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A 60-year-old man presents to the office with concerns regarding a pruritic rash, which he...

A 60-year-old man presents to the office with concerns regarding a pruritic rash, which he has had for several years. He reports a “crawling” sensation on his skin. He is concerned that this rash may be caused by a parasite he may have picked up while serving in the military overseas. On examination, you note multiple crusted lesions on his forearms, neck, chest, scalp, and thighs. There is a complete sparing of the skin on his back. He brought a bottle with fibrous material of different colours that he picked from his wounds. He is otherwise healthy and reports no other symptoms except some chronic fatigue and insomnia related to the itching. Which one of the following treatments is the most appropriate?

A.

Ivermectin

B.

Permethrin

C.

Doxycycline

D.

Fluconazole

E.

Butenafine

Medical Council of Canada MCCQE Summary

  • Vendor: Medical Council of Canada
  • Product: MCCQE
  • Update on: Mar 25, 2026
  • Questions: 348
Price: $52.5  $149.99
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