Infections

Question 1

Management of oral thrush

Answer 1

Oral Fluconazole 50 mg OD for 7 days or Fluconazole oral suspension

Question 2

Organism of molloscum contagiosum

Answer 2

Pox virus

Question 3

What to prescribe in
Athlete’s foot, fungal groin infections, fungal nappy rash

Answer 3

Clotrimazole

Question 4

Management of molluscum contagiosum

Answer 4

Reassurance
Spontaneous resolution within 6-24 months

Question 5

Organism of impetigo

Answer 5

Staphylococcus Aureus
Streptococcus pyogenes

Question 6

Management of impetigo

Answer 6

Limited, localised Non-bullous disease (New Update)
√ Hydrogen peroxide cream 1% (first line). “anti-septic”.
√ Fusidic acid 2% or mupirocin (2nd line). “antibiotic”.
Extensive non-bullous or bullous impetigo
• Oral flucloxacillin.
• Oral erythromycin if penicillin allergic

Question 7

Management of tinea capitis

Answer 7

For adults: Oral Terbinafine
For children: Griseofulvin

Question 8

1st line tx of scabies

Answer 8

Permethrin 5%

Question 9

Mechanism of itching of scabies

Answer 9

Allergic reaction

Question 10

Management of lyme disease

Answer 10

Oral doxyclicline

Question 11

Management of staphylococcal skin scalded syndrome

Answer 11

Hospitalisation + flucloxacillin

Question 12

Management of eczema herpeticum

Answer 12

Oral acyclovir

Question 13

Causative organism of acne vulgaris

Answer 13

Anerobic Propionibacterium

Question 14

Management of mild/mod acne

Answer 14

Topical retinoids
+- benzoyl peroxide

Question 15

Management of severe acne
(Scarring, pitting, nodule)

Answer 15

Oral isotretinoin.

Question 16

Management of dermatophytosis (ringworm infection)

Answer 16

Clotrimazole cream

Question 17

Management of erythema infectiosum

Answer 17

Rest & analgesia (parvovirus is self limiting)

Question 18

Organism involved in paronychia

Answer 18

Staphylococcus Aureus

Question 19

Management of paronychia

Answer 19

• Minor infection → Topical fusidic acid.
• Severe infection → Oral Flucloxacillin or Clarithromycin (both are considered
first line). “important”
• If abscess → Surgical drainage followed by packing with gauze.

Question 20

Treatment for herpes labialis (HSV1)

Answer 20

Firstly “mainly the answer” → pain relief (eg, ibuprofen, paracetamol).
“The vesicles mainly collapse into ulcers, then crust over in a few days”.
√ If Persistent and Severe / or Primary “first time” / or in an Immunocompromised
patient (eg, DM, Prolonged use of steroids, HIV, Smokers, Chemotherapy)
→ give oral antivirals (eg, oral aciclovir)

Question 21

Management of folliculitis

Answer 21

Mild: antiseptic wash
Severe: First-line: Flucloxacillin (use clarithromycin if allergic to penicillin). Imp √
o If linked to hot tub use, consider Pseudomonas aeruginosa and treat with
ciprofloxacin.

Question 22

Organism involved in Hand, foot, and moth disease (HFMD)

Answer 22

Coxsackie virus

Question 23

Management of neuropathic pain of shingles

Answer 23

Amytriptiline

Question 24

Management of shingles

Answer 24

Acyclovir
Oral for mild
IV for severe

Question 25

Management of varicella zoster virus in neonates with exposure

Answer 25

Varicella-zoster immunoglobulin (VZIG).

Question 26

Management of varicella zoster virus in Healthy children with mild symptoms

Answer 26

Reassurance. They usually recover without antiviral treatment.

Question 27

Management of varicella zoster virus in High-risk groups (pregnant, immunocompromised) with exposure + no varicella antibodies already developed chickenpox

Answer 27

Aciclovir

Question 28

Management of Pityriasis Versicolor:

Answer 28

Topical antifungals like ketoconazole shampoo or selenium sulfide.