Derm

Question 1

Hot tub folliculitis is important to recognize as a specific infection because:

Answer 1

It is caused by pseudomonas aeruginosa requiring specific antibiotics for treatment

Question 2

The best first-line treatment option when there is concern for MRSA while waiting for culture results is:

Answer 2

Sometimes incision and drainage is the only treatment required. This certainly is the first line of treatment if methicillin-resistant staph aureus is considered.

Question 3

Corns are?

Answer 3

Specially shaped callus w/ center appearance like a cone

Question 4

How long should hands be washed?

Answer 4

15 seconds

Question 5

What are 2 fungal infections in sport?

Answer 5

Tinea capitis

Tinea corporis

Question 6

What is the presentation of tinea capitis?

Answer 6

Presentation:

• single or multiple patches of hair loss
• sometimes w/ a black dot pattern
• predominately seen in pre-pubertal children

Question 7

Treatment of tinea capitis?

Answer 7

Systemic antifungal agents

ex: Terbinafine

Question 8

Return to competition:

Tinea capitis

Answer 8

Minimum of 2 weeks of systemic antifungal therapy

Question 9

Tinea corposis:

Treatment:

Answer 9

Topical treatment w/ a cidal antifungal

Ex: Terbinafine
2x/day

Question 10

Return to competition:

Tinea corposis

Answer 10

Must use topical fungicide for at least 72 hours

Lesions must be covered with a gas permeable membrane

Question 11

Viral infections can presents w/ ______like symptoms

Answer 11

Viral

Question 12

List the 3 viral derm infections seen in sport:

Answer 12

1. Herpes Simplex
2. Herpes Zoster
3. Molluscum Contagiosum

Question 13

Herpes Simplex:

Treatment

Answer 13

Anti-viral medication

Ex: Valacycclovir

Question 14

Valacyclovir can be used for prophylatic treatment for?

Answer 14

Herpes Simplex:

Used in wrestlers:

History of HSV:

• more than 2 years: 500 mg/d
• less than 2 years: 1g/day

Question 15

Herpes Simplex:

Return to Play

Answer 15

1. Free of systemic symptoms: fever, malaise
2. No new blisters for 72 hours
3. All lesions must be surmounted by a firm adheret crust
4. MINIMIUM of 120 hours (5 days) of systemic antiviral therapy
5. active lesions can’t be covered to allow participation

Question 16

Herpes Zoster

Where are they often found?

Answer 16

A rash of raised dots, develops into painful blisters

• Often on trunk & buttock

Question 17

Molluscum Contagiosum:

More commonly seen in?

Answer 17

Viral infection

Young children

Question 18

Molluscum Contagiosum:

Treatment

Answer 18

Physical destruction of the lesions with a sharp curette

Question 19

Molluscum Contagiosum:

Return to Play

Answer 19

Lesions should be curetted & covered with a gas permeable membrane

Question 20

Bacterial infections are most commonly caused by?

Answer 20

gram + strains of

• streptococus
• staphylococus

Question 21

List the 3 bacterial infections seen in sport?

Answer 21

1. Impetigo
2. Folliculits/furucles/carbuncles
3. MRSA

Question 22

Yellowish-brown or honey colored serous crusting

Answer 22

Impetigo

Question 23

Impetigo:

Treatment

Answer 23

Culture

Rx: topical mupirocin, fusidic acid & retapamulin

Question 24

Impetigo:

Return to Play

Answer 24

1. Cultured
2. No new lesions for at least 48 hours
3. Completion of 72 hours of antibiotic therapy
4. No further drainage from the wound
5. Active infections may not be covered for competition

Question 25

Folliculitis/furuncles/carbuncles Treatment

Answer 25

Referred for incision, drainage & culture Rx: antibiotic therapy

Question 26

Folliculitis/furuncles/carbuncles Return to sport

Answer 26

1. Cultured 2. No new lesions for at least 48 hours 3. Completion of 72 hours of antibiotic therapy 4. No further drainage from the wound 5. Active infections may not be covered for competition

Question 27

Reports of spider bite should be considered a possible sign of?

Answer 27

MRSA

Question 28

MRSA Treatment:

Answer 28

- Isolated from team members | - antibiotic treatment

Question 29

MRSA Return to play

Answer 29

1. Cultured 2. No new lesions for at least 48 hours 3. Completion of 72 hours of antibiotic therapy 4. No further drainage from the wound 5. Active infections may not be covered for competition

Question 30

Calcaneal petechiae Treatment

Answer 30

black heel Rx: Monitor

Question 31

Psoriasis Treatment

Answer 31

Thick, red skin with flaky, silver, white patches called scales Treatment: - Over the counter salicylic acid - 10-15 mins of direct sunlight - moisturizers

Question 32

Scabies

Answer 32

Skin disease spread by mites Itchy rash

Question 33

Squamous cell carcinoma

Answer 33

Reddish, slow growing Tends to bleed

Question 34

Treatment of tinea pedis

Answer 34

OTC Lamisil