CMN 572 STUDY EXAMS GUIDE QUESTIONS AND
ANSWERS SET A+
✔✔HSV primary treatment includes? - ✔✔Acyclovir 400mg 5x/day, Valacyclovir 1 G
BID, Famcyclovir 250mg TID. Tx continues for 7-10 days
✔✔HSV secondary infection treatment? - ✔✔Pharmacotherapy must be initiated at the
first s/s of recurrence to be effective
Valacyclovir 500mg BID, Acyclovir 200mg BID, Famciclovir 125mg BID. Tx continues
for 5 days
✔✔HSV suppression therapy? - ✔✔Helps control disease and limits viral shedding
Acyclovir 400mg BID, Valacyclovir 500mg daily, Famciclovir 125-200mg BID
Long Term Suppression- Daily
✔✔What is the treatment for Erythema Multiforme/SJS/TENs? - ✔✔Stop offending
medications (most often NSAIDs, Sulfas, Allopurinol, Anticonvulsants)
If ANY eye involvement- Opthalmology Consult!!!!
✔✔Cellulitis can be treated with po antibiotics in office, but must be re-evaluated within?
- ✔✔24-72 hours
✔✔What should Molluscum Contagiosu be treated with? - ✔✔Liquid nitrogen/curettage
OR cantharadin applied in office/washed off 4 hours later OR KOH BID until lesions
clear
✔✔What is the treatment for basal cell carcinoma? - ✔✔Refer for removal
Follow up annually
✔✔What is the treatment for squamous cell carcinoma? - ✔✔Refer for removal
Follow up every three months for first year, then BID
, ✔✔Lichen Planus should be treated with what potency CS? - ✔✔Super potent CS-
Halcinonide, Clobetasol, Tacrolimus ( for vaginal/oral lesions)
✔✔Scabies is treated with? What will relieve the itching? - ✔✔Permethrin 5% cream
applied to neck to toe for 8-12 hours; repeat in 1 week
Use Triamcinolone cream (moderate potency CS) to relieve itching
✔✔Pediculosis treatment regimen consists of: - ✔✔Permethrin 1% cream- leave on for
8 hours, wash out. Treat again in one week. Treat all household members
✔✔Impetigo can be treated with: - ✔✔1st Line (adults): Bacitracin, Bactroban, and
retapamulin for small areas- Widespread areas: Cephalexin 250mg QID, Doxycycline
100mg BID
In children: Clindamycin, Augmentin
Can also use cephalosporins, b-lactamase PCN for 7-10 days.
IF MRSA: Use Doxycycline or Bactrim
✔✔What is the treatment for vitiligo? - ✔✔High potency corticosteroids, Calcipotreine
(vitamin D analog), UVB
If < 20%TBSA- Tx w/ Tacrolimus
If 20-25% TBSA- Tx w/ UVB treatment
✔✔Hand-Foot-Mouth disease is caused by what virus? What is the treatment? -
✔✔Coxsackie Virus; No treatment- Self resolves in 1-2 weeks
✔✔Care for the patient w/ varicella includes: - ✔✔Supportive care
May use antivirals, such as Acyclovir
✔✔HErpes Zoster can be treated and prevented with? - ✔✔Treat: antivirals and CS to
reduce pain
Prevent: Zostavax at 60 y.o, regardless of whether they have had chicken pox or not!
✔✔Postherpatic Neuralgia, r/t herpes zoster, can be treated with? - ✔✔Amitriptyline,
Gabapentin, TCAs, Capsaicin cream, Duloxetine
✔✔What care should be given to a patient with mumps? - ✔✔Supportive Care- Isolate
patient until swelling subsides
Some places may treat with IVIG
✔✔Roseola Infantum requires treatment with ? - ✔✔Supportive Care
Give Tylenol for fever
✔✔How long should a patient with mono be required to sit out of sports? Why? - ✔✔6-8
wks; Concerned about splenomegaly
ANSWERS SET A+
✔✔HSV primary treatment includes? - ✔✔Acyclovir 400mg 5x/day, Valacyclovir 1 G
BID, Famcyclovir 250mg TID. Tx continues for 7-10 days
✔✔HSV secondary infection treatment? - ✔✔Pharmacotherapy must be initiated at the
first s/s of recurrence to be effective
Valacyclovir 500mg BID, Acyclovir 200mg BID, Famciclovir 125mg BID. Tx continues
for 5 days
✔✔HSV suppression therapy? - ✔✔Helps control disease and limits viral shedding
Acyclovir 400mg BID, Valacyclovir 500mg daily, Famciclovir 125-200mg BID
Long Term Suppression- Daily
✔✔What is the treatment for Erythema Multiforme/SJS/TENs? - ✔✔Stop offending
medications (most often NSAIDs, Sulfas, Allopurinol, Anticonvulsants)
If ANY eye involvement- Opthalmology Consult!!!!
✔✔Cellulitis can be treated with po antibiotics in office, but must be re-evaluated within?
- ✔✔24-72 hours
✔✔What should Molluscum Contagiosu be treated with? - ✔✔Liquid nitrogen/curettage
OR cantharadin applied in office/washed off 4 hours later OR KOH BID until lesions
clear
✔✔What is the treatment for basal cell carcinoma? - ✔✔Refer for removal
Follow up annually
✔✔What is the treatment for squamous cell carcinoma? - ✔✔Refer for removal
Follow up every three months for first year, then BID
, ✔✔Lichen Planus should be treated with what potency CS? - ✔✔Super potent CS-
Halcinonide, Clobetasol, Tacrolimus ( for vaginal/oral lesions)
✔✔Scabies is treated with? What will relieve the itching? - ✔✔Permethrin 5% cream
applied to neck to toe for 8-12 hours; repeat in 1 week
Use Triamcinolone cream (moderate potency CS) to relieve itching
✔✔Pediculosis treatment regimen consists of: - ✔✔Permethrin 1% cream- leave on for
8 hours, wash out. Treat again in one week. Treat all household members
✔✔Impetigo can be treated with: - ✔✔1st Line (adults): Bacitracin, Bactroban, and
retapamulin for small areas- Widespread areas: Cephalexin 250mg QID, Doxycycline
100mg BID
In children: Clindamycin, Augmentin
Can also use cephalosporins, b-lactamase PCN for 7-10 days.
IF MRSA: Use Doxycycline or Bactrim
✔✔What is the treatment for vitiligo? - ✔✔High potency corticosteroids, Calcipotreine
(vitamin D analog), UVB
If < 20%TBSA- Tx w/ Tacrolimus
If 20-25% TBSA- Tx w/ UVB treatment
✔✔Hand-Foot-Mouth disease is caused by what virus? What is the treatment? -
✔✔Coxsackie Virus; No treatment- Self resolves in 1-2 weeks
✔✔Care for the patient w/ varicella includes: - ✔✔Supportive care
May use antivirals, such as Acyclovir
✔✔HErpes Zoster can be treated and prevented with? - ✔✔Treat: antivirals and CS to
reduce pain
Prevent: Zostavax at 60 y.o, regardless of whether they have had chicken pox or not!
✔✔Postherpatic Neuralgia, r/t herpes zoster, can be treated with? - ✔✔Amitriptyline,
Gabapentin, TCAs, Capsaicin cream, Duloxetine
✔✔What care should be given to a patient with mumps? - ✔✔Supportive Care- Isolate
patient until swelling subsides
Some places may treat with IVIG
✔✔Roseola Infantum requires treatment with ? - ✔✔Supportive Care
Give Tylenol for fever
✔✔How long should a patient with mono be required to sit out of sports? Why? - ✔✔6-8
wks; Concerned about splenomegaly
