FNP- DERMATOLOGY PRACTICE EXAM QUESTIONS AND ANSWERS 2024

Scabies itch mite name sarcoptes scabiei var. hominis scabies mode of transmission close personal contact. Highly contagious scabies characteristics scaly lesions at site of invasion- warty and encrusted intraepidermal burrow papule ex moles macule ex freckles wheal ex mosquito bite vesicle ex. herpes simplex Bulla vesicle larger than 1 cm. ex blister purpura does not blanch with pressure Scabies Treatment Permethrin 5% lotion first line for patient Antihistamines or topical steriods for itching Clean household and bedding with hot water and detergent Systemic: Ivermectin200mcg/kg topical medication dispensing prescribe enough to complete course of treatment! How many grams should you prescribe cream for Hands, head, face, anogenital region? 2grams QD 4grams total for BID (2g x 2 dose) 28grams (BID x 7days) How many grams of cream should you prescribe for One arm, anterior or posterior trunk 3gram for QD 6 grams for BID (3g x2 dose) 42 grams for BID for 1 week (6grams x 7 days) how many grams of cream should you prescribe for one leg? 6 grams for QD 12 grams for BID (6x 2 dose) 320grams for BID for 1 week how many grams of cream are needed to cover entire body? 30- 60 grams one dose 420-840 grams for BID x 1 day 60-120oz needed for 1 week BID dosing The less viscous the vehicle containing a medication, the less of the medication is absorbed. T or F True Which is better absorbed- lotion or ointment? Lotion Scabies symptoms Itching worse at night! How long is the incubation period for scabies on initial exposure/ 4-6 Weeks Common sites of scabies infestation in adults hands (90%), especially fingerwebs flexor aspects of the wrists Waistline Thighs Navel Intergluteal cleft Penis Aerola Axillary folds Permethrin 5% CREAM instructions Apply over entire body from neck down prior to going to bed. Cream left on overnight Remove cream by bathing in 8-14 hours Two applications about one week apart are recommended in order to kill all mites Should you treat all household members for scabies or just the infected person? ALL MEMBERS! How long should symptoms resolve in those treated for scabies? 4 weeks Oral Candidiasis symptoms sore throat, dysphagia