Sarah Michelle crash course Exam
Questions and Answers
Treatment for Rocky Mountain Spotted Fever - Correct Answers -Doxycycline for any
age and regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever - Correct Answers -Rash on palms of
hands and soles of feet pops up after 3-5 days of initial treatment
Presentation of Lyme Disease - Correct Answers -Bulls eye rash
Lyme disease is also known as... - Correct Answers -Erythema migrans
Treatment for Lyme disease over 8 years old - Correct Answers –Doxycycline
Folliculitis treatment - Correct Answers -persistent folliculitis that has not responded to
topical mupirocin (bactroban) treatment. Cephalexin (keflex) or penicillins can be utilized
to treat severe cases of folliculitis, especially if the patient is not responding to mupirocin
(bactroban).
+ HBsAg, +IgM Anti-HBc, - IgG Anti-HBc, and - HBsAb. Which of the following is the
correct interpretation of these results? - Correct Answers -Acute infection
HBsAg is the surface antigen used to determine if a hepatitis B infection is present. The
Anti-HBc is the core antibody. The core antibody will always remain positive after an
infection has occurred and can be further broken down into the IgG and IgM to
determine if the infection is current or resolved. HBsAb is used to detect the surface
antibody. This patient's surface antigen is positive, meaning there is a hepatitis B
infection present. Since the IgM is positive, it means there is an acute Hepatitis B
infection.
Ginkgo biloba - Correct Answers -Ginkgo biloba is an herbal supplement mainly used
for memory and cognition. While a patient is on ginkgo, it is important to watch for
bleeding and ensure the patient is not taking any blood thinners. Gingko is sometimes
taken for menopause as well. Evening primrose is mostly used for menopause, but may
be used in pregnant patients prior to delivery to soften the cervix. Echinacea is used for
immune support and related to colds and flus. Valerian root is most commonly used for
insomnia. Kava kava is used for anxiety.
,potential long term side effect of proton pump inhibitors? - Correct Answers -
Osteoporosis
Vitamin B12 Deficiency
Clostridium Difficile
Amlodipine (Norvasc) should be avoided in who - Correct Answers -This patient is
presenting with signs and symptoms consistent with gastroesophageal reflux disease
(GERD). Of these medications, Amlodipine (Norvasc) should be avoided as it is a
calcium channel blocker and these medications work by causing vasodilation and can
worsen GERD symptoms.
Treatment for Lyme disease less than 8 years old - Correct Answers -Amoxicillin
Aphthous Stomatitis vs herpes - Correct Answers -Aphthous Stomatits: kanker sore
inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes - Correct Answers -Antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria - Correct Answers -Staph aureus & strep pyogenies
Impetigo presentation - Correct Answers -Honey crusted lesions
2 types of Impetigo treatment - Correct Answers -Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation - Correct Answers -Christmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment - Correct Answers -Self limiting
Rubeola presentation - Correct Answers -Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention - Correct Answers -MMR vaccine after 12 months old
( live vaccine)
Mumps presentation - Correct Answers -Parotid gland swelling
Sialolithiasis: what is it! - Correct Answers -Salivary gland stone
Mass under chin when eating
actinic keratosis presentation - Correct Answers -Dry pink lesions on a sun exposed
area
, actinic keratosis treatment - Correct Answers -5FU cream (topical chemo) and use
liquid nitrogen (cryotherapy)
If actinic keratosis is left untreated, what can it develop into? - Correct Answers -
squamous cell carcinoma
sqamous cell carcinoma presentation - Correct Answers -Slow growing scaly ulcerated,
bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be
- Correct Answers -Refer to dermatology
ABCDEs of melanoma - Correct Answers -asymmetry, border, color, diameter >6 mm,
evolving
seborrheic keratosis: do lesions need to be removed - Correct Answers -No- they are
benign
most common type of skin cancer - Correct Answers -basal cell carcinoma
basal cell carcinoma presentation - Correct Answers -Shiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this - Correct Answers -Refer to
derm
Another name for atopic dermatitis - Correct Answers -Eczema
eczema (atopic dermatitis) presentation - Correct Answers -Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows) .
Eczema, atopic dermatitis - treatment - Correct Answers -Topical corticosteroids
3A's - Correct Answers -Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation - Correct Answers -Silvery scales, itches
auspitz sign, psoriasis - Correct Answers -pinpoint bleeding after a scale is removed or
after
Koebner phenomenon - Correct Answers -new psoriatic plaques form over areas of skin
trauma. Trauma to skin leads to having plaque in that spot
Plaque psoriasis treatment - Correct Answers -Topical steroids
Contact dermatitis treatment - Correct Answers -avoid offending agents, corticosteroids
Questions and Answers
Treatment for Rocky Mountain Spotted Fever - Correct Answers -Doxycycline for any
age and regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever - Correct Answers -Rash on palms of
hands and soles of feet pops up after 3-5 days of initial treatment
Presentation of Lyme Disease - Correct Answers -Bulls eye rash
Lyme disease is also known as... - Correct Answers -Erythema migrans
Treatment for Lyme disease over 8 years old - Correct Answers –Doxycycline
Folliculitis treatment - Correct Answers -persistent folliculitis that has not responded to
topical mupirocin (bactroban) treatment. Cephalexin (keflex) or penicillins can be utilized
to treat severe cases of folliculitis, especially if the patient is not responding to mupirocin
(bactroban).
+ HBsAg, +IgM Anti-HBc, - IgG Anti-HBc, and - HBsAb. Which of the following is the
correct interpretation of these results? - Correct Answers -Acute infection
HBsAg is the surface antigen used to determine if a hepatitis B infection is present. The
Anti-HBc is the core antibody. The core antibody will always remain positive after an
infection has occurred and can be further broken down into the IgG and IgM to
determine if the infection is current or resolved. HBsAb is used to detect the surface
antibody. This patient's surface antigen is positive, meaning there is a hepatitis B
infection present. Since the IgM is positive, it means there is an acute Hepatitis B
infection.
Ginkgo biloba - Correct Answers -Ginkgo biloba is an herbal supplement mainly used
for memory and cognition. While a patient is on ginkgo, it is important to watch for
bleeding and ensure the patient is not taking any blood thinners. Gingko is sometimes
taken for menopause as well. Evening primrose is mostly used for menopause, but may
be used in pregnant patients prior to delivery to soften the cervix. Echinacea is used for
immune support and related to colds and flus. Valerian root is most commonly used for
insomnia. Kava kava is used for anxiety.
,potential long term side effect of proton pump inhibitors? - Correct Answers -
Osteoporosis
Vitamin B12 Deficiency
Clostridium Difficile
Amlodipine (Norvasc) should be avoided in who - Correct Answers -This patient is
presenting with signs and symptoms consistent with gastroesophageal reflux disease
(GERD). Of these medications, Amlodipine (Norvasc) should be avoided as it is a
calcium channel blocker and these medications work by causing vasodilation and can
worsen GERD symptoms.
Treatment for Lyme disease less than 8 years old - Correct Answers -Amoxicillin
Aphthous Stomatitis vs herpes - Correct Answers -Aphthous Stomatits: kanker sore
inside the mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes - Correct Answers -Antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria - Correct Answers -Staph aureus & strep pyogenies
Impetigo presentation - Correct Answers -Honey crusted lesions
2 types of Impetigo treatment - Correct Answers -Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation - Correct Answers -Christmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment - Correct Answers -Self limiting
Rubeola presentation - Correct Answers -Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention - Correct Answers -MMR vaccine after 12 months old
( live vaccine)
Mumps presentation - Correct Answers -Parotid gland swelling
Sialolithiasis: what is it! - Correct Answers -Salivary gland stone
Mass under chin when eating
actinic keratosis presentation - Correct Answers -Dry pink lesions on a sun exposed
area
, actinic keratosis treatment - Correct Answers -5FU cream (topical chemo) and use
liquid nitrogen (cryotherapy)
If actinic keratosis is left untreated, what can it develop into? - Correct Answers -
squamous cell carcinoma
sqamous cell carcinoma presentation - Correct Answers -Slow growing scaly ulcerated,
bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be
- Correct Answers -Refer to dermatology
ABCDEs of melanoma - Correct Answers -asymmetry, border, color, diameter >6 mm,
evolving
seborrheic keratosis: do lesions need to be removed - Correct Answers -No- they are
benign
most common type of skin cancer - Correct Answers -basal cell carcinoma
basal cell carcinoma presentation - Correct Answers -Shiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this - Correct Answers -Refer to
derm
Another name for atopic dermatitis - Correct Answers -Eczema
eczema (atopic dermatitis) presentation - Correct Answers -Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows) .
Eczema, atopic dermatitis - treatment - Correct Answers -Topical corticosteroids
3A's - Correct Answers -Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation - Correct Answers -Silvery scales, itches
auspitz sign, psoriasis - Correct Answers -pinpoint bleeding after a scale is removed or
after
Koebner phenomenon - Correct Answers -new psoriatic plaques form over areas of skin
trauma. Trauma to skin leads to having plaque in that spot
Plaque psoriasis treatment - Correct Answers -Topical steroids
Contact dermatitis treatment - Correct Answers -avoid offending agents, corticosteroids
