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Dermatology · Infestations: scabies treatment
Sample itemWhich scabies treatment is appropriate for a pregnant woman and for infants?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Permethrin 5 percent cream
Permethrin 5 percent applied overnight over the whole body and repeated at one week is the preferred topical agent in pregnancy and infants. Oral ivermectin is avoided in pregnancy and in children under 15 kg, and lindane is neurotoxic.
Option by option
A. Permethrin 5 percent cream (correct)
Correct. Permethrin is the safe topical first line.
B. Lindane lotion
Lindane can cause seizures and is avoided in infants and pregnancy.
C. Oral ivermectin 200 mcg/kg
Ivermectin is not recommended in pregnancy or infants.
D. Benzyl benzoate for infants undiluted
Undiluted benzyl benzoate is irritating in infants and must be diluted.
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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