A client with a suspected Fungal Skin Infection presents with circular, erythematous, scaly patches with a raised border.
Which statement accurately describes this presentation?
"I have noticed clear central areas in these patches.".
"I have blisters and fissures in the affected area.".
"I have red, inflamed patches with satellite lesions.".
"I have white, curd-like discharge in the affected area.".
The Correct Answer is A
Choice A rationale:
The description of circular, erythematous, scaly patches with a raised border and clear central areas is a classic presentation of tinea corporis (ringworm), a fungal skin infection.
The central clearing is a distinctive feature of this infection, as the fungus tends to spread outward from the center, leaving the central area relatively unaffected.
This presentation is not typically seen in other fungal skin infections like tinea pedis (athlete's foot).
Choice B rationale:
Blisters and fissures are not typically associated with the presentation of circular, erythematous, scaly patches with a raised border in tinea corporis.
These symptoms are more commonly seen in tinea pedis (athlete's foot) or other types of fungal skin infections.
Choice C rationale:
Red, inflamed patches with satellite lesions are more characteristic of a bacterial skin infection, such as cellulitis, rather than a fungal infection like tinea corporis.
Fungal infections tend to present with scaling and a distinct border rather than widespread inflammation.
Choice D rationale:
White, curd-like discharge is a symptom more commonly associated with yeast infections, such as candidiasis, rather than fungal skin infections like tinea corporis.
Tinea corporis typically presents with scaly, erythematous patches and is caused by dermatophyte fungi.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
Avoiding shared personal items is an important instruction for managing fungal skin infections.
Fungi responsible for these infections can easily spread from person to person through contaminated items like towels, shoes, and clothing.
Therefore, it is crucial for individuals with fungal skin infections to avoid sharing personal items to prevent transmission and reinfection.
Choice C rationale:
Keeping the affected area clean and dry is essential for managing fungal skin infections.
Fungi thrive in warm and moist environments, so maintaining proper hygiene and ensuring the affected area remains dry can help inhibit fungal growth and promote healing.
Patients should be advised to wash the affected area gently with soap and water, pat it dry thoroughly, and avoid occlusive clothing.
Choice E rationale:
Wearing tight-fitting clothing is not recommended for managing fungal skin infections.
Tight-fitting clothing can create a warm and humid environment, which is conducive to fungal growth and can exacerbate the condition.
Patients should be advised to wear loose-fitting, breathable clothing to allow the affected skin to breathe and stay dry.
Choice B rationale:
Applying topical antibiotics to the affected area is not a standard treatment for fungal skin infections.
Fungal skin infections are typically treated with antifungal medications, such as topical or oral antifungal creams or ointments, rather than antibiotics.
Antibiotics are used to treat bacterial infections, not fungal ones.
Choice D rationale:
Using corticosteroid creams to reduce itching is not generally recommended for managing fungal skin infections.
While corticosteroids can help relieve itching and inflammation, they should be used cautiously and under the guidance of a healthcare provider.
In some cases, corticosteroids may exacerbate fungal infections by suppressing the immune response.
Antifungal medications are the primary treatment for fungal skin infections.
Correct Answer is B
Explanation
Choice A rationale:
"Topical antifungal creams are not effective for treating these infections." This statement is not accurate.
Topical antifungal creams are effective for treating many cases of fungal skin infections, especially mild to moderate ones.
They are often the first-line treatment.
Choice B rationale:
"Oral antifungal medications may be prescribed for severe cases." This statement is correct.
Oral antifungal medications, such as fluconazole or terbinafine, may be prescribed for severe or resistant cases of fungal skin infections.
These medications can be more potent and are typically reserved for more challenging cases.
Choice C rationale:
"Only home remedies like vinegar baths are recommended for treatment." This statement is not accurate.
While home remedies like vinegar baths may offer some relief from itching and discomfort, they are not the primary recommended treatment for fungal skin infections.
Antifungal medications, either topical or oral, are the standard treatments.
Choice D rationale:
"Antibiotics are the preferred treatment for Fungal Skin Infections." This statement is incorrect.
Antibiotics are not effective against fungal pathogens.
Fungal skin infections require antifungal treatments specifically designed to target and eliminate fungi.
Using antibiotics for fungal infections would be ineffective and inappropriate.
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