Clinical Manifestations:
- Intense Pruritus: The primary symptom of scabies is severe itching, which often worsens at night and can be particularly bothersome for patients.
- Burrows: The mites create burrows that appear as red, raised, and serpiginous (snake-like) lines or tracks on the skin, usually measuring a few millimeters in length.
- Rash and Secondary Lesions: The burrowing activity causes an inflammatory response leading to a rash with red papules, pustules, and vesicles.
- Common locations for burrows include interdigital spaces, wrists, elbows, axillae, areolae, and genital area.
- Scratching may result in secondary lesions, such as excoriated papules, nodules, or blisters.
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Questions on Clinical Manifestations:
Correct Answer is B
Explanation
"Scabies is a fungal infection caused by the fungus Candida albicans." - This statement is incorrect as scabies is caused by a mite, not a fungal infection.
Correct Answer is C
Explanation
Raised, red welts with severe pruritus triggered by allergens - This description is more characteristic of urticaria (hives), which is an allergic skin reaction, not scabies.
Correct Answer is C
Explanation
"I should avoid skin-to-skin contact with someone who has scabies to prevent transmission." - This statement is correct. Avoiding skin-to-skin contact can help prevent the spread of scabies to others.
Correct Answer is B
Explanation
Groin and genital area - Scabies infestation can occur in the groin and genital area, but the soles of the feet and palms of the hands are less commonly affected.
Correct Answer is C
Explanation
"Keep the skin moisturized with heavy creams or lotions to prevent scabies." - This statement is incorrect. Moisturizing the skin may be beneficial for symptom management but will not prevent scabies infestation.
Correct Answer is B
Explanation
Raised, red welts with severe pruritus triggered by allergens are typical of urticaria or hives, not scabies.
Correct Answer is D
Explanation
Scabies infestation can occur on various body parts, but the groin and genital area are commonly affected due to the warm and moist environment.
Correct Answer is D
Explanation
Pediatric scabies presents as excoriated papules and nodules with honey-colored crusts, resulting from intense itching and scratching.
Correct Answer is C
Explanation
Muscle weakness and fatigue are not characteristic of scabies and may indicate another underlying condition.
Correct Answer is B
Explanation
Serological testing for antibodies against scabies mites is not typically used for diagnosing scabies and may not provide accurate results.
Correct Answer is D
Explanation
Dermoscopy is a non-invasive diagnostic tool commonly used in clinical practice to visualize the mites or burrows on the skin surface, aiding in the diagnosis of scabies.
Correct Answer is D
Explanation
Skin scraping involves applying mineral oil to the skin, followed by scraping off the superficial layer, and then examining the scraped material under a microscope to detect the presence of scabies mites or eggs.
Correct Answer is A
Explanation
Scabies burrows are commonly found in interdigital spaces (between the fingers and toes) and on the wrists, as these areas offer warm and protected environments for the mites to burrow.
Correct Answer is D
Explanation
Topical corticosteroids can help reduce inflammation and itching associated with scabies. They are commonly prescribed to provide relief from symptoms.
Correct Answer is C
Explanation
Informing sexual partners about the need for treatment is crucial to prevent reinfestation and transmission.
Correct Answer is B
Explanation
Placing the child in contact isolation is not necessary for managing scabies, as it is not highly contagious and can be managed with appropriate hygiene practices.
Correct Answer is C
Explanation
The client should avoid showering immediately after applying the scabicidal medication to allow it to have enough time to work effectively.
Correct Answer is B
Explanation
Applying the scabicidal cream from head to toe, including under the nails, is a correct application technique to ensure all affected areas are treated.
Correct Answer is D
Explanation
Sharing personal items can spread scabies to others, even if they are not experiencing symptoms. It is essential for the client to avoid sharing personal items to prevent transmission.
Correct Answer is A
Explanation
Continuing to apply the scabicidal cream even if the rash starts to improve is important to complete the treatment and prevent recurrence.
Avoiding close contact with the client until the scabies is completely treated is crucial to prevent transmission and spread of the infestation.
It is essential for the client to avoid sharing bedding with others during a scabies infestation. Washing the bedding alone may not be sufficient to eliminate the mites and prevent transmission.
It is essential for the child to avoid close contact with other children until the scabies is completely treated to prevent transmission.
Sharing personal items can spread scabies to others, even if they don't have any skin rashes or symptoms. It is essential for the client to avoid sharing personal items to prevent transmission.
Placing the client in a room with another client who also has scabies is not appropriate as it can lead to cross-contamination.
Sharing personal items can spread scabies to others, even if they don't have any itching or symptoms. It is essential for the client to avoid sharing personal items to prevent transmission.
Allowing clients to use the same bathing facilities without using personal protective equipment may increase the risk of transmission and spread of scabies.
Sharing personal items can spread scabies to others, even if they don't have any rashes or symptoms. It is essential for the client to avoid sharing personal items to prevent transmission.
<p>This statement is incorrect. Scabies is not a chronic condition that requires lifelong management. With proper treatment, scabies can be cured, and symptoms usually improve within a few days. There is no need for lifelong management unless the client is reinfected or exposed to scabies again.</p>
This statement is incorrect. Scabies is not a self-limiting condition, and it requires specific treatment to eliminate the infestation and relieve symptoms. Without treatment, scabies can persist and spread to others.More questions
<p>Virus: Scabies is not caused by a virus. It is caused by the infestation of the skin by the scabies mite.</p>
<p>Rapid breathing: Rapid breathing is not a symptom of scabies. Itching is the primary complaint.</p>
<p>Through mosquito bites: Scabies is not transmitted through mosquito bites. It requires direct contact with an infected person or infested items.</p>
<p>Sole of the feet: Scabies can occur on the sole of the feet, but it is not a common site of infestation, especially in adults.</p>
<p>Urine analysis: Urine analysis is not used to diagnose scabies. Skin scraping is the standard method for diagnosis.</p>
<p>The primary intervention for treating scabies is the use of topical scabicide medications. These medications kill the scabies mites and their eggs, effectively treating the infestation.</p>
<p>Airborne precautions: Airborne precautions are used for diseases spread by small particles suspended in the air, not scabies.</p>
<p>Scabies infestation can be treated with permethrin cream, which is a topical scabicide that kills the scabies mites and their eggs.</p>
<p>Avoiding crowded places: While avoiding crowded places may reduce the risk of some infections, it does not specifically prevent scabies infestation. Direct contact with an infected person or infested items is the primary mode of transmission.</p>
<p>Wear personal protective equipment around the infected individual: Contact precautions, including wearing gloves and gowns, are recommended for healthcare providers but not necessarily for household members. Treating all household members is the most effective preventive measure.</p>
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