MSN 629 Week 3 Complete Q Bank: Pediatric Dermatology, Eczematous
Dermatitis, Folliculitis & Cutaneous Markers - Verified Questions with
Explanations for Nurse Practitioner Students Regis College
This comprehensive MSN 629 Week 3 question bank features verified multiple-
choice questions with detailed explanations covering pediatric dermatological
conditions including eczematous dermatitis, folliculitis, and critical cutaneous
markers such as café au lait macules, port-wine stains, faun tail nevi, hair collar
signs, and supernumerary nipples, along with their associated syndromes
including neurofibromatosis, Sturge-Weber syndrome, Klippel-Trenaunay-Weber
syndrome, and tuberous sclerosis. Each question includes the correct answer in
bold italic with an evidence-based explanation in bold italic, designed specifically
for nurse practitioner students preparing for pediatric primary care and
pharmacology exams, clinical rotations, and board certification. This resource is
ideal for students at Northern Kentucky University, Regis College, Maryville
University, or any MSN program seeking mastery of pediatric dermatology for
advanced nursing practice.
Question 1
A 6-year-old patient presents with a tuft of hair overlying the lumbosacral
spine. This finding is known as a:
A. Café au lait macule
B. Faun tail nevus
C. Port-wine stain
D. Hair collar sign
,Answer: B. Faun tail nevus
Explanation: A faun tail nevus presents as a tuft of hair overlying the spinal
column at birth, usually in the lumbosacral area. This finding may be
associated with spina bifida occulta and requires further evaluation .
Question 2
A newborn is noted to have a port-wine stain involving the eyelid and forehead
on one side of the face. This finding is most concerning for which associated
condition?
A. Neurofibromatosis
B. Sturge-Weber syndrome
C. Klippel-Trenaunay-Weber syndrome
D. Tuberous sclerosis
Answer: B. Sturge-Weber syndrome
Explanation: A facial port-wine stain affecting at least one eyelid and/or the
forehead on one side of the face may be associated with ocular defects such
as glaucoma or accompanied by angiomatous malformation of the meninges
(Sturge-Weber syndrome), resulting in atrophy and calcification of the
adjacent cerebral cortex .
Question 3
,A 4-month-old infant has multiple flat, evenly pigmented spots that are light
brown in color and larger than 5 mm in diameter. These findings are
consistent with:
A. Freckling in the axillary area
B. Café au lait macules
C. Supernumerary nipples
D. Port-wine stain of the trunk
Answer: B. Café au lait macules
Explanation: Café au lait macules are flat, evenly pigmented spots varying
from light brown to dark brown, present at birth or shortly thereafter.
When larger than 5 mm in diameter, they may be associated with
neurofibromatosis or other conditions including pulmonary stenosis,
temporal lobe dysrhythmia, and tuberous sclerosis .
Question 4
Which cutaneous marker, when present in the axillary or inguinal area, is
associated with neurofibromatosis?
A. Café au lait macules
B. Port-wine stain
C. Freckling
D. Faun tail nevus
Answer: C. Freckling
Explanation: Freckling in the axillary or inguinal area presents as multiple
flat pigmented macules associated with neurofibromatosis and may occur in
conjunction with café au lait macules .
, Question 5
A child has a port-wine stain involving the limb and trunk with accompanying
varicosities and hypertrophy of underlying soft tissues. This presentation is
characteristic of:
A. Sturge-Weber syndrome
B. Neurofibromatosis
C. Klippel-Trenaunay-Weber syndrome
D. Tuberous sclerosis
Answer: C. Klippel-Trenaunay-Weber syndrome
Explanation: A port-wine stain of the limb and/or trunk, when accompanied
by varicosities and hypertrophy of underlying soft tissues and bones, may
be associated with orthopedic problems characteristic of Klippel-
Trenaunay-Weber syndrome .
Question 6
A newborn has accessory nipples located along the mammary ridge. This
finding should prompt evaluation for:
A. Renal abnormalities
B. Cardiac defects
C. Neurological defects
D. Pulmonary stenosis
Answer: A. Renal abnormalities
Dermatitis, Folliculitis & Cutaneous Markers - Verified Questions with
Explanations for Nurse Practitioner Students Regis College
This comprehensive MSN 629 Week 3 question bank features verified multiple-
choice questions with detailed explanations covering pediatric dermatological
conditions including eczematous dermatitis, folliculitis, and critical cutaneous
markers such as café au lait macules, port-wine stains, faun tail nevi, hair collar
signs, and supernumerary nipples, along with their associated syndromes
including neurofibromatosis, Sturge-Weber syndrome, Klippel-Trenaunay-Weber
syndrome, and tuberous sclerosis. Each question includes the correct answer in
bold italic with an evidence-based explanation in bold italic, designed specifically
for nurse practitioner students preparing for pediatric primary care and
pharmacology exams, clinical rotations, and board certification. This resource is
ideal for students at Northern Kentucky University, Regis College, Maryville
University, or any MSN program seeking mastery of pediatric dermatology for
advanced nursing practice.
Question 1
A 6-year-old patient presents with a tuft of hair overlying the lumbosacral
spine. This finding is known as a:
A. Café au lait macule
B. Faun tail nevus
C. Port-wine stain
D. Hair collar sign
,Answer: B. Faun tail nevus
Explanation: A faun tail nevus presents as a tuft of hair overlying the spinal
column at birth, usually in the lumbosacral area. This finding may be
associated with spina bifida occulta and requires further evaluation .
Question 2
A newborn is noted to have a port-wine stain involving the eyelid and forehead
on one side of the face. This finding is most concerning for which associated
condition?
A. Neurofibromatosis
B. Sturge-Weber syndrome
C. Klippel-Trenaunay-Weber syndrome
D. Tuberous sclerosis
Answer: B. Sturge-Weber syndrome
Explanation: A facial port-wine stain affecting at least one eyelid and/or the
forehead on one side of the face may be associated with ocular defects such
as glaucoma or accompanied by angiomatous malformation of the meninges
(Sturge-Weber syndrome), resulting in atrophy and calcification of the
adjacent cerebral cortex .
Question 3
,A 4-month-old infant has multiple flat, evenly pigmented spots that are light
brown in color and larger than 5 mm in diameter. These findings are
consistent with:
A. Freckling in the axillary area
B. Café au lait macules
C. Supernumerary nipples
D. Port-wine stain of the trunk
Answer: B. Café au lait macules
Explanation: Café au lait macules are flat, evenly pigmented spots varying
from light brown to dark brown, present at birth or shortly thereafter.
When larger than 5 mm in diameter, they may be associated with
neurofibromatosis or other conditions including pulmonary stenosis,
temporal lobe dysrhythmia, and tuberous sclerosis .
Question 4
Which cutaneous marker, when present in the axillary or inguinal area, is
associated with neurofibromatosis?
A. Café au lait macules
B. Port-wine stain
C. Freckling
D. Faun tail nevus
Answer: C. Freckling
Explanation: Freckling in the axillary or inguinal area presents as multiple
flat pigmented macules associated with neurofibromatosis and may occur in
conjunction with café au lait macules .
, Question 5
A child has a port-wine stain involving the limb and trunk with accompanying
varicosities and hypertrophy of underlying soft tissues. This presentation is
characteristic of:
A. Sturge-Weber syndrome
B. Neurofibromatosis
C. Klippel-Trenaunay-Weber syndrome
D. Tuberous sclerosis
Answer: C. Klippel-Trenaunay-Weber syndrome
Explanation: A port-wine stain of the limb and/or trunk, when accompanied
by varicosities and hypertrophy of underlying soft tissues and bones, may
be associated with orthopedic problems characteristic of Klippel-
Trenaunay-Weber syndrome .
Question 6
A newborn has accessory nipples located along the mammary ridge. This
finding should prompt evaluation for:
A. Renal abnormalities
B. Cardiac defects
C. Neurological defects
D. Pulmonary stenosis
Answer: A. Renal abnormalities
