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Dermatology · Infestation: scabies
Sample itemA household has intense nocturnal itch with papules and burrows in the finger webs and wrists. What is the correct management principle?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Treat the affected person and close contacts simultaneously
Scabies is transmitted by close contact, so simultaneous treatment of household and close contacts reduces reinfestation. Bedding and clothing should be managed according to local guidance.
Option by option
A. Treat the affected person and close contacts simultaneously (correct)
Correct. Contact treatment interrupts household transmission.
B. Treat only the most itchy person
Treating one person alone commonly leads to reinfestation.
C. Avoid laundering bedding
Linen management helps reduce transmission risk.
D. Use antibiotics alone
Antibiotics do not eradicate mites.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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