CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS
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Treatment for Gonorrhea - CORRECT ANSWER ✔✔✔✔✔ Rocephin (Ceftriaxone)
250mg IM and Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
Treatment for Chlamydia - CORRECT ANSWER ✔✔✔✔✔ Azithromycin 1 gm po
x1 or doxy 100 mg BID x 7 days
or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for preggo
Treatment for Bacterial vaginosis - CORRECT ANSWER ✔✔✔✔✔ Flagyl BID x 7
days
Candidia vaginitis treatment - CORRECT ANSWER ✔✔✔✔✔ diflucan 100mg x1
Treatment for trichomonias - CORRECT ANSWER ✔✔✔✔✔
Fever, chills, N/v, photophobia, myalgia, arthralgias usually present then report
development of a petechial rash on forearms, ankles, wrists, that spreads towards trunk
,and becomes generalized. Pt usually reports spending time in the woods. - CORRECT
ANSWER ✔✔✔✔✔ Rocky Mountain Spotted Fever
What is the diagnosis and treatment for Rocky Mountain Spotted Fever? - CORRECT
ANSWER ✔✔✔✔✔ PCR essay with Rickessetti antigen
tx: doxycycline
What is the diagnosis and treatment for lyme disease (erythema migraines)? -
CORRECT ANSWER ✔✔✔✔✔ Dx: B. Burgdorferi via ELISA then confirm with
western blot
TX: doxycycline
or amoxicillin if less than 7 yo
Dark moles, uneven texture, different colors, irregular, > 6mm, an itch - CORRECT
ANSWER ✔✔✔✔✔ melanoma
Target or bulls-eye. Abruptly, hives, blisters, peticiae, purpura, necrosis, sloughing of
tissues. Extensive mucosal involvement. Prodrome of fevers with flu like symptoms.
Usually triggered by medication - CORRECT ANSWER ✔✔✔✔✔ Stevens Johnson
Syndrome
What medications are more likely to cause Stevens Johnson Syndrome? - CORRECT
ANSWER ✔✔✔✔✔ Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS.
Pt with HIV is at increased risk
Inherited. Pruritic erythematous plaques, fine silvery-white scales with pitted fingernails.
Can occur on scalp, elbows, knees, sacrum, or intergluteal folds. - CORRECT
ANSWER ✔✔✔✔✔ psoriasis
What is the koebner phenomenon? - CORRECT ANSWER ✔✔✔✔✔ new psoriatic
plaques form over skin trauma
What is the auspitz sign? - CORRECT ANSWER ✔✔✔✔✔ pinpoint bleeding when
plaques are removed
What is the treatment for psoriasis? - CORRECT ANSWER ✔✔✔✔✔ mild: topical
steroids, tar preps
if severe: anti-TNF (-mab (Humira)), methotrexate, or other immunologic therapy
,What is acanthros nigricans indicative of? - CORRECT ANSWER ✔✔✔✔✔ insulin
resistance
What is the treatment for scabies? - CORRECT ANSWER ✔✔✔✔✔ Permethrin
cream x1, treat the whole household, wash belongings in hot water
Extremely itchy. Appears on flexural folds, neck, hands. Small vesicles that rupture
leaving painful, bright-red, weepy lesions that become lichenified from itching. -
CORRECT ANSWER ✔✔✔✔✔ atopic dermatitis (eczema)
What is the treatment for atopic dermatitis? - CORRECT ANSWER ✔✔✔✔✔
topical steroids, avoid hot water/soaps
If more sever consider po antihistamines
Dry round, pink to red lesion with a rough and scaly texture. Does not heal. Slow
growing in sun exposed areas. - CORRECT ANSWER ✔✔✔✔✔ actinic keratosis
what is the treatment for actinic keratosis? - CORRECT ANSWER ✔✔✔✔✔
cryotherapy or 5-FU cream
DX: biopsy is gold standard
Soft round wart light tan to black looks pasted on - CORRECT ANSWER ✔✔✔✔✔
seborrhic keratosis
benign and asymptomatic
What should you watch for in a diabetic with cellulitis? - CORRECT ANSWER
✔✔✔✔✔ osteomyelitis
What is a patient at risk for developing if they have cellulitis? - CORRECT ANSWER
✔✔✔✔✔ osteomyelitis or DVT
What is the treatment for erysipelas? - CORRECT ANSWER ✔✔✔✔✔ Penicillin
(dicloxacillin) for 10 days
What is the treatment for an abcess? - CORRECT ANSWER ✔✔✔✔✔ Think
MRSA: bactrim, doxy, or clindamycin
Pearly, waxy, skin lesion, atrophic, ulcerated center that does not heal - CORRECT
ANSWER ✔✔✔✔✔ basal cell carcinoma
, what are the two main antibiotics for skin conditions? - CORRECT ANSWER
✔✔✔✔✔ Keflex (cefalexin) or penicillin
Intermittent claudication that feels better when they rest/lay down or dangling. Legs
appear shiny, hairless, with round smooth sores on toes or bottom of feet, eschar can
be present, diminished pulses. - CORRECT ANSWER ✔✔✔✔✔ PAD
what ABI indicates PAD? - CORRECT ANSWER ✔✔✔✔✔ ABI < 0.9
What is the main risk factor for PAD? - CORRECT ANSWER ✔✔✔✔✔ smoking
Edema, redness/purple/dark skin, varicose veins present often, sores with irregular
borders on ankles, yellow slough or ruddy skin, pulses present - CORRECT
ANSWER ✔✔✔✔✔ Venous insufficiency (PVD)
What are pt with PVD at risk for? - CORRECT ANSWER ✔✔✔✔✔ DVT
What is the treatement for mastitis? - CORRECT ANSWER ✔✔✔✔✔ (inflammed
breast tissue)
TX: keflex (cefalexin) or penicillin, use warm compresses, continue to breast feed.
What is the treatement for acne vulgaris? - CORRECT ANSWER ✔✔✔✔✔ -
topicals
- add an po antibiotic (tetracycline)
- refer to derm for accutane
What is the treatement for localized impetigo - CORRECT ANSWER ✔✔✔✔✔
topical mupirocin (bactroban)
severe: keflex (cefalexin)
What needs to be monitored while taking accutane? - CORRECT ANSWER
✔✔✔✔✔ LFTs, 2 forms of contraceptives, monthly pregnancy testing, only prescribe
one month supply
chronic and small acne-like papules around nose mouth and chin. - CORRECT
ANSWER ✔✔✔✔✔ Acne Rosacea
What is the treatment for acne rosacea? - CORRECT ANSWER ✔✔✔✔✔ topical
metrogel (metronidazole), azelex (azeleic acid), or tetracycline.