Fungal and Parasitic Infections USMLE Step 1 Practice Question
A 35-year-old woman returns from a 3-week mission trip to Sub-Saharan Africa with progressive pruritic, scaling rash on her hands and feet. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Four-week course of topical miconazole has been ineffective. KOH mount demonstrates branching septate hyphae. ESR is normal. She denies systemic symptoms or nail involvement. Which of the following is the most appropriate treatment?
Answer choices
- ATopical miconazole
- BNystatin
- COral terbinafineCorrect answer
- DGriseofulvin
- EFluconazole
- FItraconazole
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