SARAH MICHELLE EXAM | QUESTIONS
AND CORRECT ANSWERS RATED A+ |
LATEST 2025 GUIDE
Treatment for Rocky Mountain Spotted Fever – answer Doxycycline for any age and
regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever – answer Rash on palms of hands and
soles of feet pops up after 3-5 days of initial treatment
Presentation of Lyme Disease – answer Bulls eye rash
Lyme disease is also known as... – answer Erythema migrans
Treatment for Lyme disease over 8 years old – answer Doxycycline
Treatment for Lyme disease less than 8 years old – answer Amoxicillin
Aphthous Stomatitis vs herpes – answer Aphthous Stomatits: kanker sore inside the
mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes – Answer antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria – answer Staph aureus & strep pyogenies
Impetigo presentation – answer Honey crusted lesions
2 types of Impetigo treatment – answer Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation – answer Christmas tree like pattern rash
Herald Patch
Pityoriasis rosea treatment – answer Self limiting
Rubeola presentation – answer Cough, congestion, conjunctivitis (3 c's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention – answer MMR vaccine after 12 months old
( live vaccine)
,Mumps presentation – answer Parotid gland swelling
Sialolithiasis: what is it! – Answer salivary gland stone
Mass under chin when eating
Actinic keratosis presentation – answer Dry pink lesions on a sun exposed area
Actinic keratosis treatment – answer 5FU cream (topical chemo) and use liquid nitrogen
(cryotherapy)
If actinic keratosis is left untreated, what can it develop into? – answer squamous cell
carcinoma
Sqamous cell carcinoma presentation – answer Slow growing scaly ulcerated, bleeds
easily
If squamous cell CA is suspected and a visible lesion is present, the next step should be
– answer Refer to dermatology
Abcdes of melanoma – answer asymmetry, border, color, diameter >6 mm, evolving
Seborrheic keratosis: do lesions need to be removed – answer No- they are benign
Most common type of skin cancer – answer basal cell carcinoma
Basal cell carcinoma presentation – answer Shiny, waxy, pearly
May see telangiectasia with this
Basal cell carcinoma: what should we do if we see this – answer Refer to derm
Another name for atopic dermatitis – answer Eczema
Eczema (atopic dermatitis) presentation – answer Pruitic, itch scratch cycle. Located on
flexor surfaces (like back of knees, axilla, elbows).
Eczema, atopic dermatitis - treatment – answer Topical corticosteroids
3A's – answer Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation – answer Silvery scales, itches
Auspitz sign, psoriasis – answer pinpoint bleeding after a scale is removed or after
Koebner phenomenon – answer new psoriatic plaques form over areas of skin trauma.
Trauma to skin leads to having plaque in that spot
, Plaque psoriasis treatment – answer Topical steroids
Contact dermatitis treatment – answer avoid offending agents, corticosteroids
Shingles presentation – answer Severe, piercing, burning, stabbing nerve pain along a
dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
Shingles (herpes zoster) treatment – answer Antivirals with 48 hours of onset of
symptoms
Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention – answer Shingrix (50 years and older). Most effective and
preferred because it's inactivated. We can give out no matter when the last outbreak
was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
Which type of shingles must be referred out? – answer Shingles close to the eyes.
Refer to ophthalmology. It may lead to vision loss
Scabies presentation - answer- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow;
but infants often do not have burrows on presentation.
Scabies treatment – answer Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
Chicken pox prevention – answer Live attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox – answer When all the lesions are
crushed over
Molluscum contagiosum presentation – answer Flesh-colored papules w/ central
umbilication. Contagious
Anthrax presentation – answer Ulcerated, black, and painless
AND CORRECT ANSWERS RATED A+ |
LATEST 2025 GUIDE
Treatment for Rocky Mountain Spotted Fever – answer Doxycycline for any age and
regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever – answer Rash on palms of hands and
soles of feet pops up after 3-5 days of initial treatment
Presentation of Lyme Disease – answer Bulls eye rash
Lyme disease is also known as... – answer Erythema migrans
Treatment for Lyme disease over 8 years old – answer Doxycycline
Treatment for Lyme disease less than 8 years old – answer Amoxicillin
Aphthous Stomatitis vs herpes – answer Aphthous Stomatits: kanker sore inside the
mouth
Herpes: painful clustered vesicles located outside the mouth
Treatment for herpes – Answer antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria – answer Staph aureus & strep pyogenies
Impetigo presentation – answer Honey crusted lesions
2 types of Impetigo treatment – answer Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation – answer Christmas tree like pattern rash
Herald Patch
Pityoriasis rosea treatment – answer Self limiting
Rubeola presentation – answer Cough, congestion, conjunctivitis (3 c's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention – answer MMR vaccine after 12 months old
( live vaccine)
,Mumps presentation – answer Parotid gland swelling
Sialolithiasis: what is it! – Answer salivary gland stone
Mass under chin when eating
Actinic keratosis presentation – answer Dry pink lesions on a sun exposed area
Actinic keratosis treatment – answer 5FU cream (topical chemo) and use liquid nitrogen
(cryotherapy)
If actinic keratosis is left untreated, what can it develop into? – answer squamous cell
carcinoma
Sqamous cell carcinoma presentation – answer Slow growing scaly ulcerated, bleeds
easily
If squamous cell CA is suspected and a visible lesion is present, the next step should be
– answer Refer to dermatology
Abcdes of melanoma – answer asymmetry, border, color, diameter >6 mm, evolving
Seborrheic keratosis: do lesions need to be removed – answer No- they are benign
Most common type of skin cancer – answer basal cell carcinoma
Basal cell carcinoma presentation – answer Shiny, waxy, pearly
May see telangiectasia with this
Basal cell carcinoma: what should we do if we see this – answer Refer to derm
Another name for atopic dermatitis – answer Eczema
Eczema (atopic dermatitis) presentation – answer Pruitic, itch scratch cycle. Located on
flexor surfaces (like back of knees, axilla, elbows).
Eczema, atopic dermatitis - treatment – answer Topical corticosteroids
3A's – answer Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation – answer Silvery scales, itches
Auspitz sign, psoriasis – answer pinpoint bleeding after a scale is removed or after
Koebner phenomenon – answer new psoriatic plaques form over areas of skin trauma.
Trauma to skin leads to having plaque in that spot
, Plaque psoriasis treatment – answer Topical steroids
Contact dermatitis treatment – answer avoid offending agents, corticosteroids
Shingles presentation – answer Severe, piercing, burning, stabbing nerve pain along a
dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
Shingles (herpes zoster) treatment – answer Antivirals with 48 hours of onset of
symptoms
Acyclovir ( cheapest) or
Valcyclovir
Shingles prevention – answer Shingrix (50 years and older). Most effective and
preferred because it's inactivated. We can give out no matter when the last outbreak
was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
Which type of shingles must be referred out? – answer Shingles close to the eyes.
Refer to ophthalmology. It may lead to vision loss
Scabies presentation - answer- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow;
but infants often do not have burrows on presentation.
Scabies treatment – answer Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
Chicken pox prevention – answer Live attenuated vaccine
Only to be given after 12 months old
When can children return to school after chickenpox – answer When all the lesions are
crushed over
Molluscum contagiosum presentation – answer Flesh-colored papules w/ central
umbilication. Contagious
Anthrax presentation – answer Ulcerated, black, and painless
