DV 1

Question 1

ciri khas varicella

Answer 1

• centripetal
• polimorfik
• teardrop

Question 2

obat topikal dan sistemik varicella

Answer 2

topikal: bedak as. salisilat + mentol
sistemik: 7 hari
1. acyclovir 5 x 800
2. Valacyclovir 3x 1000
3. famsiklovir 3 x 250

anak: acyclovir 20mg/bb , 4x1

Question 3

obat NPH

Answer 3

gapapentin 1 x 300

amitriptilin 1 x 100

Question 4

ciri khas ramsay hunt syndrome?

Answer 4

H. zoster otikus (telinga) + paralisis wajah

Question 5

etiologi HFMD

Answer 5

coxsakie virus

Question 6

tatalaksana moluskum kontagiosum

Answer 6

awal: topikal cantaridin 0.5% atau 0.7% 4 jam, selama 3-4 minggu
rujuk: bedah

Question 7

tatalaksana veruka vulgaris

Answer 7

1. asam salisilat 10, 20 ,40 %

2. Bedah: eksisi

Question 8

tatalaksana pioderma

Answer 8

berkrusta : kompres
kalium permangas (PK) 1:5000
rivanol
nacl 0.9%

krusta (-): salep ab 2%

1. mupirocin
2. as. fusidat
3. bacitracin
4. kloramfenikol

Question 9

obat sistemik pioderma

Answer 9

first line:

• Diklosaksilin (4 x 250 - 500) (anak: 25-50/bb/hari)
• amoxiclav (3 x 625) (anak 25/bb/hari)

2nd line:

• klindamisin: 3x300
• eritromisin: 4 x 250
• sefaleksin: 4 x 500
• azitromisin: 1 x 500

Question 10

terapi jamur candida

Answer 10

• azole
  topikal: klotrimazole 1%, mikonazole 2%, ketokonazole 2%

sistemik:
itra 2 x 200 SD
flu 150 SD
keto 2x200, 5 hari

Question 11

terapi tinea

Answer 11

topikal:

1. terbinafin 1% 2x1, 10-14 hari
2. gol azole

sistemik: 10 -14 hari
1. terbinafin 250mg/hari
2. griseofulvin 500mg - 1g
3. gol. azole. keto 200, itra 100

Question 12

terapi skabies

Answer 12

1. permetrin 5%
2. sulfurprecipitatum 1% (salep 24) (anak usia <2bln)
3. gameksan 1%, benzoilbenzoat 20-25%, krotamiton 10%

Question 13

terapi pedikulosis

Answer 13

1. permetrin 1%

2. malathion 0.5%, gameksan 1%

Question 14

terapi CLM

Answer 14

sistemik

1. albendazole 400mg, 3 hari
2. ivermectin 2x6mg

topikal
chloretil spray
steroid

Question 15

obat eritrasma

Answer 15

eritromisin 4 x 500mg, 14 hari

Question 16

terapi ptriasis versicolor

Answer 16

topikal:
1. selenium sulfida 1.8% (2-3x/mgg)
2. gol. azole shampoo

sistemik: 7-10 hari
ketokonazol 1x200
itrakonazol 1x200

Question 17

terapi tinea ungium

Answer 17

1. terbinafin 1 x250mg (tangan 6 minggu, kaki 12-16 minggu)

2. itrakonazol 2x200/hari (tangan 2 denyut, kaki 3-4 denyut)

Question 18

dosis denyut adalah

Answer 18

1 denyut = 1 minggu obat, 3 minggu istirahat

Question 19

terapi tinea kapitis/barbae

Answer 19

1. griseofulvin 8 minggu

2. terbinafin 8 minggu

Question 20

px penunjang dermatitis

Answer 20

atopi: IgE, eo, skin prick test
dermatitis kontak: skin patch
lsk, demul: histo PA
d statis: USG doppler

Question 21

tatalaksana dermatitis

Answer 21

keadaan lesi akut: kompres, KS lokal, Anti histamin
keadaan lesi kronik: kompres, KS sistemik, Anti histamin

infeksi sekunder: Antibiotik topikal/sistemik
eritromisin, tetrasiklin, sipro, metronidazole, kloramfenikol

pelembab: DA

penghambat kalsineurin: takrolimus/pimekrolimus (DA/LSK)

Question 22

KS topikal untuk dermatitis

Answer 22

hidrokortison 1-2%
triamsinolon 0.1%
betametason 0.05%

Question 23

KS sistemik dermatitis

Answer 23

dexamethason

prednisone

Question 24

terapi DA dan dermatitis kontak

Answer 24

• hindari faktor pencetus
• antihistamin
• KS topikal/sistemik

Question 25

terapi napkin eczema

Answer 25

KIE higiene
ZnO
antijamur (gol azol) topikal/sistemik