-Doxycycline for any age and regardless of
pregnancy
Presentation of Rocky Mountain Spotted Fever - Correct Answer-Rash on palms of hands and soles of feet
pops up after 3-5 days of initial treatment
Presentation of Lyme Disease - Correct Answer-Bulls eye rash
Lyme disease is also known as... - Correct Answer-Erythema migrans
Treatment for Lyme disease over 8 years old - Correct Answer-Doxycycline
Treatment for Lyme disease less than 8 years old - Correct Answer-Amoxicillin
Aphthous Stomatitis vs herpes - Correct Answer-Aphthous Stomatits: kanker sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes - Correct Answer-Antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria - Correct Answer-Staph aureus & strep pyogenies
Impetigo presentation - Correct Answer-Honey crusted lesions
2 types of Impetigo treatment - Correct Answer-Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation - Correct Answer-Christmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment - Correct Answer-Self limiting
Rubeola presentation - Correct Answer-Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention - Correct Answer-MMR vaccine after 12 months old
( live vaccine)
Mumps presentation - Correct Answer-Parotid gland swelling
Sialolithiasis: what is it! - Correct Answer-Salivary gland stone
Mass under chin when eating
actinic keratosis presentation - Correct Answer-Dry pink lesions on a sun exposed area
actinic keratosis treatment - Correct Answer-5FU cream (topical chemo) and use liquid nitrogen
(cryotherapy)
If actinic keratosis is left untreated, what can it develop into? - Correct Answer-squamous cell carcinoma
,sqamous cell carcinoma presentation - Correct Answer-Slow growing scaly ulcerated, bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be - Correct Answer-
Refer to dermatology
ABCDEs of melanoma - Correct Answer-asymmetry, border, color, diameter >6 mm, evolving
seborrheic keratosis: do lesions need to be removed - Correct Answer-No- they are benign
most common type of skin cancer - Correct Answer-basal cell carcinoma
basal cell carcinoma presentation - Correct Answer-Shiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this - Correct Answer-Refer to derm
Another name for atopic dermatitis - Correct Answer-Eczema
eczema (atopic dermatitis) presentation - Correct Answer-Pruitic, itch scratch cycle. Located on flexor
surfaces (like back of knees, axilla, elbows) .
Eczema, atopic dermatitis - treatment - Correct Answer-Topical corticosteroids
3A's - Correct Answer-Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation - Correct Answer-Silvery scales, itches
auspitz sign, psoriasis - Correct Answer-pinpoint bleeding after a scale is removed or after
Koebner phenomenon - Correct Answer-new psoriatic plaques form over areas of skin trauma. Trauma to
skin leads to having plaque in that spot
Plaque psoriasis treatment - Correct Answer-Topical steroids
Contact dermatitis treatment - Correct Answer-avoid offending agents, corticosteroids
Shingles presentation - Correct Answer-Severe, piercing, burning, stabbing nerve pain along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
shingles (herpes zoster) treatment - Correct Answer-Antivirals with 48 hours of onset of symptoms
Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention - Correct Answer-Shingrix (50 years and older). Most effective and preferred because
it's inactivated. We can give out no matter when the last outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
, Which type of shingles must be referred out? - Correct Answer-Shingles close to the eyes. Refer to
ophthalmology. It may lead to vision loss
Scabies presentation - Correct Answer-- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow; but infants often
do not have burrows on presentation.
Scabies treatment - Correct Answer-Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
chicken pox prevention - Correct Answer-Live attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox - Correct Answer-When all the lesions are crushed
over
Molluscum contagiosum presentation - Correct Answer-Flesh-colored papules w/ central umbilication.
Contagious
anthrax presentation - Correct Answer-Ulcerated, black, and painless
Who would you typically see anthrax in? - Correct Answer-Cattle farmers
Anthrax treatment - Correct Answer-Ciprofloxacin for another 2 months
alternative treatment doxycycline
Hidradenitis suppurativa presentation - Correct Answer-Painful and reoccurring in axillae
Hidradenitis Suppurativa Treatment - Correct Answer-Warm compress and antibiotics
If large abscess- may need incision and drainage to obtain cultures
Folliculitis - Correct Answer-inflammation / infection of the hair follicles
Follliculitis treatment - Correct Answer-Mupirocin
If severe: PO abx like PCN or Keflex
Leukoplakia - Correct Answer-Cannot be scraped off tongue
Refer to dentist
Most commonly seen in HIV patients
May be detrimental with enamel
Candidiasis (Thrush) - Correct Answer-Thick, white, raised patches in the mouth
Can be scraped off
Candidiasis (Thrush) treatment - Correct Answer-Nystatin swish and spit
