AANP exam
Treatment for Gonorrhea - ✅✅-Rocephin (Ceftriaxone) 250mg IM and
Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
Treatment for Chlamydia - ✅✅-Azithromycin 1 gm po x1 or doxy 100
mg BID x 7 days
or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for preggo
✅✅-Flagyl BID x 7 days
Treatment for Bacterial vaginosis -
Candidia vaginitis treatment - ✅✅-diflucan 100mg x1
Treatment for trichomonias - ✅✅-
Fever, chills, N/v, photophobia, myalgia, arthralgias usually present then
report development of a petechial rash on forearms, ankles, wrists, that
✅✅
spreads towards trunk and becomes generalized. Pt usually reports
spending time in the woods. - -Rocky Mountain Spotted Fever
✅✅
What is the diagnosis and treatment for Rocky Mountain Spotted Fever?
- -PCR essay with Rickessetti antigen
tx: doxycycline
✅✅
What is the diagnosis and treatment for lyme disease (erythema
migraines)? - -Dx: B. Burgdorferi via ELISA then confirm with
western blot
TX: doxycycline
or amoxicillin if less than 7 yo
,✅✅
Dark moles, uneven texture, different colors, irregular, > 6mm, an itch -
-melanoma
Target or bulls-eye. Abruptly, hives, blisters, peticiae, purpura, necrosis,
sloughing of tissues. Extensive mucosal involvement. Prodrome of
✅✅
fevers with flu like symptoms. Usually triggered by medication -
-Stevens Johnson Syndrome
✅✅
What medications are more likely to cause Stevens Johnson Syndrome?
- -Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS.
Pt with HIV is at increased risk
Inherited. Pruritic erythematous plaques, fine silvery-white scales with
✅✅
pitted fingernails. Can occur on scalp, elbows, knees, sacrum, or
intergluteal folds. - -psoriasis
What is the koebner phenomenon? - ✅✅-new psoriatic plaques form
over skin trauma
What is the auspitz sign? - ✅✅-pinpoint bleeding when plaques are
removed
What is the treatment for psoriasis? - ✅✅-mild: topical steroids, tar
preps
if severe: anti-TNF (-mab (Humira)), methotrexate, or other immunologic
therapy
What is acanthros nigricans indicative of? - ✅✅-insulin resistance
What is the treatment for scabies? - ✅✅-Permethrin cream x1, treat
the whole household, wash belongings in hot water
Extremely itchy. Appears on flexural folds, neck, hands. Small vesicles
✅✅
that rupture leaving painful, bright-red, weepy lesions that become
lichenified from itching. - -atopic dermatitis (eczema)
, What is the treatment for atopic dermatitis? - ✅✅-topical steroids,
avoid hot water/soaps
If more sever consider po antihistamines
✅✅
Dry round, pink to red lesion with a rough and scaly texture. Does not
heal. Slow growing in sun exposed areas. - -actinic keratosis
what is the treatment for actinic keratosis? - ✅✅-cryotherapy or 5-FU
cream
DX: biopsy is gold standard
Soft round wart light tan to black looks pasted on - ✅✅-seborrhic
keratosis
benign and asymptomatic
✅✅
What should you watch for in a diabetic with cellulitis? -
-osteomyelitis
✅✅
What is a patient at risk for developing if they have cellulitis? -
-osteomyelitis or DVT
What is the treatment for erysipelas? - ✅✅-Penicillin (dicloxacillin) for
10 days
What is the treatment for an abcess? - ✅✅-Think MRSA: bactrim,
doxy, or clindamycin
✅✅
Pearly, waxy, skin lesion, atrophic, ulcerated center that does not heal -
-basal cell carcinoma
what are the two main antibiotics for skin conditions? - ✅✅-Keflex
(cefalexin) or penicillin
Treatment for Gonorrhea - ✅✅-Rocephin (Ceftriaxone) 250mg IM and
Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
Treatment for Chlamydia - ✅✅-Azithromycin 1 gm po x1 or doxy 100
mg BID x 7 days
or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for preggo
✅✅-Flagyl BID x 7 days
Treatment for Bacterial vaginosis -
Candidia vaginitis treatment - ✅✅-diflucan 100mg x1
Treatment for trichomonias - ✅✅-
Fever, chills, N/v, photophobia, myalgia, arthralgias usually present then
report development of a petechial rash on forearms, ankles, wrists, that
✅✅
spreads towards trunk and becomes generalized. Pt usually reports
spending time in the woods. - -Rocky Mountain Spotted Fever
✅✅
What is the diagnosis and treatment for Rocky Mountain Spotted Fever?
- -PCR essay with Rickessetti antigen
tx: doxycycline
✅✅
What is the diagnosis and treatment for lyme disease (erythema
migraines)? - -Dx: B. Burgdorferi via ELISA then confirm with
western blot
TX: doxycycline
or amoxicillin if less than 7 yo
,✅✅
Dark moles, uneven texture, different colors, irregular, > 6mm, an itch -
-melanoma
Target or bulls-eye. Abruptly, hives, blisters, peticiae, purpura, necrosis,
sloughing of tissues. Extensive mucosal involvement. Prodrome of
✅✅
fevers with flu like symptoms. Usually triggered by medication -
-Stevens Johnson Syndrome
✅✅
What medications are more likely to cause Stevens Johnson Syndrome?
- -Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS.
Pt with HIV is at increased risk
Inherited. Pruritic erythematous plaques, fine silvery-white scales with
✅✅
pitted fingernails. Can occur on scalp, elbows, knees, sacrum, or
intergluteal folds. - -psoriasis
What is the koebner phenomenon? - ✅✅-new psoriatic plaques form
over skin trauma
What is the auspitz sign? - ✅✅-pinpoint bleeding when plaques are
removed
What is the treatment for psoriasis? - ✅✅-mild: topical steroids, tar
preps
if severe: anti-TNF (-mab (Humira)), methotrexate, or other immunologic
therapy
What is acanthros nigricans indicative of? - ✅✅-insulin resistance
What is the treatment for scabies? - ✅✅-Permethrin cream x1, treat
the whole household, wash belongings in hot water
Extremely itchy. Appears on flexural folds, neck, hands. Small vesicles
✅✅
that rupture leaving painful, bright-red, weepy lesions that become
lichenified from itching. - -atopic dermatitis (eczema)
, What is the treatment for atopic dermatitis? - ✅✅-topical steroids,
avoid hot water/soaps
If more sever consider po antihistamines
✅✅
Dry round, pink to red lesion with a rough and scaly texture. Does not
heal. Slow growing in sun exposed areas. - -actinic keratosis
what is the treatment for actinic keratosis? - ✅✅-cryotherapy or 5-FU
cream
DX: biopsy is gold standard
Soft round wart light tan to black looks pasted on - ✅✅-seborrhic
keratosis
benign and asymptomatic
✅✅
What should you watch for in a diabetic with cellulitis? -
-osteomyelitis
✅✅
What is a patient at risk for developing if they have cellulitis? -
-osteomyelitis or DVT
What is the treatment for erysipelas? - ✅✅-Penicillin (dicloxacillin) for
10 days
What is the treatment for an abcess? - ✅✅-Think MRSA: bactrim,
doxy, or clindamycin
✅✅
Pearly, waxy, skin lesion, atrophic, ulcerated center that does not heal -
-basal cell carcinoma
what are the two main antibiotics for skin conditions? - ✅✅-Keflex
(cefalexin) or penicillin
