PAEA EOR PEDIATRICS EXAM 2026 NEWEST EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
VERSION (VERIFIED ANSWERS) ALREADY GRADED A+
What is the common causative "bug" in diaper dermatitis? - ANSWERS-Candidiasis
What is the treatment for diaper dermatitis, commonly caused by candida? - ANSWERS-Topical
Nystatin, Lotrimin, Diflucan (Fluconazole) PO for 2 weeks
Keep area clean, dry and open to air!
Perioral dermatitis is most common in what age group? - ANSWERS-Young women (age 16-45)
Patient presents with discrete erythematous micropapules and micropapulovesicles that often
become confluent on the face with "sparing of the vermilion border". What is the likely
diagnosis? - ANSWERS-Perioral dermatitis
The cause of perioral dermatitis is unknown but can be aggravated by chronic ________ use -
ANSWERS-oral steroid
What is the treatment for perioral dermatitis, a common skin disorder in young women that
presents with micropapulovesicles that spare the vermillion border? - ANSWERS-Avoid topical
steroids. Topical tx: Metronidazole .75% gel BID or Azelaic acid BID, erythromycin 2% gel BID.
Systemic tx: Minocycline/Doxycycline 100mg daily until clear, then 50mg daily for another 2
months
,What are some common allergy causing drugs in peds? - ANSWERS-Anticonvulsants, Insulin (esp
animal sources of insulin), Iodinated (containing iodine) xray contrast dyes (these can cause
allergy-like reactions), Penicillin and related antibiotics, Sulfa drugs
Jessie is a 4y2mo old female presenting to your clinic with a history of what appears to be a 1st
exposure drug reaction. You know that since it is the first time, she likely hasn't had any
problems and her immune system may have produce an antibody called ___ against the drug. -
ANSWERS-IgE
1st exposures to allergies don't always cause drug eruptions because your body makes an
antibody (IgE). However, in the second exposure your body makes _____ which causes the
allergy symptoms. - ANSWERS-histamine
What are the 6P's of Lichen Planus? - ANSWERS-Planar, purple, polygonal, pruritic, papules,
plaques
Patients with lichen planus may present with lacy, reticular white lines covering the lesions.
These are called.. - ANSWERS-Wickham Striae
Patients with lichen planus may form in lines related to scratching. This is called the _______
phenomenon. - ANSWERS-Koebner
After lesion resolution occurs in lichen planus, post inflammatory ________________________
may cocur. - ANSWERS-Hyperpigmentation
What is the normal distribution of lichen planus/ - ANSWERS-Cutaneous lesions form on FLEXOR
surfaces of: wrists, forearms, legs.
Oral lichen planus, genitalia, scalp lichen planus, nail lichen planus
,WHAT IS TREATMENT OF LICHEN PLANUS? - ANSWERS-USUALLY SELF LIMITING, BUT CAN BE
TREATED WITH ANTIHISTAMINES LIKE HYDROXYZINE, OR LOCAL STEROIDS LIKE
BETHAMETHASONE ETC
LICHEN PLANUS LOOKS LIKE THIS.......... - ANSWERS-
What is the normal age of onset of pityriasis rosea? - ANSWERS-10 - 43 years
Pityriasis roasea is most common in what seasons? - ANSWERS-Fall/spring
Though the etiology of pityriasis rosea is unknown, this virus is suspected. - ANSWERS-suspect
herpes virus type 7 (HSV 7)
Presents with single Herald Patch- oval slightly scaly plaque 2 cm, salmon colored with fine
callorette of scale. 2 weeks later-fine scaling papules and plaques with collarette of scale in a
Christmas tree distribution of trunk. What is the likely diagnosis? - ANSWERS-Pityriasis Rosea
T or F. Pityriasis Rosea is usu. self-limited and resolves on its own in 6-12 weeks. - ANSWERS-
True
What is the treatment for pityriasis rosea? - ANSWERS-antihistamines, topical steroids, UVB
light. self limiting
THIS IS WHAT PITYRIASIS ROSEA LOOKS LIKE.............. - ANSWERS-
JJ is a 7yr3mo female who presents with a fever, chills and body aches. Integumentary exam
reveals a painful purplish red rash that spreads and blisters. What syndrome is she suffering
from? - ANSWERS-Steven Johnson Syndrome
, This is a vesiculobullous disease of skin, mouth, eyes, genitalia. Ulcerative stomatitis leads to
hemorrhagic crusting. - ANSWERS-Steven Johnson Syndrome
Name 5 drugs that may cause SJS. - ANSWERS-sulfonamides, PCN, phenytoin, phenobarbital,
Allopurinol
What is the treatment for SJS including supportive treatment? - ANSWERS-D/C offending drug
immediately. Supportive tx: fluid and electrolyte balance, fluids, high caloric supplementation,
prevention of sepsis. Steroids- controversial
This is a progression of SJS to full thickness skin detachment. - ANSWERS-Toxic epidermal
necrosis
Sheet like peeling of the epidermis with slight pressure is called a positive ____________ sign
and is often seen in toxic epidermal necrosis - ANSWERS-Nikoloksy
What is the treatment for toxic epidermal necrosis? - ANSWERS-Aggressive fluid & electrolyte
management, wound care, pain control
What is the principle risk factor for erythema multiforme? - ANSWERS-HSV
Patient presents with targetoid "iris" lesions that are dusky red and round, maculopapules,
typically on extremities, may have oral mucosal involvement.
What is the likely diagnosis? - ANSWERS-Erythema Multiforme
This skin disorder occurs in younger males, freq recurrences, less fever, milder mucosal lesions,
no association with collagen vascular dz, HIV, or cancer
QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
VERSION (VERIFIED ANSWERS) ALREADY GRADED A+
What is the common causative "bug" in diaper dermatitis? - ANSWERS-Candidiasis
What is the treatment for diaper dermatitis, commonly caused by candida? - ANSWERS-Topical
Nystatin, Lotrimin, Diflucan (Fluconazole) PO for 2 weeks
Keep area clean, dry and open to air!
Perioral dermatitis is most common in what age group? - ANSWERS-Young women (age 16-45)
Patient presents with discrete erythematous micropapules and micropapulovesicles that often
become confluent on the face with "sparing of the vermilion border". What is the likely
diagnosis? - ANSWERS-Perioral dermatitis
The cause of perioral dermatitis is unknown but can be aggravated by chronic ________ use -
ANSWERS-oral steroid
What is the treatment for perioral dermatitis, a common skin disorder in young women that
presents with micropapulovesicles that spare the vermillion border? - ANSWERS-Avoid topical
steroids. Topical tx: Metronidazole .75% gel BID or Azelaic acid BID, erythromycin 2% gel BID.
Systemic tx: Minocycline/Doxycycline 100mg daily until clear, then 50mg daily for another 2
months
,What are some common allergy causing drugs in peds? - ANSWERS-Anticonvulsants, Insulin (esp
animal sources of insulin), Iodinated (containing iodine) xray contrast dyes (these can cause
allergy-like reactions), Penicillin and related antibiotics, Sulfa drugs
Jessie is a 4y2mo old female presenting to your clinic with a history of what appears to be a 1st
exposure drug reaction. You know that since it is the first time, she likely hasn't had any
problems and her immune system may have produce an antibody called ___ against the drug. -
ANSWERS-IgE
1st exposures to allergies don't always cause drug eruptions because your body makes an
antibody (IgE). However, in the second exposure your body makes _____ which causes the
allergy symptoms. - ANSWERS-histamine
What are the 6P's of Lichen Planus? - ANSWERS-Planar, purple, polygonal, pruritic, papules,
plaques
Patients with lichen planus may present with lacy, reticular white lines covering the lesions.
These are called.. - ANSWERS-Wickham Striae
Patients with lichen planus may form in lines related to scratching. This is called the _______
phenomenon. - ANSWERS-Koebner
After lesion resolution occurs in lichen planus, post inflammatory ________________________
may cocur. - ANSWERS-Hyperpigmentation
What is the normal distribution of lichen planus/ - ANSWERS-Cutaneous lesions form on FLEXOR
surfaces of: wrists, forearms, legs.
Oral lichen planus, genitalia, scalp lichen planus, nail lichen planus
,WHAT IS TREATMENT OF LICHEN PLANUS? - ANSWERS-USUALLY SELF LIMITING, BUT CAN BE
TREATED WITH ANTIHISTAMINES LIKE HYDROXYZINE, OR LOCAL STEROIDS LIKE
BETHAMETHASONE ETC
LICHEN PLANUS LOOKS LIKE THIS.......... - ANSWERS-
What is the normal age of onset of pityriasis rosea? - ANSWERS-10 - 43 years
Pityriasis roasea is most common in what seasons? - ANSWERS-Fall/spring
Though the etiology of pityriasis rosea is unknown, this virus is suspected. - ANSWERS-suspect
herpes virus type 7 (HSV 7)
Presents with single Herald Patch- oval slightly scaly plaque 2 cm, salmon colored with fine
callorette of scale. 2 weeks later-fine scaling papules and plaques with collarette of scale in a
Christmas tree distribution of trunk. What is the likely diagnosis? - ANSWERS-Pityriasis Rosea
T or F. Pityriasis Rosea is usu. self-limited and resolves on its own in 6-12 weeks. - ANSWERS-
True
What is the treatment for pityriasis rosea? - ANSWERS-antihistamines, topical steroids, UVB
light. self limiting
THIS IS WHAT PITYRIASIS ROSEA LOOKS LIKE.............. - ANSWERS-
JJ is a 7yr3mo female who presents with a fever, chills and body aches. Integumentary exam
reveals a painful purplish red rash that spreads and blisters. What syndrome is she suffering
from? - ANSWERS-Steven Johnson Syndrome
, This is a vesiculobullous disease of skin, mouth, eyes, genitalia. Ulcerative stomatitis leads to
hemorrhagic crusting. - ANSWERS-Steven Johnson Syndrome
Name 5 drugs that may cause SJS. - ANSWERS-sulfonamides, PCN, phenytoin, phenobarbital,
Allopurinol
What is the treatment for SJS including supportive treatment? - ANSWERS-D/C offending drug
immediately. Supportive tx: fluid and electrolyte balance, fluids, high caloric supplementation,
prevention of sepsis. Steroids- controversial
This is a progression of SJS to full thickness skin detachment. - ANSWERS-Toxic epidermal
necrosis
Sheet like peeling of the epidermis with slight pressure is called a positive ____________ sign
and is often seen in toxic epidermal necrosis - ANSWERS-Nikoloksy
What is the treatment for toxic epidermal necrosis? - ANSWERS-Aggressive fluid & electrolyte
management, wound care, pain control
What is the principle risk factor for erythema multiforme? - ANSWERS-HSV
Patient presents with targetoid "iris" lesions that are dusky red and round, maculopapules,
typically on extremities, may have oral mucosal involvement.
What is the likely diagnosis? - ANSWERS-Erythema Multiforme
This skin disorder occurs in younger males, freq recurrences, less fever, milder mucosal lesions,
no association with collagen vascular dz, HIV, or cancer
