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Rubella S/S - CORRECT ANSWER -low-grade fever, headache, sore throat, rhinorrhea, malaise,
eye pain, and myalgia 2-5 days before rash eruption
Rash appears as "rose-pink" macules and papules that first present on the head before
spreading downwards on the body
Rubella treatment - CORRECT ANSWER -Symptom care with acetaminophen, nonsteroidal anti-
inflammatory drugs (NSAIDs), and rest
Telogen effluvium - CORRECT ANSWER -Type of nonscarring alopecia after pregnancy, major
surgery, or major emotional stress)
Management of intensely dry skin - CORRECT ANSWER -Use tepid water and mild soaps
Older adults at risk
Scabies symptoms - CORRECT ANSWER -Itching that worsens at night
Mothers may report change in feeding patterns of children and that they are more tired and
irritable than usual
,Itching is widespread but is commonly located in the interdigital web spaces, wrists, anterior
axillary folds, periumbilical skin, pelvic girdle, penis, and ankles
Children: more common in palms, soles, face, neck, and scalp
Scabies treatment - CORRECT ANSWER -Permethrin
Ivermectin
Lice treatment - CORRECT ANSWER -Permethrin 1% lotion or 5% cream (Nix)
Pyrethrin 0.3% with piperonyl poo or gel OTC
Malathion 0.5% lotion or gel
Benzyl alcohol 5% lotion
Ivermectin 0.5% lotion
Tinea corporis (Ringworm) S/S - CORRECT ANSWER -Sharply demarcated, scaly plaques with or
without pruritis
How to diagnose tinea corporis - CORRECT ANSWER -Diagnosis may be confirmed using fungal
cultures from skin scrapings and direct microscopy or a Wood lamp examination
How do you treat fungal skin infections - CORRECT ANSWER -Tinea is typically treated with
topical antifungal creams, lotions, or shampoos. Common topical antifungals include:
butenafine (Mentax) 1% cream, apply to the affected area once daily for 2-4 weeks
clotrimazole (Lotrimin AF) 1% cream or lotion, apply to the affected area twice daily 2-4 weeks
ketoconazole (Nizoral) 2% cream, foam, or shampoo, apply once daily for 2-4 weeks
terbinafine (Lamisil) 250 mg by mouth daily for 2-4 weeks
, Tinea corporis patient education - CORRECT ANSWER -Vinegar or Burrows solution soaks help
decrease pruritus associated with tinea pedis and tinea manuum
Treat shoes with over the counter (OTC) antifungal spray during and after therapy
use OTC miconazole nitrate (Zeabsorb) powder to reduce friction, absorb moisture, and prevent
tinea cruris
Follow-up with clients on oral antifungal therapy to ensure improvement
Oncychomycosis - CORRECT ANSWER -Nail fungal infection
Non-life-threatening
Oncymycosis S/S - CORRECT ANSWER -May involve any component of the nail unit
Nail is usually yellow-white, with yellow streaks
Nail is thin and crumbling and may separate from the nail bed
Oncychomycosis treatment - CORRECT ANSWER -Direct microscopy
A 20% potassium hydroxide (KOH) preparation
Fungal culture
A combination of systemic and topical treatment increases the cure rate.
Epidermal inclusion cyst S/S - CORRECT ANSWER -Chronic history of cyst on same site for
months to years, cheesy white discharge with strong odor
Located in areas of the body where there is thicker skin and a large number of sebaceous
glands, such as on the back and upper shoulders
Cellulitis characteristics - CORRECT ANSWER -Bacterial infection of the skin involving both the
dermis and subcutaneous tissue
Mostly caused by Streptococcus or S. aureus - both gram-positive bacteria