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WorksheetsChapter 104: Pediatric and Adolescent Dermatology
Total questions: 24
Worksheet time: 24mins
This is a case of a 1 month old who developed a nodule with a ring of hair over her scalp. All of the following are true about this condition, EXCEPT:
There is a risk of an intracranial connection
It is known as the "Hair collar" sign
Neurosurgical consultation is warranted
It is highly specific for encephalocoele
All of the following are true about midline dermoid cysts in infants to young children, EXCEPT:
Risk for intracranial connection is higher if a sinus tract is present
Risk for intracranial connection is higher if it is found near the lateral eyebrows
It has a 25% risk for intracranial connection
MRI and neurosurgical consultation is warranted
An encephalocoele that presents as nasal midline mass in infants or younger children has a ____% risk of having an intracranial connection.
10%
25%
50%
100%
What is the diagnosis?
(a)
What is the diagnosis?
All of the following are true about this condition, EXCEPT:
It is a non-scarring type of alopecia
It is caused by localized pressure from lying supine
It does not resolve without therapy
It often develops at the occiput of infants
What is the diagnosis?
All of the following are true about this condition, EXCEPT:
Absence of exclamation point hairs on dermoscopy
It is typically located in the frontotemporal area
It has a characteristic triangular/oval/lancet shape
Predominance of telogen hairs over vellus hairs
It is benign and will not expand
Early onset of alopecia areata is considered an excellent prognostic marker.
TRUE
FALSE
What is the most common dermatophyte that causes tinea capitis in children
(a)
Trichotillomania has a relatively good prognosis in which age group:
Infants
Adolescents
Adults
What is the diagnosis?
All of the following are true about this condition, EXCEPT:
It is usually located midline, anterior to the anus
It is usually associated with painful defecation
It is a benign condition in prepubertal females
It can be associated with lichen sclerosis et atrophicus
It can spontaneously resolve with a high-fiber diet
What is the diagnosis?
All the following are true about this condition, EXCEPT:
It is highly responsive to topical therapy
It is characterized by a thick, flake-like scale
It is mostly seen in diaper-wearing infants
It spontaneously clears after a few months to a year
The maximum dose of EMLA cream is 1g in 1-3 months, is 2g in 3-12 months, and is 10g in 1-6 years of age.
What is the maximum dose of EMLA cream in 7-12 year olds?
12g
15g
20g
25g
Which of the following are viable techniques to reduce the pain of local anesthetic injections in pediatric patients (select all possible answers)?
Numbing of the skin by applying ice
Alkalinization of the anesthetic to a pH of 7.0
Orally administered glucose solution
Cooling the lidocaine prior to injection
Rapid infiltration of the anesthetic
All of the following are true about oral contraceptive use as a treatment for acne in adolescents, EXCEPT:
It can be given to adolescent females with recalcitrant acne
Oral contraceptives with a higher estrogenic component are more effective
1 month adherence to oral contraceptives is needed to establish efficacy
The best results are achieved when combined with topical therapy
All of the following are true regarding the use of spironolactone in acne, EXCEPT:
It can be used safely with drospirenone without monitoring
It is a potassium-sparing diuretic with antiandrogenic effects
Contraceptive use is recommended as it is a teratogen
In healthy young patients, repeat monitoring for hyperkalemia is unnecessary
Which of the following are common skin findings/conditions in children with autism spectrum disorder (select all the possible answers):
Scars/callus formation
Xerosis
Atopic dermatitis
Self-inflicted injury from ritualistic behaviors
Which side effect of systemic glucocorticoid therapy is unique to children?
Osteonecrosis
Hypothalamic-pituitary axis suppression
Growth suppression
Increased propensity for infection
All of the following are true about growth suppression secondary to systemic glucocorticoid therapy in children, EXCEPT:
Alternate-day dosing can decrease the risk of suppression
Most noticeable reduction in growth velocity occurs during growth spurts
Even with cessation of therapy, children rarely catch-up
There is delayed growth at the bony epiphyses
A dose of (a) mg/kg/day or greater of prednisone given to children weighing LESS THAN 10kg for more than 14 days is sufficient to warrant withholding immunization with live vaccines
A dose of (a) mg/day or greater of prednisone given to children weighing MORE THAN 10kg for more than 14 days is sufficient to warrant withholding immunization with live vaccines
Systemic steroids can be given with great caution in children with the following conditions (select all possible answers):
Recent varicella infection
Ocular herpes simplex
Diabetes
Untreated tuberculosis
Peptic ulcer disease
Which medication is contraindicated in children younger than 8 years of age because of brown discoloration of developing teeth and decreased bone growth?
Griseofulvin
Ciprofloxacin
Terbinafine
Tetracyclines
Which medication has restricted use in children younger than 18 years of age because of the risk of cartilage damage?
Ciprofloxacin
Tetracyclines
Griseofulvin
Terbinafine
Which of the following medications are FDA-approved agents for tinea capitis in children (select all possible answers):
Itraconazole
Griseofulvin
Fluconazole
Terbinafine
