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Crozer-Keystone Residency Manual - Clinical Podiatry Questions with Correct Answers
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Crozer-Keystone Residency Manual - Clinical Podiatry Questions with Correct Answers
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Crozer-Keystone Residency Manual - Clinical Podiatry Questions with Correct AnswersWhat are the clinical patterns of tinea pedis? What are common infecting
organisms? CORRECT ANSWER *Chronic (moccasin or papulosquamous)* Trichophyton rubrum
*Acute (interdigital or vesicular)* Trichophyton mentagrophytes
*Ulcerative* Trichophyton mentagrophytes with Pseudomonas or Proteus
What are the clinical patterns of onychomycosis? What are common infecting organisms? CORRECT ANSWER Distal subungual onychomycosis (DSO) ~ 90% Most common Trichophyton rubrum
Proximal subungual onychomycosis (PSO) ~ 1% Seen in immunocompromised patients Trichophyton rubrum
Superficial white onychomycosis (SWO) ~ 10% Trichophyton mentagrophytes
Candidal onychomycosis Candida albicans
What test confirms tinea pedis or onychomycosis? CORRECT ANSWER Potassium hydroxide (KOH) preparation of skin or nail specimen Septate hyphae confirms diagnosis
Who does Lamisil work? CORRECT ANSWER Inhibits ergosterol synthesis
What is phenol? CORRECT ANSWER Carbolic acid
During a P&A procedure, why is alcohol used after phenol? CORRECT ANSWER Phenol is soluble in alcohol, and the alcohol will irrigate excess phenol from the nail groove
For a nail avulsion, what can be done for anesthesia if the patient is allergic to all local anesthetics? CORRECT ANSWER Saline block (pressure induced block)
Pressure cuff
Benadryl block (blocks histamine release)
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