Sarah Michelle Crash Course Questions With Correct Answers Latest Updated 2024 (Graded A+)

Sarah Michelle Crash Course Questions With Correct Answers Latest Updated 2024 (Graded A+) Treatment for Rocky Mountain Spotted Fever -Ans Doxycycline for any age and regardless of pregnancy Presentation of Rocky Mountain Spotted Fever -Ans Rash on palms of hands and soles of feet pops up after 3-5 days of initial treatment Presentation of Lyme Disease -Ans Bulls eye rash Lyme disease is also known as... -Ans Erythema migrans Treatment for Lyme disease over 8 years old -Ans Doxycycline Treatment for Lyme disease less than 8 years old -Ans Amoxicillin Aphthous Stomatitis vs herpes -Ans Aphthous Stomatits: kanker sore inside the mouth Herpes: painful clustered vesicles located outside the mouth Treatment for herpes -Ans Antivirals with 48-72 hours Valtrex or Acyclovir Impetigo - 2 causes of bacteria -Ans Staph aureus & strep pyogenies Impetigo presentation -Ans Honey crusted lesions 2 types of Impetigo treatment -Ans Bullous: PO antibiotics Sarah Michelle Crash Course Questions With Correct Answers Graded A+ / Latest Updated 2024 Nonbollous: mupirocin ointment Pityriasis Rosea presentation -Ans Christmas tree like pattern rash Herald Patch pityoriasis rosea treatment -Ans Self limiting Rubeola presentation -Ans Cough, congestion, conjunctivitis (3 C's). 3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots) Rubeola prevention -Ans MMR vaccine after 12 months old ( live vaccine) Mumps presentation -Ans Parotid gland swelling Sialolithiasis: what is it! -Ans Salivary gland stone Mass under chin when eating actinic keratosis presentation -Ans Dry pink lesions on a sun exposed area actinic keratosis treatment -Ans 5FU cream (topical chemo) and use liquid nitrogen (cryotherapy) If actinic keratosis is left untreated, what can it develop into? -Ans squamous cell carcinoma sqamous cell carcinoma presentation -Ans Slow growing scaly ulcerated, bleeds easily if squamous cell CA is suspected and a visible lesion is present, the next step should be -Ans Refer to dermatology ABCDEs of melanoma -Ans asymmetry, border, color, diameter >6 mm, evolving seborrheic keratosis: do lesions need to be removed -Ans No- they are benign most common type of skin cancer -Ans basal cell carcinoma basal cell carcinoma presentation -Ans Shiny, waxy, pearly May see telangiectasia with this basal cell carcinoma : what should we do if we see this -Ans Refer to derm Another name for atopic dermatitis -Ans Eczema eczema (atopic dermatitis) presentation -Ans Pruitic, itch scratch cycle. Located on flexor surfaces (like back of knees, axilla, elbows) . Eczema, atopic dermatitis - treatment -Ans Topical corticosteroids 3A's -Ans Asthma, allergies, atopic dermatitis Plaque Psoriasis presentation -Ans Silvery scales, itches auspitz sign, psoriasis -Ans pinpoint bleeding after a scale is removed or after Koebner phenomenon -Ans new psoriatic plaques form over areas of skin trauma. Trauma to skin leads to having plaque in that spot Plaque psoriasis treatment -Ans Topical steroids Contact dermatitis treatment -Ans avoid offending agents, corticosteroids Shingles presentation -Ans 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 -Ans Antivirals with 48 hours of onset of symptoms Acyclovir ( cheapest) or Valcyclovir Shingles prevention -Ans 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? -Ans Shingles close to the eyes. Refer to ophthalmology. It may lead to vision loss Scabies presentation -Ans - 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 -Ans 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 -Ans Live attenuated vaccine Only to be given after 12 months old When can children return to school after chickenpox -Ans When all the lesions are crushed over Molluscum contagiosum presentation -Ans Flesh-colored papules w/ central umbilication. Contagious anthrax presentation -Ans Ulcerated, black, and painless Who would you typically see anthrax in? -Ans Cattle farmers Anthrax treatment -Ans Ciprofloxacin for another 2 months alternative treatment doxycycline Hidradenitis suppurativa presentation -Ans Painful and reoccurring in axillae Hidradenitis Suppurativa Treatment -Ans Warm compress and antibiotics If large abscess- may need incision and drainage to obtain cultures Folliculitis -Ans inflammation / infection of the hair follicles EMAIL ME: EMAIL ME: Follliculitis treatment -Ans Mupirocin If severe: PO abx like PCN or Keflex Leukoplakia -Ans Cannot be scraped off tongue Refer to dentist Most commonly seen in HIV patients May be detrimental with enamel Candidiasis (Thrush) -Ans Thick, white, raised patches in the mouth Can be scraped off Candidiasis (Thrush) treatment -Ans Nystatin swish and spit Encopresis -Ans a childhood disorder characterized by repeated defecating in inappropriate places, such as one's clothing after already being toilet trained. Child resists having bowel movements, causing impacted stool to collect in the colon and rectum and lead to leakage. Encopresis Treatment -Ans Daily laxatives until BM is soft and regular Behavior management: toilet refusal behavior, scheduled toileting time, incentives. Prevention of constipation Counseling Reduce family tension What indicates hepatitis B immune -Ans Hepatitis surface antibody What indicates Hepatitis b is active -Ans Hepatitis B surface antigen (lasts 1-10 weeks after infection ) EMAIL ME: EMAIL ME: IgM Liver enzyme that is grossly elevated in hepatitis -Ans ALT compared to AST Liver enzymes that is elevated when liver is damaged due to alcohol or medications like APAP - Ans AST compared to ALT Viral infections like hepatitis would predominantly have _______, as compared to bacterial infection predominantly would have _____ on labs -Ans Lymphocytes (viral infections) Leukocytes ( bacterial infections) Which medication produces rapid relief for stomach acid? -Ans Calcium carbonate (tumsAntacids) however it does not relief symptoms as long H2 blockers- end in dine (rantadine, famotidine). Provides relief in 1-2 hours for 6-12 hours. As compared to PPIs , they are not as fast, but are stronger (omeprazole, pantoprazole). They provide relief after several hours and relieve up to days Which lab is elevated in pancreatitis -Ans Serum amylase