Peds EOR Exam| 92 questions| with complete solutions

9mo presents to clinic for well child exam. You open his diaper and discover a red, scaly rash with SATELLITE LESIONS that involves the skin folds. Which of the following is the most appropriate tx? a) keep area clean with soap and water b) apply baby powder tid c) Nystatin d) Albendazole e) Mebendazole Correct Answer: c) Nystatin→ diaper dermatitis is caused by Candida species 18yo female comes to clinic with papulopustules on an erythematous base next to her mouth. She states she used to take Prednisone for her asthma. What is the appropriate tx for this dz? a) Brevoxyl (acne) b) Miconazole and avoid topical steroids c) Metronidazole and avoid topical steroids d) keep area clean with soap and water Correct Answer: c) Metronidazole and avoid topical steroids→ perioral dermatitis 5yo female presents with exanthem diffusely across abdomen. Pt's mother states rash developed 3 days ago. Current medications include Septra for UTI and Claritin for allergies. What is her dx? Correct Answer: drug eruption→ most likely due to Septra (Bactrim DS); this girl probably has an allergy to sulfa drugs and should stop taking Septra immediately 35 yo female presents with purplish, shiny, papular lesions to flexor aspect of wrist that she describes as itchy. Her medical hx is significant for Hep C. Which of the following would be the most appropriate tx? a) topical steroid b) Mupirocin cream c) Metronidazole cream Correct Answer: 4P's (purple, polygonal, pruritic, papule)→lichen planus a) topical steroid 18 yo male presents with rash to anterior abdomen that appears as a round plaque with scales along the periphery (Herald patch). He also c/o cough/congestion x 1 wk. What is the most appropriate tx for this pt? a) watchful waiting b) lotions/emollients and acyc