Term
Definition
Dermatophytosis |
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Definition
| fungal infection confined to keratinous structures |
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|
Term
Where do dermatophytes obtain their nutrients?
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|
Definition
| From keratin (skin, nails, hair) |
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Term
|
Definition
| Tinea infection of the nail |
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Term
T/F
Topical steroids make funal infections worse |
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Definition
|
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Term
Location of infection
A) Tinea Capitis
B) Tinea Barbae
C) Tinea Corporis
D)Tinea Pedis
E) Tinea Versicolor
F) Tinea Cruris |
|
Definition
A) Tinea Capitis- Scalp
B) Tinea Barbae- face/beard
C) Tinea Corporis- trunk & extremities
D)Tinea Pedis- Feet
E) Tinea Versicolor- Trunk & extremities
F) Tinea Cruris- Inner thighs |
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|
Term
Which type of infection is it?
malodorous, pruritic fissures of toe webs |
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Definition
|
|
Term
Which type of infection is it?
Roundish leasions with central clearing, erythema and scaling |
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Definition
| Tinea Corporis (Ringworm) |
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|
Term
Which type of infection is it?
Alopecia, hair breaks off at scalp level |
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Definition
|
|
Term
Which type of infection is it?
Well defined macular hyper and hypo-pigmented scaly patches found on trunk and extremities |
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Definition
|
|
Term
Which type of infection is it?
Hair folliciles and skin on face |
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Definition
|
|
Term
Azoles are indicated for infections caused by.....
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|
Definition
| Dermatophytes, tinea versicolor and candida |
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|
Term
| Name the Azole topical fungal agents and their brand name |
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Definition
Clotrimazole (lotramin)
Ketaconazole (Nizoral)
Miconazole (monistat-derm) |
|
|
Term
| What is the allylamine OTC drug for topical fungal infections? |
|
Definition
|
|
Term
| What is the Benzylamine OTC drug for topical fungal infections? |
|
Definition
| Butenafine (Lotramin Ultra) |
|
|
Term
| What are some OTC treatments for Tinea Capitis and Tinea Barbae? |
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Definition
| Selenium Sulfide (topical) Ketaconazole(shampoo), or Povidone-Iodine(topical) |
|
|
Term
| What are some OTC treatments for Tinea Corporis, tinea versicolor and Tinea Pedis? |
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Definition
| Miconazole BID, Tolnaftate BID, Clotrimazole (lotramin AF), Butenafine (Lotramin Ultra) |
|
|
Term
| How do most antifungal medications work? |
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Definition
| by interfering wth ergosterol synthesis and damaging the cell wall |
|
|
Term
| What is the recommended treatment for tinia pedis and why? |
|
Definition
| 4 weeks to avoid spreading |
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|
Term
| Which OTC Antifungal medication has the best and most data to support its use and efficacy? |
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Definition
|
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Term
T/F
Nystatin is used for cutaneuos infections often caused by candida or dermatophytes |
|
Definition
FALSE
Nystatin is not used for dermatophytes |
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|
Term
| Why would a person need a prescription to treat a nail infection? |
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Definition
| Because the nail extends beneath the skin and would require oral medication. |
|
|
Term
| What are some risk factors for developing Onchomycosis? |
|
Definition
Increasing age >40
Family History
Immunodeficiency
DM
Psoriasis
PVD
Nail Trauma, Sports
History of tinea pedis |
|
|
Term
T/F
Tea Tree oil has both antifungal and antibacterial activity |
|
Definition
| True, but there is no solid evidence |
|
|
Term
T/F
An infection can be occluded by suffocating the fungus with petrolatum |
|
Definition
| True but it wont work if infection is under the skin |
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|
Term
T/F
Vulvovaginal Candidiasis can be contracted as an STD |
|
Definition
|
|
Term
| How would a doctor diagnose a yeast infection? |
|
Definition
| Positive cultures of albicans or librota |
|
|
Term
| What are the symptoms of VVC? |
|
Definition
| vulvar itching, irritation, erythema, cottage cheese-like discharge |
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|
Term
T/F
you should treat VVC even if the patient is asymptomatic |
|
Definition
false
No symptoms, dont have to treat |
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Term
T/F
Sporadic infections occur more than 4 times in 12 months |
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Definition
False
Recurrent is more than 4 times in 12 months |
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Term
T/F
Recurrent infections should be treated with an initial phase and maintenance |
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Definition
|
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Term
T/F
Bacterial vaginosis and Trichomoniases is often mistaken for yeast infection by patients |
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Definition
|
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Term
Complicated or Uncomplicated
1) Immunocompromised
2) Cure rate exceed 95%
3) Longer treatment duration |
|
Definition
1) Complicated
2)UNcomplicated
3) Complicated |
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|
Term
Complicated or Uncomplicated
1) Uncontrolled DM
2) responsive to most antifungals
3) tend to be albicans infection |
|
Definition
1) Complicated
2) UNcomplicated
3) UNcomplicated |
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|
Term
Complicated or Uncomplicated
1) Requires more aggressive tx
2) Pregnancy
3) Cancer patients |
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Definition
|
|
Term
| What would you use to treat a pregnant woman with a yeast infection? |
|
Definition
| Topical Azole for 7 days b/c oral in contraindicated in the 1st trimester unless its a very serious case |
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|
Term
T/F
Fluconazole may be given along with an antibiotic |
|
Definition
| True it is prophylactic therapy |
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|
Term
T/F
the duration of therapy is unimportant when treating UNcomplicated VVC |
|
Definition
|
|
Term
| Name the 3 OTC drugs used to treat uncomplicated VVC |
|
Definition
| Miconazole, Clotrimazole and Tioconazle |
|
|
Term
| List the tx options for COMPLICATED VVC |
|
Definition
Fluconazle 150mg QD x 10 days, then 6 mo of weekly fluconazole
Boric acid 600 mg Intravaginally
5-flucytosine 1000mg Intravaginally x 7 days |
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|
Term
OTC or Rx
1) Sendary Bacterial Infection
2) > 20% BSA
3) Serious inflammation
4) failed 1st treatment
5) debilitation |
|
Definition
| all are EXCLUSIONS for self treatment |
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|
Term
T/F
if the infection involves the nails, scalp face or mucus membranes a person may self treat |
|
Definition
FALSE
These are exclusions for self care |
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