I Touched a Plant
Bugging Out
The Sun is a
Deadly Laser
Deadly Laser
My Skin Hurts
100
Immediate washing with this can remove up to 100% of poison ivy oil if performed right after exposure.
What is soap and water?
100
This expanding erythematous skin lesion, often at least 5 cm in diameter, is the hallmark of early Lyme disease.
What is erythema migrans?
100
These two common topical agents have limited evidence, and are not routinely recommended for the treatment of sunburn.
What are aloe vera and topical steroids?
100
The pain from this rash can be managed with topical emolients and this PO therapy, which also helps to reduce erythema.
What are NSAIDs?
200
This class of topical medication is recommended for reducing inflammation and pruritus in mosquito bite reactions; oral medicines of this other class can be used for larger local reactions.
What are topical corticosteroids and PO second-generation antihistamines?
200
For sunburn with tense or painful blisters, the CDC Yellow Book recommends this approach to management.
What is sterile drainage while leaving the blister roof intact?
200
The pictured itchy rash is best managed with this therapy (give diagnosis, medication name, strength, and duration)?
What is poison ivy rash, treat with clobetasol propionate 0.05% cream, applied twice daily until improvement (typically within one week).
Superior efficacy to lower potency steroids, with shorter treatment duration. Most helpful in early disease; once vesicles are established there is little benefit.
300
This PO over-the-counter remedy is frequently used for symptomatic relief in poison ivy-induced pruritis, but lacks strong evidence for efficacy.
What are oral antihistamines?
300
Patients using DEET-containing insect repellant should be counseled to avoid wearing clothing containing this common material, due to the risk of permanent fabric damage.
What is rayon / spandex?
300
To minimize the risk of sunburn, an adult patient wearing a bathing suit should apply this quantity (in tsp or mL) of sunscreen every X hours.
What is 9 tsp or 60mL every 1-2 hours.
1 teaspoon (visually measured) of sunscreen to the face and neck area, a total of 2 teaspoons to the front and back torso, 1 teaspoon to each upper extremity, and 2 teaspoons to each lower extremity
300
Patients presenting with this itchy rash should be instructed to take these steps to minimize the risk of further breakouts.
What is inspect mattresses, wash or dispose of bedding and clothing.
400
Systemic corticosteroids are indicated when poison ivy dermatitis involves more than this percentage of body surface area.
What is 10%?
400
A single dose of doxycycline 200mg is recommended as for Lyme disease prophylaxis if an Ixodes tick has been attached for X hours and prophylaxis can be started within Y hours.
What is attached for ≥ 36 hours, and prophylaxis started within 72 hours.
Doxycycline 100mg BID for 10 days is used for treatment of early uncomplicated disease.
400
According to the Wilderness Medical Society, this is the most effective field treatment for exertional heat stroke.
What is cold water immersion?
400
While frequently described as a "spider bite," this skin finding is actually most concerning for this diagnosis.
What is a furuncle.
500
Disposing of poison ivy by burning can release smoke containing this substance, which may trigger acute laryngeal edema, bronchospasm, and respiratory distress.
What is urushiol?
500
Anaphylaxis following a bee sting is characterized by the presence of these symptoms (name diagnostic criteria).
1. Acute onset of an illness (minutes to several hours) with involvement of the skin, mucosal tissue, or both (eg, generalized hives, pruritus or flushing, swollen lips-tongue-uvula) AND AT LEAST ONE OF THE FOLLOWING:
A. Respiratory compromise (eg, dyspnea, wheeze-bronchospasm, stridor, hypoxemia)
B. Reduced BP* or associated symptoms of end-organ dysfunction (eg, hypotonia, collapse, syncope, incontinence)2.
TWO OR MORE OF THE FOLLOWING that occur rapidly after exposure to a LIKELY allergen for that patient (minutes to several hours):
A. Involvement of the skin mucosal tissue (eg, generalized hives, itch-flush, swollen lips-tongue-uvula)
B. Respiratory compromise (eg, dyspnea, wheeze-bronchospasm, stridor, hypoxemia)
C. Reduced BP* or associated symptoms (eg, hypotonia, collapse, syncope, incontinence)D. Persistent gastrointestinal symptoms (eg, crampy abdominal pain, vomiting)
3. Reduced BP* after exposure to a KNOWN allergen for that patient (minutes to several hours):
A. Infants and children - Low systolic BP (age-specific)* or greater than 30% decrease in systolic BP
B. Adults - Systolic BP of less than 90 mmHg or greater than 30% decrease from that person's baseline
500
The presence of these two clinical features differentiates heat stroke from heat exhaustion.
What are altered mental status and core temperature above 40°C (104°F)?
500
The rash below is classically associated with gardening. It is caused by this infectious agent, and is treated with this therapy (identify diagnosis, medication, and duration).
What is sporotrichosis (caused by Sporothrix fungus), treated with itraconazole for 2-4 weeks after lesion resolution (often 3-6 months total).