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AANP EXAM REVIEW- SKIN 2025 QUESTIONS AND ANSWERS Erythema Migrans- (stage 1 Lyme) - ....ANSWER ...-Target bulls-eye, usually appears in 7-14 days POST being bitten by a deer tick. Rash is hot to touch with rough texture, flu like symptoms. DX: B. Burgdorferi via ELISA, then confirm with western blot. Increased ESR. TREATMENT: Younger than 7Amoxicillin or cefuroxime axetil. Older than 7 yrs- Doxycycline. EXAM RMSF - ....ANSWER ...-Fever, chills, N/v, photophobia, myalgia, arthralgias THEN 2-5 days later you develop a petechial rash on forearms, ankles, wrists, that spreads towards trunk and becomes generalized. Think rocky NC/OK/AK/TN/MO DX: PCR essay with Rickessetti Antigen TREATMENTdoxycycline. EXAM Erythema Migrans- (stage 1 Lyme) - ....ANSWER ...-Target bulls-eye, usually appears in 7-14 days POST being bitten by a deer tick. Rash is hot to touch with rough texture, flu like symptoms. DX: B. Burgdorferi via ELISA, then confirm with western blot. Increased ESR. TREATMENT: Younger than 7- Amoxicillin or cefuroxime axetil. Older than 7 yrs- Doxycycline EXAM ....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1