PAEA PEDIATRICS EOR EXAM CERTIFICATION
EVALUATION TEST 2026 FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
GRADED A+
◉ how is urticaria treated? Answer: removal of offending agent,
antihistamines (H1 blockers), corticosteroids, or H2 blockers as
adjuvant therapy (cimetidine, ranitidine, famoidine)
◉ erythema multiforme is MC associated with Answer: *HSV*,
mycoplasma, s. pneumo, sulfa drugs, beta-lactams, phenytoin,
phenobarbital, malignancies, autoimmune
◉ red purpuric papules and macules with a hypopigmented rim
around the center and a erythematous halo around that span the
palms and soles of the feet? same lesions but involving 1 or more
mucous membranes (oral, genital, or ocular mucosa) and <10% BSA
with no epidermal detachment. Answer: erythema multiforme
minor; major
◉ what is the treatment for erythema multiforme? Answer:
symptomatic- d/c offending drug, antihistamines, analgesics,
steroid/lidocaine/diphenhydramine mouthwash for oral lesions,
and systemic steroids if severe
,◉ Steven-Johnson Syndrome and TEN are usually due to what
offending agents? Answer: MC d/t drug eruptions from *sulfa*,
*anticonvulsants*, NSAIDs, allopurinol, abx, infxns like mycoplasma,
HIV, HSV, malignancy, or idiopathtic
◉ SJS is defined as sloughing of ____% BSA where are TEN is defined
as sloughing of ____% BSA Answer: SJS <10%
TEN >30%
◉ Dx? fever, URI, widespread blisters, erythematous/pruritic
papules with 1 or more mucous membranes involved with
epidermal detachment (+ Nikolsky sign), <10% BSA; tx? Answer: dx:
SJS (if >30% = TEN)
tx: treat like severe burn- admit to burn unit, pain control,
withdrawal of offending meds, fluid & electrolyte replacement,
wound care
+ Nikolsky sign is when rubbing of skin exfoliates the outer layer
◉ what is the pathophysiology behind the 4 causes of acne vulgaris?
Answer: 1. inc sebum production (d/t inc androgens)
2. clogged sebaceous glands
3. propionibacterium acne overgrowth (nml flora that overgrows in
blocked pores and causes an inflammatory response)
,4. inflammatory response
◉ what type of acne are blackheads? whiteheads? papules/pustules?
cystic/nodular? Answer: blackheads- open comedones (incomplete
blockage)
whiteheads- closed comedones (complete blockage)
papules/pustules- inflammatory
cystic/nodular- severe and often heals with scarring
◉ what are tx options for mild, moderate, and severe acne vulgaris?
Answer: -mild: topical retinoids (for comedone and inflammatory
acne), benzoyl peroxide (decreases p. acne growth), topical abx
(clindamycin), OCPs (dec androgen production reducing sebum
production)
-mod: " + oral abx (tetracyclines such as doxycycline and
minocycline), spironolactone (dec androgen production)
-severe: isotretinoin (accutane) works on all 4 pathophys routes. SEs
include psych, hepatitis, inc TG/chol, arthralgias, leukopenia,
premature long bone closure, dry skin, and highly teratogenic (so
have to have 2 - preg tests before starting and then monthly
thereafter + 2 forms of birth control while on it)
◉ verruca are caused by _____ and commonly seen on the hands
appearing as firm, hyperkeratotic papules b/t 1-10mm with red-
, brown punctations (thrombosed capillaries that are
pathognomonic) with reg or irregular borders; tx? Answer: HPV
tx: cryotherapy (liquid nitrogen), electrocautery, OTC salicylic acid,
CO2, laser, intralesional bleomycin, intralesional candida albicans to
trigger immune response to area
◉ Dx? papulopustules on erythematous base around mouth sparing
ther vermillion border which may become confluent into plaques
with scales; tx? Answer: dx: perioral dermatitis- MC in young
women, may have h/o topical corticosteroid use
tx: metronidazole or erythromycin topically, tetracyclines orally
(doxy, minocycline), and avoidance of topical steroids
◉ what does the atopic triad of conditions include? Answer: asthma,
atopic dermatitis/eczema, and allergic rhinitis - usually people with
one of these have another if not all
◉ Dx? erythematous, ill-defined papules/blisters/plaques that later
dry and crust over with scales most commonly in flexor creases; tx?
Answer: dx: atopic dermatitis (aka eczema)
tx: topical corticosteroids + antihistamines for itching w/ daily
application of non-scented lotions/emollients and switching to
gentle detergent, topical calcineurin inhibitors another option
(tacrolimus, pimecrolimus alternative to steroids but can cause
irritation and possible lymphoma/skin cancer risk)
EVALUATION TEST 2026 FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
GRADED A+
◉ how is urticaria treated? Answer: removal of offending agent,
antihistamines (H1 blockers), corticosteroids, or H2 blockers as
adjuvant therapy (cimetidine, ranitidine, famoidine)
◉ erythema multiforme is MC associated with Answer: *HSV*,
mycoplasma, s. pneumo, sulfa drugs, beta-lactams, phenytoin,
phenobarbital, malignancies, autoimmune
◉ red purpuric papules and macules with a hypopigmented rim
around the center and a erythematous halo around that span the
palms and soles of the feet? same lesions but involving 1 or more
mucous membranes (oral, genital, or ocular mucosa) and <10% BSA
with no epidermal detachment. Answer: erythema multiforme
minor; major
◉ what is the treatment for erythema multiforme? Answer:
symptomatic- d/c offending drug, antihistamines, analgesics,
steroid/lidocaine/diphenhydramine mouthwash for oral lesions,
and systemic steroids if severe
,◉ Steven-Johnson Syndrome and TEN are usually due to what
offending agents? Answer: MC d/t drug eruptions from *sulfa*,
*anticonvulsants*, NSAIDs, allopurinol, abx, infxns like mycoplasma,
HIV, HSV, malignancy, or idiopathtic
◉ SJS is defined as sloughing of ____% BSA where are TEN is defined
as sloughing of ____% BSA Answer: SJS <10%
TEN >30%
◉ Dx? fever, URI, widespread blisters, erythematous/pruritic
papules with 1 or more mucous membranes involved with
epidermal detachment (+ Nikolsky sign), <10% BSA; tx? Answer: dx:
SJS (if >30% = TEN)
tx: treat like severe burn- admit to burn unit, pain control,
withdrawal of offending meds, fluid & electrolyte replacement,
wound care
+ Nikolsky sign is when rubbing of skin exfoliates the outer layer
◉ what is the pathophysiology behind the 4 causes of acne vulgaris?
Answer: 1. inc sebum production (d/t inc androgens)
2. clogged sebaceous glands
3. propionibacterium acne overgrowth (nml flora that overgrows in
blocked pores and causes an inflammatory response)
,4. inflammatory response
◉ what type of acne are blackheads? whiteheads? papules/pustules?
cystic/nodular? Answer: blackheads- open comedones (incomplete
blockage)
whiteheads- closed comedones (complete blockage)
papules/pustules- inflammatory
cystic/nodular- severe and often heals with scarring
◉ what are tx options for mild, moderate, and severe acne vulgaris?
Answer: -mild: topical retinoids (for comedone and inflammatory
acne), benzoyl peroxide (decreases p. acne growth), topical abx
(clindamycin), OCPs (dec androgen production reducing sebum
production)
-mod: " + oral abx (tetracyclines such as doxycycline and
minocycline), spironolactone (dec androgen production)
-severe: isotretinoin (accutane) works on all 4 pathophys routes. SEs
include psych, hepatitis, inc TG/chol, arthralgias, leukopenia,
premature long bone closure, dry skin, and highly teratogenic (so
have to have 2 - preg tests before starting and then monthly
thereafter + 2 forms of birth control while on it)
◉ verruca are caused by _____ and commonly seen on the hands
appearing as firm, hyperkeratotic papules b/t 1-10mm with red-
, brown punctations (thrombosed capillaries that are
pathognomonic) with reg or irregular borders; tx? Answer: HPV
tx: cryotherapy (liquid nitrogen), electrocautery, OTC salicylic acid,
CO2, laser, intralesional bleomycin, intralesional candida albicans to
trigger immune response to area
◉ Dx? papulopustules on erythematous base around mouth sparing
ther vermillion border which may become confluent into plaques
with scales; tx? Answer: dx: perioral dermatitis- MC in young
women, may have h/o topical corticosteroid use
tx: metronidazole or erythromycin topically, tetracyclines orally
(doxy, minocycline), and avoidance of topical steroids
◉ what does the atopic triad of conditions include? Answer: asthma,
atopic dermatitis/eczema, and allergic rhinitis - usually people with
one of these have another if not all
◉ Dx? erythematous, ill-defined papules/blisters/plaques that later
dry and crust over with scales most commonly in flexor creases; tx?
Answer: dx: atopic dermatitis (aka eczema)
tx: topical corticosteroids + antihistamines for itching w/ daily
application of non-scented lotions/emollients and switching to
gentle detergent, topical calcineurin inhibitors another option
(tacrolimus, pimecrolimus alternative to steroids but can cause
irritation and possible lymphoma/skin cancer risk)
