Question 34. A 4-year-old male presents to your pediatric clinic with his mother complaining of

Question 34. A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his fingers. This has been going on for multiple days and has been getting worse. The patient recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2 mm) red papules in sets of three located in the web spaces between his fingers. He also has signs of excoriation. What is the treatment for this problem? 1. Permethrin lotion for the patient and also his family members 2. Cold compresses and hydrocortisone cream 1% twice a day 3. Over-the-counter Benadryl cream 4. Ketoconazole cream

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