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Dermatology · Scabies
Sample itemWhich topical treatment is commonly first-line for uncomplicated scabies in adults and children older than two months?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Permethrin 5% cream
Permethrin 5% cream is a standard first-line scabicide; it is applied to the appropriate skin surface and close contacts require assessment and coordinated treatment to prevent reinfestation.
Option by option
A. Hydrocortisone alone
Hydrocortisone may reduce itch but cannot eliminate the infestation alone.
B. Clotrimazole shampoo
Clotrimazole treats fungal disease and does not eradicate scabies mites.
C. Topical acyclovir
Topical acyclovir is used for herpesvirus infections, not mite infestation.
D. Permethrin 5% cream (correct)
Correct: permethrin 5% is a common first-line scabies treatment.
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.