Fungal infections: sporotrichosis: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Fungal infections: sporotrichosis

Sample item

A gardener pricked by a rose thorn develops a nodule on the finger followed by nodules along the lymphatics of the forearm. Which drug is the usual treatment of choice?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Itraconazole

Lymphocutaneous sporotrichosis due to the dimorphic fungus Sporothrix schenckii is treated with itraconazole for several weeks beyond clinical resolution. Potassium iodide is an older, cheaper option.

Option by option

  • A. Terbinafine for 1 week

    Terbinafine for a single week is inadequate.

  • B. Itraconazole (correct)

    Correct. Itraconazole is first line.

  • C. Ivermectin

    Ivermectin is an antiparasitic.

  • D. Griseofulvin

    Griseofulvin is not effective against Sporothrix.

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.

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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is B, Itraconazole. Lymphocutaneous sporotrichosis due to the dimorphic fungus Sporothrix schenckii is treated with itraconazole for several weeks beyond clinical resolution.

Why is "Terbinafine for 1 week" not the answer?

Terbinafine for a single week is inadequate.

Why is "Ivermectin" not the answer?

Ivermectin is an antiparasitic.

Why is "Griseofulvin" not the answer?

Griseofulvin is not effective against Sporothrix.

What concept does this question test?

It tests Fungal infections: sporotrichosis in Dermatology. Potassium iodide is an older, cheaper option.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Fungal infections: sporotrichosis?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.