Core Ch 51 and 88

Nutritional and Environmental Dermatoses

Chapters 51 and 88



Colleen Morken, PGY-3
Dr. Steven Nelson

Multiple Choice

Which type of malnutrition is pictured?

• Free Fatty Acid Deficiency

• Marasmus

• Kwashiorkor

• Selenium Deficiency

Multiple Choice

A child presents with this hair finding.  All of the following may be associated with this except…

• Significant Edema

• Flaky paint appearance of skin

• Diffuse Erythema

• Hardened Nails

Multiple Choice

Which is not an essential fatty acid?

• Linoleic

• Linolenic

• Oleic

• Arachidonic

• All are essential fatty acids

Multiple Choice

Name the finding

• Keratomalacia

• Bitot's Spot

• Infectious Keratitis

• Corneal Erosion

Multiple Choice

An infant presents with yellow discoloration of the skin with accentuation in the nasolabial folds but no scleral icterus.  Which investigation will lead to the correct diagnosis?

• Asking about diarrhea and weight loss

• Asking about calcium intake

• LFTs and a liver US

• Asking about vegetable intake

Multiple Choice

This infant's findings are due to?

• Sun Avoidance

• Pernicious Anemia

• Isoniazid Use

• Polished rice based diet

Multiple Choice

A newborn is lethargic and found to have interventricular hemorrhage. What medication was mom likely taking?

• Minocycline

• Isotretinoin

• Phenytoin

• Ciprofloxacin

Multiple Choice

What disease led to this condition?

• Hartnup Disease

• Alkaptonuria

• Menkes

• Phenylketonuria

Multiple Choice

Which deficiency leads to this peripheral smear finding?

• B7

• B8

• B9

• B10

Multiple Choice

Vitamin B9 (Folate) is needed for:

• Metabolism of fatty acids

• Oxidation-reduction reactions

• Ceramide synthesis

• Purine and pyrimidine nucleotide biosynthesis

Multiple Choice

This vitamin functions as a cofactor for prolyl hydroxylase and is critical for collagen synthesis:

• Vitamin B1

• Vitamin C

• Vitamin D

• Vitamin K

Multiple Choice

This finding is most commonly associated with which mineral deficiency

• Zinc

• Magnesium

• Selenium

• Iron

Multiple Choice

A defect in which gene can lead to this finding?

• ERCCB

• ATP7A

• KRTS

• SCL39A4

Multiple Choice

Name the gene defect associated with the ocular finding.

• ATP7A

• ATP7B

• PTCH

• IDUA

Labs to consider checking when dermatoses not responding to treatment

Multiple Choice

Name the nail finding

• Lindsay Nails

• Terry Nails

• Mee's Lines

• Muehrcke lines