Deck 33: Skin and Soft Tissue Infections
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Deck 33: Skin and Soft Tissue Infections
1
Which of the following organisms is responsible for impetigo?
A) Staphylococcus epidermidis
B) Streptococcus pyogenes
C) Enterococcus faecalis
D) Streptococcus agalactiae
A) Staphylococcus epidermidis
B) Streptococcus pyogenes
C) Enterococcus faecalis
D) Streptococcus agalactiae
B
2
What organism produces "rat bite fever?"
A) Streptobacillus moniliformis
B) Staphylococcus aureus
C) Borrelia burgdorferi
D) Chlamydia trachomatis
A) Streptobacillus moniliformis
B) Staphylococcus aureus
C) Borrelia burgdorferi
D) Chlamydia trachomatis
A
3
A group of swim team members breaks out in a rash (folliculitis) the day after swimming at the pool. What organism is probably responsible for this outbreak?
A) Staphylococcus aureus
B) Enterococcus sp.
C) Escherichia coli
D) Pseudomonas aeruginosa
A) Staphylococcus aureus
B) Enterococcus sp.
C) Escherichia coli
D) Pseudomonas aeruginosa
D
4
What is the most well-known type of myonecrosis?
A) Tetanus
B) Necrotizing fasciitis
C) Gas gangrene
D) Ebola hemorrhage
A) Tetanus
B) Necrotizing fasciitis
C) Gas gangrene
D) Ebola hemorrhage
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5
A common cause of eumycetoma:
A) Actinomyces sp.
B) Candida albicans
C) Madurella sp.
D) Fonsecaea sp.
A) Actinomyces sp.
B) Candida albicans
C) Madurella sp.
D) Fonsecaea sp.
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6
What is a circumscribed, hyperkeratotic, rough-textured, painless papule called?
A) Skin tick
B) Mole
C) Freckle
D) Wart
A) Skin tick
B) Mole
C) Freckle
D) Wart
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7
The clinical syndrome of Rocky Mountain spotted fever can be confused with which of the following conditions?
A) Lyme disease
B) Meningococcemia
C) Smallpox
D) Allergic reactions
A) Lyme disease
B) Meningococcemia
C) Smallpox
D) Allergic reactions
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8
What is a form of folliculitis in bearded men?
A) Sycosis barbae
B) Furuncle
C) Carbuncle
D) Impetigo
A) Sycosis barbae
B) Furuncle
C) Carbuncle
D) Impetigo
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9
What causes scarlet fever?
A) S. aureus
B) Endotoxin
C) Proteases
D) Erythrogenic toxin
A) S. aureus
B) Endotoxin
C) Proteases
D) Erythrogenic toxin
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10
What happens in the later stages of toxic shock syndrome as a result of the production of toxic shock syndrome toxin-1?
A) Bruising
B) Disseminated intravascular coagulation
C) Desquamation
D) Bacteremia
A) Bruising
B) Disseminated intravascular coagulation
C) Desquamation
D) Bacteremia
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11
Besides antimicrobial therapy, how are most carbuncles treated?
A) Teabags to draw the bacterial toxins out
B) Moist heat, then cold compresses
C) Surgical drainage
D) Squeezing to express the pus and necrotic tissues
A) Teabags to draw the bacterial toxins out
B) Moist heat, then cold compresses
C) Surgical drainage
D) Squeezing to express the pus and necrotic tissues
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12
What organism is known to cause severe necrotic cellulitis and primary sepsis?
A) Vibrio vulnificus
B) V. parahaemolyticus
C) Campylobacter spp.
D) Staphylococcus epidermidis
A) Vibrio vulnificus
B) V. parahaemolyticus
C) Campylobacter spp.
D) Staphylococcus epidermidis
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13
What organism causes the Buruli ulcer?
A) Streptococcus agalactiae
B) Mycobacterium ulcerans
C) Mycobacterium leprae
D) Corynebacterium jejuni
A) Streptococcus agalactiae
B) Mycobacterium ulcerans
C) Mycobacterium leprae
D) Corynebacterium jejuni
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14
Purpura fulminans, a skin manifestation of disseminated intravascular coagulation, is associated with which condition?
A) Hepatitis
B) Meningococcemia
C) Encephalitis
D) Salmonella
A) Hepatitis
B) Meningococcemia
C) Encephalitis
D) Salmonella
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15
What is the best method of diagnosing scabies?
A) Culture
B) Enzyme immunoassay
C) Polymerase chain reaction
D) Skin scrapings
A) Culture
B) Enzyme immunoassay
C) Polymerase chain reaction
D) Skin scrapings
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16
What condition presents as a localized area of mildly painful erythema, warmth, and swelling of the skin with poorly demarcated margins?
A) Impetigo
B) Carbuncles
C) Furuncles
D) Cellulitis
A) Impetigo
B) Carbuncles
C) Furuncles
D) Cellulitis
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17
What condition causes the nail margin to become painful, red, warm, and swollen with pus?
A) Furuncle
B) Carbuncle
C) Erysipelas
D) Paronychia
A) Furuncle
B) Carbuncle
C) Erysipelas
D) Paronychia
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18
What is erysipelas?
A) Inflammation of hair follicle
B) A superficial form of cellulitis
C) A synonym for furuncle
D) A synonym for carbuncle
A) Inflammation of hair follicle
B) A superficial form of cellulitis
C) A synonym for furuncle
D) A synonym for carbuncle
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19
What is the most common bacterium found on the skin?
A) Coagulase-negative staphylococci
B) Coagulase-negative streptococci
C) Escherichia coli
D) Pseudomonas aeruginosa
A) Coagulase-negative staphylococci
B) Coagulase-negative streptococci
C) Escherichia coli
D) Pseudomonas aeruginosa
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20
Which of these is an abscess that extends more deeply into the subcutaneous tissue and may have multiple draining sites?
A) Furuncle
B) Carbuncle
C) Folliculitis
D) Impetigo
A) Furuncle
B) Carbuncle
C) Folliculitis
D) Impetigo
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21
What is thrush?
A) Tinea unguium
B) Tinea corporis
C) Dermatophytosis
D) Oral candidiasis
A) Tinea unguium
B) Tinea corporis
C) Dermatophytosis
D) Oral candidiasis
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22
What causes erythema infectiosum?
A) Parvovirus
B) Herpesvirus
C) Paramyxovirus
D) Togaviridae
A) Parvovirus
B) Herpesvirus
C) Paramyxovirus
D) Togaviridae
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23
What causes rubeola?
A) Calicivirus
B) Herpesvirus
C) Paramyxovirus
D) Torovirus
A) Calicivirus
B) Herpesvirus
C) Paramyxovirus
D) Torovirus
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24
What is ringworm?
A) A parasitic skin infection
B) A bacterial skin infection
C) A fungal skin infection
D) A viral skin infection
A) A parasitic skin infection
B) A bacterial skin infection
C) A fungal skin infection
D) A viral skin infection
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25
What causes rubella?
A) Calicivirus
B) Herpesvirus
C) Paramyxovirus
D) Togaviridae
A) Calicivirus
B) Herpesvirus
C) Paramyxovirus
D) Togaviridae
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26
What disease results from a reactivation of the varicella-zoster virus that presents as vesicular eruption in a unilateral dermatomal distribution?
A) Shingles
B) Chicken pox
C) Infectious mononucleosis
D) Rubella
A) Shingles
B) Chicken pox
C) Infectious mononucleosis
D) Rubella
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27
In August, a 30-year-old man presents with an ulcer on his leg with swelling of the lymph nodes in the surrounding area. He reports taking numerous hikes in the woods behind is house hunting rabbits. He does not recall any animal bites. What disease should be considered in the differential diagnosis?
A) Lyme disease
B) Tularemia
C) Brucellosis
D) Rat bit fever
A) Lyme disease
B) Tularemia
C) Brucellosis
D) Rat bit fever
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28
What is herpetic whitlow?
A) Primary herpetic lesions of the genitals
B) Primary herpetic lesions of the finger
C) Primary herpetic lesions of the anus
D) Primary herpetic lesions of the lip
A) Primary herpetic lesions of the genitals
B) Primary herpetic lesions of the finger
C) Primary herpetic lesions of the anus
D) Primary herpetic lesions of the lip
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29
All of the following viruses cause a characteristic viral syndrome, which includes severe bleeding manifestations, except
A) Ebola virus.
B) Rabies virus.
C) Junin virus.
D) Marburg virus.
A) Ebola virus.
B) Rabies virus.
C) Junin virus.
D) Marburg virus.
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30
What is swimmer's itch?
A) Cercariae larvae penetrate human skin, causing dermatitis.
B) Arthropods deposit larvae in human skin, causing dermatitis.
C) Dermatitis is caused by Vibrio spp.
D) Dermatitis is caused by Pseudomonas spp.
A) Cercariae larvae penetrate human skin, causing dermatitis.
B) Arthropods deposit larvae in human skin, causing dermatitis.
C) Dermatitis is caused by Vibrio spp.
D) Dermatitis is caused by Pseudomonas spp.
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