SARAH MICHELLE CRASH COURSE TEST PAPER 2025/2026
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔Unstageable pressure injury - ✔✔can not see the depth of the wound bed because
of the presents of a sloth
✔✔Eschar on the heel - ✔✔typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the
patient
✔✔Scabies - ✔✔between fingers & ties intently pruritic & everyone in the house has
same symptoms
TXT: permethrin cream & wash everything in hot water usually have to treat twice to get
rid of it effectively
✔✔Chicken Pox - ✔✔Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
✔✔Head Lice - ✔✔Pruitis all throughout the day and night
TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed out. may
need 2 treatments. wash bedding & other items in hot water
✔✔Molluscum Contagiosum - ✔✔If located in the groin area- possible sexual abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
✔✔Anthrax - ✔✔Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
✔✔Hidradenitis Suppurativia - ✔✔Recurrent issue- not due to hygiene more linked to
genetics
risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
✔✔Folliculitis - ✔✔infection of the hair follicles
TXT: topical mupirocin
Severe- oral ABX penicillin or Keflex
✔✔Rosacea - ✔✔Erythematous facial rash that does NOT spare the nose
TXT: topical flatly gel
,✔✔Lupus - ✔✔Erythematous facial rash that DOES spare the nasolabial folds (MALOR
RASH)
✔✔Sjogren's Syndrome - ✔✔Very dry eyes & mouth
commonly seen in Lupus
✔✔Erysipelas - ✔✔Sharply defined with well-defined borders
superficial cellulitis
TXT: Keflex or Penicillin
✔✔Purulent Cellulitis - ✔✔Possible MRSA
Bactrim
Clindamyacin
Doxycline
✔✔Non-Purulent Cellulitis - ✔✔Erythematous angry looking swollen
TXT: Keflex or PCN
✔✔Geographical tongue - ✔✔BENIGN
caused by spicy & hot foods
✔✔Leukoplakia - ✔✔can not scrape off of tongue
refer to dentists
commonly seen with HIV
✔✔Candidiasis - ✔✔Can scrape off of tongue
✔✔Rubeola - ✔✔Measles
starts with a fever, cough, congestion (Coryza) & conjunctivitis (pink watery eyes)- 10
days after exposure
rash on day 15 when fever breaks
Koplic Spots- mouth tiny sand grains surrounded by erythematous base on the buccal
mucosa (2-3 days after symptoms)
contagious airborne- 1 week after exposure 304 days before rash & 3-4 days after rash
causes PNA & encephalitis
TXT: antpyretics, hydration & rest (days 22-24 rash resolves along w/ measles)
MMR at 12 months & 4 yrs- LIVE vaccine
✔✔Mumps - ✔✔Parotid gland swelling (bulimia can cause this too from repetitive
vomiting)
✔✔Rubella - ✔✔German measles
Rash- pink & starts on face and spreads to rest of the body
fever, swollen cervical lymph nodes
,TXT: hydration, rest, Tylenol & Motrin
Contagious- do not want pregnant women to catch- fetus= birth defects or miscarriage
most worrisome 1st trimester
✔✔Roseola - ✔✔6th disease
high fever- 103, irritable, fussy, fever breaks on day 3-4 and rash appears (rose pink
papules starts on the trunk and blanches, spreads to neck, arms, face, & legs)
cervical adenothopy
herpes virus
no longer contagious when rash appears
TXT: symptomatic
✔✔5th disease - ✔✔Erythema infectious
mild cold symptoms for 1 week then red rash on cheeks (SLAPPED CHEEK) with Lacey
rash on the body that may be itchy especially the feet
parvovirus B19
No longer contagious when rash appears
Pregnant women- 1/2 are already immune but can cause severe anemia in the fetus-
draw a titer to check immunity
TXT: symptomatic
✔✔Hand, Foot & Mouth Disease - ✔✔Fever for 1-2 days with sore throat then painful
sores around the front of the mouth then vesicular rash to palm or hands and soles of
feet
skin may peel with rash
COXSACKIE virus
TXT: symptomatic
✔✔Tinea - ✔✔Annular Lesion
TXT: Antifungal cream- Fluconazole
✔✔Tinea Capitous - ✔✔head
✔✔Tinea Barbae - ✔✔Beard
✔✔Tinea Cruris - ✔✔Groin
✔✔Tinea Pedis - ✔✔Foot
✔✔Tinea Versicolor - ✔✔All over the body
✔✔Enterobiasis - ✔✔Pinworms
Intensely pruritic at night
scotch tape test early in the morning
TXT: Mebendazole or Albendizole
, ✔✔TXT for Dog Bites - ✔✔Augmentin
✔✔Lichen Planus - ✔✔inflammatory skin condition commonly seen with ulcerative
colitis, vitiligo, & myasthenia gravis
can also be caused by stress & infection
seen on the flexor surface of the limbs but can be on the mouth & genitals too
carries in presentations
skin= reddish-purple flat top itchy bump
MM= Lacey white appearance
Self-liming resolves in 3 to 6 months
Milld= pink w/ flat top bumps- topical steroids & antihistamines
Purple= healed and does not need steroids
✔✔Lichen Sclerosus - ✔✔Always white in appearance and primarily found on the
genitalia
seen in postmenopausal women's vulva b.c of overactive immune system
itchy & causes painful sex & bleeding
TXT: reoccurent topical steroids
at risk for SQUAMOUS CELL CARCINOMA
✔✔Licen Simplex Chronicus - ✔✔Lichenification
skin becomes leathery and rubbery in appearance due to repetitive scratching or
rubbing
seen w/ excema
TXT: topical steroids & antihistamines
✔✔#1 thing we do when a patient complains of an eye complaint? - ✔✔Visual Acuity
✔✔what does 20/40 vision mean - ✔✔they can see at 20 feet wet a normal person can
see at 40 feet
✔✔amblyopia - ✔✔a lazy eye
usually caused by strabismus
✔✔what is considered legally blind - ✔✔20/200
✔✔What tests for color blindness - ✔✔Ishihara test
✔✔Eye Cranial Nerves - ✔✔CN2- optic= vision= Snellen chart
CN3- Oculomotor= focus
CN4- Trochlear= downward & inward movements
CN^- Abducens= outward movements
✔✔Fundoscopic exam - ✔✔Retinal arteries are thinner & lighter in color than veins
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔Unstageable pressure injury - ✔✔can not see the depth of the wound bed because
of the presents of a sloth
✔✔Eschar on the heel - ✔✔typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the
patient
✔✔Scabies - ✔✔between fingers & ties intently pruritic & everyone in the house has
same symptoms
TXT: permethrin cream & wash everything in hot water usually have to treat twice to get
rid of it effectively
✔✔Chicken Pox - ✔✔Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
✔✔Head Lice - ✔✔Pruitis all throughout the day and night
TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed out. may
need 2 treatments. wash bedding & other items in hot water
✔✔Molluscum Contagiosum - ✔✔If located in the groin area- possible sexual abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
✔✔Anthrax - ✔✔Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
✔✔Hidradenitis Suppurativia - ✔✔Recurrent issue- not due to hygiene more linked to
genetics
risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
✔✔Folliculitis - ✔✔infection of the hair follicles
TXT: topical mupirocin
Severe- oral ABX penicillin or Keflex
✔✔Rosacea - ✔✔Erythematous facial rash that does NOT spare the nose
TXT: topical flatly gel
,✔✔Lupus - ✔✔Erythematous facial rash that DOES spare the nasolabial folds (MALOR
RASH)
✔✔Sjogren's Syndrome - ✔✔Very dry eyes & mouth
commonly seen in Lupus
✔✔Erysipelas - ✔✔Sharply defined with well-defined borders
superficial cellulitis
TXT: Keflex or Penicillin
✔✔Purulent Cellulitis - ✔✔Possible MRSA
Bactrim
Clindamyacin
Doxycline
✔✔Non-Purulent Cellulitis - ✔✔Erythematous angry looking swollen
TXT: Keflex or PCN
✔✔Geographical tongue - ✔✔BENIGN
caused by spicy & hot foods
✔✔Leukoplakia - ✔✔can not scrape off of tongue
refer to dentists
commonly seen with HIV
✔✔Candidiasis - ✔✔Can scrape off of tongue
✔✔Rubeola - ✔✔Measles
starts with a fever, cough, congestion (Coryza) & conjunctivitis (pink watery eyes)- 10
days after exposure
rash on day 15 when fever breaks
Koplic Spots- mouth tiny sand grains surrounded by erythematous base on the buccal
mucosa (2-3 days after symptoms)
contagious airborne- 1 week after exposure 304 days before rash & 3-4 days after rash
causes PNA & encephalitis
TXT: antpyretics, hydration & rest (days 22-24 rash resolves along w/ measles)
MMR at 12 months & 4 yrs- LIVE vaccine
✔✔Mumps - ✔✔Parotid gland swelling (bulimia can cause this too from repetitive
vomiting)
✔✔Rubella - ✔✔German measles
Rash- pink & starts on face and spreads to rest of the body
fever, swollen cervical lymph nodes
,TXT: hydration, rest, Tylenol & Motrin
Contagious- do not want pregnant women to catch- fetus= birth defects or miscarriage
most worrisome 1st trimester
✔✔Roseola - ✔✔6th disease
high fever- 103, irritable, fussy, fever breaks on day 3-4 and rash appears (rose pink
papules starts on the trunk and blanches, spreads to neck, arms, face, & legs)
cervical adenothopy
herpes virus
no longer contagious when rash appears
TXT: symptomatic
✔✔5th disease - ✔✔Erythema infectious
mild cold symptoms for 1 week then red rash on cheeks (SLAPPED CHEEK) with Lacey
rash on the body that may be itchy especially the feet
parvovirus B19
No longer contagious when rash appears
Pregnant women- 1/2 are already immune but can cause severe anemia in the fetus-
draw a titer to check immunity
TXT: symptomatic
✔✔Hand, Foot & Mouth Disease - ✔✔Fever for 1-2 days with sore throat then painful
sores around the front of the mouth then vesicular rash to palm or hands and soles of
feet
skin may peel with rash
COXSACKIE virus
TXT: symptomatic
✔✔Tinea - ✔✔Annular Lesion
TXT: Antifungal cream- Fluconazole
✔✔Tinea Capitous - ✔✔head
✔✔Tinea Barbae - ✔✔Beard
✔✔Tinea Cruris - ✔✔Groin
✔✔Tinea Pedis - ✔✔Foot
✔✔Tinea Versicolor - ✔✔All over the body
✔✔Enterobiasis - ✔✔Pinworms
Intensely pruritic at night
scotch tape test early in the morning
TXT: Mebendazole or Albendizole
, ✔✔TXT for Dog Bites - ✔✔Augmentin
✔✔Lichen Planus - ✔✔inflammatory skin condition commonly seen with ulcerative
colitis, vitiligo, & myasthenia gravis
can also be caused by stress & infection
seen on the flexor surface of the limbs but can be on the mouth & genitals too
carries in presentations
skin= reddish-purple flat top itchy bump
MM= Lacey white appearance
Self-liming resolves in 3 to 6 months
Milld= pink w/ flat top bumps- topical steroids & antihistamines
Purple= healed and does not need steroids
✔✔Lichen Sclerosus - ✔✔Always white in appearance and primarily found on the
genitalia
seen in postmenopausal women's vulva b.c of overactive immune system
itchy & causes painful sex & bleeding
TXT: reoccurent topical steroids
at risk for SQUAMOUS CELL CARCINOMA
✔✔Licen Simplex Chronicus - ✔✔Lichenification
skin becomes leathery and rubbery in appearance due to repetitive scratching or
rubbing
seen w/ excema
TXT: topical steroids & antihistamines
✔✔#1 thing we do when a patient complains of an eye complaint? - ✔✔Visual Acuity
✔✔what does 20/40 vision mean - ✔✔they can see at 20 feet wet a normal person can
see at 40 feet
✔✔amblyopia - ✔✔a lazy eye
usually caused by strabismus
✔✔what is considered legally blind - ✔✔20/200
✔✔What tests for color blindness - ✔✔Ishihara test
✔✔Eye Cranial Nerves - ✔✔CN2- optic= vision= Snellen chart
CN3- Oculomotor= focus
CN4- Trochlear= downward & inward movements
CN^- Abducens= outward movements
✔✔Fundoscopic exam - ✔✔Retinal arteries are thinner & lighter in color than veins
