Bites, Stings & Infestations Quiz

 

Question 1 of 26

1. The three lice that infest humans are:

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Question 2 of 26

2. You examine an 8-year-old male with scalp pruritus, scale, and cervical lymphadenopathy. Your differential includes:

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Question 3 of 26

3. Treatment for a brown recluse spider bite (Loxosceles reclusa) includes:

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Question 4 of 26

4. A 45 year old nursing home aid presents for evaluation. She complains of a 2-month history of intense pruritis of her wrists, abdomen and nipples affecting her ability to sleeppa. No prior history of skin disease. On exam you noted small pink papules admixed with scaling and excoriated thin plaques located on nipples, wrists and abdomen. Your diagnosis is:

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Question 5 of 26

5. The treatment of choice for pubis pediculosis is:

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Question 6 of 26

6. An 8-year-old female comes home from school diagnosed with head lice by the school nurse.  Appropriate treatments include:

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Question 7 of 26

7. Bite wounds that are at high risk for infection include all of the following, except:

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Question 8 of 26

8. All of the following are typical characteristics of erythema migrans (EM), except:

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Question 9 of 26

9. A 41-year-old male, who recently returned from a backpacking trip to North Carolina, presents with a petechial rash on his palm and soles and complains of myalgias, fever, and a severe headache. Additional physical exam findings include pedal edema and conjunctivitis. No lymphadenopathy or neurological deficit. You suspect:

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Question 10 of 26

10. Your next step for the above mentioned patient would be to:

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Question 11 of 26

11. Your patient should be retested after treatment of Lyme disease to confirm eradication of bacterial spirochete.

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Question 12 of 26

12. You are treating a 28-year-old pregnant female with no known drug allerlgies. She is unsure how long the tick was attached but states it was engorged when she found it on her back. She is asymptomatic and lives in Maryland. You would like to prescribe antibiotic prophylaxis. She lives in New York and often goes for hikes in the woods with her husband. She found an engorged tick on her torso but is unsure how long it was attached. She denies systemic symptoms. You decide to initiate treatment with:

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Question 13 of 26

13. Transmission of B. burgdorferi is rare within the first ______ hours of attachment?

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Question 14 of 26

14. A 13-year-old boy living in Tennessee presents with a high fever for 3 days, headache, nausea/vomiting, and abdominal pain. You note 1-5mm pink macules on his palms. What treatment should you start immediately?

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Question 15 of 26

15. P.D., a 36-year-old male, complains of pruritus for months, most recently on his upper chest and axillae. You notice excoriations and papular urticaria in the involved areas. He denies any other affected area. Your differential includes all of the following, except:

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Question 16 of 26

16. You prescribe permethrin 5% cream and advise him that:

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Question 17 of 26

17. Serpiginous, intensely pruritic, raised, linear, erythematous lesions on the foot of a patient who recently returned from a beach vacation should raise suspicion for:

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Question 18 of 26

18. First-line treatment includes:

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Question 19 of 26

19. Unless treated, cutaneous larva migrans will continue to migrate through the skin:

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Question 20 of 26

20. What therapy is FDA-approved treatment for a 3-month-old infant with pediculosis capitis?

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Question 21 of 26

21. The treatment choice for pubis pediculosis is:

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Question 22 of 26

22. A 24-year-old male presents with pruritus for one month. When questioned, his 2 other roommates have similar symptoms starting a few weeks ago. You find the below insect on his body. Where would you have most likely found this insect?

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Question 23 of 26

23. High-risk bite wounds for infection include all of the following, except?

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Question 24 of 26

24. Which bite constitutes a surgical emergency?

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Question 25 of 26

25. Patients with bites from which spider are the most likely to develop systemic symptoms?

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Question 26 of 26

26. A patient presents with flu-like symptoms during the summer months. She is concerned as she recently had a tick bite. Symptoms of Lyme disease would not include:

Question 26 of 26