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    STU 25SUM1 Pediatric Competency Proctored Exam

    A 10-year-old patient is diagnosed with scabies. Appropriate treatment should include:

    Explanation & Rationale

    Rationale: A. Retapamulin is an antibiotic used for bacterial skin infections, not for scabies. B. Permethrin 5% cream is the first-line treatment for scabies. It should be applied to the entire body from the neck down (and in infants, also the scalp and face) and left on for 8–14 hours before washing off. A single application is often sufficient, though a second dose may be recommended after 7–14 days if symptoms persist. C. Clotrimazole is an antifungal used for dermatophyte infections and candidiasis, not for scabies. D. Hydrocortisone 1% cream can help relieve itching and inflammation but does not treat the underlying scabies infestation.

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