Q:

A resident of a nursing home presented with rashes in his finger webs and also on his abdomen, with complaints of itching which is severe at night. He was diagnosed with scabies. What the best treatment for his condition?

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A resident of a nursing home presented with rashes in his finger webs and also on his abdomen, with complaints of itching which is severe at night. He was diagnosed with scabies. What the best treatment for his condition?


  1. 0.5% permethrin
  2. Doxycycline
  3. 5% permethrin
  4. Reassure
  5. Acyclovir

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The key is C. 5% permethrin. [Scabies outbreaks in nursing homes and cases of crusted scabies may require combination therapy consisting of topical application of permethrin and 2 oral doses of ivermectin at 200 mcg/kg (administered 1 wk apart)].

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