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SDNP exam > Infections > Flashcards

Infections Flashcards

1
Q

Classified CDC as a CAT A bioterorism agent

A

Bacillus anthracis

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2
Q

Stages of Anthrax

A
  1. purpuric macule/papule on exposed area
  2. vesicle forms within 48 hours
  3. central vesicle ulcerates
  4. lesion becomes depressed and hemorrhagic with painless black necrotic eschar
  5. escar dries and sloughs over 1-2 weeks with no scar
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3
Q

anthrax occurs most often in

A

farmers, ranchers exposed to animals or hides

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4
Q

how to dx anthrax

A
  • gram stain vesicular fluid
    2 punch biopsy (1 for PCR and 1 for bacteria,fungal and mycobacterial)
    Debride
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5
Q

How to treat anthrax?

A

fluoroquinolones cipro 60 days
Docy 100 mg bid
levofloxacin 750
debridement

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6
Q

Cellulitis bacteria is most commonly

A

Group A strep, Staph Aureus
Child- think Haemophilus infleunza B

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7
Q

What should one do when they suspect cellulitis?

A

See patient daily, draw around cellulitis to observe treatment results

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8
Q

NCAA guidelines and NFHS guidelines for cellulitis

A

Active infections are not tolerated, all lesions must be scabbed with no purulence

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9
Q

Bacterial infection of the upper dermis, streaking is prominent

A

erysipelas

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10
Q

patient complaints with erysipelas

A

flu-like symptoms, red tender firm spots that rapidly increase in size, uniformly elvated, shining patch with raised border

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11
Q

-involves one hair follicle
- painful, firm fluctuant mass
-prone to friction areas
- staph aureus most common pathogen

A

furuncle

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12
Q

clinical pear for furuncle

A

no fever or systemic symptoms

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13
Q

treatment of furuncles

A

self limited
warm compress
i&D
antibiotics for recurrent infections

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14
Q

involves multiple hair follicles
deep painful mass

A

carbuncles

antibiotic cleansers
mupirocin inside nostrils
recurrent/resistant- treat all family member, culture for MRSA, clinda, rifampin, cephalosporins

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15
Q

Clinical pear for carbuncles

A

malaise, chills, fever precede or occur during active phase

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16
Q

NCAA/NFHSS return to play guidelines for impetigo

A

No moist exudative or draining lesion

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17
Q

Resembles scalded skin, large thin superficial bullae, desquamation and fissures around mouth and eyes(sad old man facies), resolves without scarring

A

SSSS

18
Q

Positive nikolskly sign is common in what?

A

SSSS

19
Q

oral mucosa and conjunctiva are not involved in

A

SSSS

20
Q

Do NOT use wet dressing as they will cause drying and cracking of skin

A

SSSS

21
Q

Spares mucous membranes, positive nikolsky, resolves without scarring

A

SSSS

22
Q

What medication is contraindicated in SSSS

A

Corticosteroids

23
Q

What is important to remember when treating a child with SSSS

A

They become dehydrated easily

24
Q

Slowly progressing
granuloma formation, single erythematous hypopigmented macule or infiltrated plaque, sharply defined circinate margins, central healing, peripheral border spread, yellow red papules/nodules, ACRAL NEUROPATHY is present

A

Hansen’s Disease

25
Q

Cannot be grown in a culture, no serologic test, non-infectious within 72 hours of beginning therapy

A

hansens

26
Q

treatment for hansens

A

rifampicin, dapsone, clofazimine, thalidomide

27
Q

HPV type 6 & 11 can cause what in infants?

A

laryngeal papillomatosis

28
Q

what to do for mom with HPV?

A

consistent cryotherapy for 2nd trimester on

29
Q

HPV vaccines guidelines

A

males/females age 11-16 years

30
Q

Pdoflox 0.5% can be given during pregnancy yes or no?

A

NO

31
Q

what can you treat condyloma acuminatum in pregnancy

A

TCA, Cryo, Laser therapy

32
Q

Clinical pearl for condyloma acuminatum

A

application of a gauze soaked pad over suspicious lesion for 5-10 minutes reveals sharply demarcated lesions with white opacity

33
Q

Papular Acrodermatitis of Childhood

A

giannati crosti
Self limiting dermatitis
Most often Epstein Barr
increased risk with AD
Symmetric, pink-brown papules or vesicles on buttocks and spread to face and extensors, trunk is typically spared

34
Q

symptomatic tx for gianotti crosti

A

topical corticosteroid

35
Q

monomorphic pink to brown papules

A

giannaticrosti resolves in 3-8 weeks, family usually frustrated as it lasts so long

36
Q

Central umbillication in dome shaped papules
Palms and soles are uninvolved
Red Halo (BOTE sign)

A

MC

37
Q

NCAA guidelines for MC

A

Return to play lessions are curetted or ermoved, site covered or 24 hours postcurettage with the site covered.

38
Q

What is important in patients with molluscum

A

They need to moisturize as to not autoinoculate and continue to acquire more lesions

39
Q

If lesions occur in the periocular area

A

refer to opthalmology

40
Q

MC TX

A

Cantharidin
LN
Cerretage
Sal acid 2%
TCA 35-50%

41
Q
A

SDNP exam (14 decks)

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