Derma Block B Flashcards

(67 cards)

1
Q

Scabies causing agent

A

Mite sarcoptes scabiei

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2
Q

Rash in scabies is

Pruritic/Not

A

Pruritic

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3
Q

Which layers of epidermis does scabies reach?

A

Not deeper than the S. Granulosum

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4
Q

Female scabies job and how much time does she live?

A

4-6 weeks

Laying 40-50 eggs

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5
Q

Why is scabies itchy?

A

Hypersensitivity reaction

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6
Q

Rash in scabies description

A

Itchy red papules

Vesicles

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7
Q

Other forms of Scabies?

A

Norwegian scabies

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8
Q

Norwegian scabies is also called

A

Crusted scabies

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9
Q

Scabies treatment

A

Topical

Permethrin 5%
Lindane 1%
Benzyl Benzoate 10%
Malathion
Ivermectin for resistant cases
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10
Q

Pediculosis=

A

Infection of lice that lay their eggs on hair shafts or in clothing

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11
Q

Two species of Pediculosis

A

Pediculus humanus- head and body

Pthirius pubis- Pubic

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12
Q

Female Pediculus lives for

A

3 months

Lay 300 eggs during life time

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13
Q

Types of pediculosis rash by location

A

Capitis
Corporis
Pubis

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14
Q

Pediculosis treatment

A
Permethrin cream
Pyrethrin shampoo
Piperonyl butoxide shampoo
Malathion cream
Lindane shampoo
Ivermectin
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15
Q

HIV general

A

Retro virus

Positive sense RNA virus

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16
Q

Mucocutaneous manifestation of AIDS

A
Eosinophilic folliculitis
Oral hairy leukoplakia
Aphtous stomatitis
Nonmelanoma skin cancer
HIV lipodystrophy syndrome
Kaposi sarcoma
Superinfections
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17
Q

Primary syphilis clinical forms

A

Primary chancre
Rectal lesions
Cervical and vaginal lesions

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18
Q

DD in case of syphilis

A

Heres simplex
Chancroid
Donovanosis

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19
Q

Chancroid id caused by

A

Hemophilus ducreyi

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20
Q

Syphilis treatment for patient with fresh symptoms

A

Intramuscular Penicillin G 1 million units per day X 15 days

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21
Q

When does secondary Syphilis occurs?

A

2-6 months after primary

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22
Q

Secondary Syphilis skin symptoms

A

Papulosquamous
Pustular lesions
Macules and papules
Condyloma lata- red pale papules

לאטא זה בסיפיליס כי זה כמו לייט! וואלה הוא מאחרר אנחנו כבר בשני

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23
Q

When will tertiary syphilis occur?

A

Years-decades after

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24
Q

Tertiary Syphilis skin symptoms

A

Gummas

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25
Methods of diagnosis of Syphilis
Dark field microscopy DFA-PT PCR Serology
26
DFA-PT=
Direct Fluorecent Antibody T.Pallidum test
27
Serology methods of diagnosis of Syphilis (5)
``` Non specific measuring of Ab RPR test VDRL 4 5 ```
28
Possible causes of urethral discharge
``` Neisseria Chlamydia Trichomonas HSV HPV ```
29
Therapy for NGU
Doxyxyline 100 mg every 12 h | Azythromycin 1g single dose
30
Diagnosis of vaginal discharge
``` Smear Urethral smear Vaginal swab Throa swab pH Urinalysis Cervical cytology Wet preparation ```
31
Where do you take vaginal smear from?
Latral vaginal wall
32
Most common STD
Herpes genitalis
33
Diagnosis of HSV infections
``` Culture Tzank smear Ag Serology PCR ```
34
Topical HSV treatment
1% Acyclovir | 5% Pancyclovir
35
Systemic HSV treatment
Famcyclovir 150-250 mg/day Acyclovir 400 mg/day Valcyclovir 1g/day
36
Which HPV causes Condyloma acuminata?
6,11
37
Condyloma acuminata clinical presentation
Small papular fleshy cauliflower lesions | Flat warts
38
Local treatment for Condyloma acuminata
Podophyllin extract 15-20% 1-2 times/week | Trichloroacetic acid
39
Physical therapy for Condyloma acuminata
Cryotherapy Electrocautery Laser ablation
40
Most common NGU symp. in men
Urethritis Dysuria Purulent discharge
41
NGU symp. in men treatment
Cefixime 400 mg Ceftriaxone 250 mg Spectinomycin 2g MI
42
NGU in women complications
Infertility FHK syndrome Bartholin's abscess
43
Chancroid is caused by
Haemophilus ducrey
44
Bacterial vaginosis etiology
Gardnerelaa vaginallis Anaerobics Mycoplasma hominis All replace lactobacillus
45
Trichomoniasis
``` Trichomona vaginalis Flagellated protozoa Frothy discharge Irritation Strawbeer cervix ```
46
Candida will cause what in man
Balanitis
47
Scabies is caused by
Sarcoptes scabiei
48
Describe the Scabies mite
Female leav for 4-6 weeks | They lay 40-50 eggs
49
What is the other form of Scabies and when will we see it?
Norwegian scabies | Immunocompromized
50
Scabies treatment
Permethrin cream Benzyl benzoate Malathion Ivermectin
51
Pediculosis
Infestation of lice that lay eggs on haie shafts
52
Two types of Pediculosis
Pediculus humanus | Pediculus pubis
53
Pediculosis female leavs for
3 months and lay 300 eggs
54
Pediculosis treatment
Permethrin Malathion Ivermectin
55
AIDS mucocutaneous manifestations
``` Kaposi sarcoma Eosinophilic folliculitis- prutritic Oral hairy leukoplakia Adverse Cutaneous Drug Erraption HIV lipodystrophy syndrome ```
56
Adverse Cutaneous Drug Erraption happens due to
HAART treatment
57
Incubation period for Syphilis
9-90 days | Usually 3 weeks
58
Clinical forms of primary Syphilis
Chancre- firm painless red ulcer. Dark field mic.! | Lymphadenopathy
59
Syphilis fresh symp. how do we treat?
IM Penicillin G 1 mil. Units / day X 15 | Two weeks then repeat
60
Syphilis symp. free how do we treat?
MI 2.4 mil. Units X 2
61
Secondary Syphilis occurs when
2-6 months after primary
62
Secondary Syphilis manifestation
Lacy erythematous maculopapular rash | Condyloma lata
63
Condyloma acuminata=
Non tender moist wart like papules
64
DFA-TP
Direct Fluorescent Antibody TP
65
Syphilis non specific tests
RPR | VDRL
66
RPR VDRL What do they measure?
IgM, IgG against cardiolipin-lecitin-cholesterol Ag complex
67
Syphilis specific tests
FTA-ABS BAP TPPA