Peds EOR Exam Questions and Answers
2023
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 - 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 - 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? - 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 - 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 acyclovir
c) Mupirocin cream - answer round plaque with scaly periphery (Herald patch)→pityriasis rosea→thought to be caused by human herpes virus 7→b) lotions/emollients and acyclovir
13 yo male presents with multiple blistering lesions diffusely across back described as painful and stinging. He is currently be treated with amoxicillin/clavulanate for a URI. What is his dx?
a) pityriasis rosea
b) erythema multiform
c) SJS
d) TEN - answer blistering lesions on trunk post abx use→SJS→immediately discontinue abx and opthalmology referral
Pt presents with severe full thickness loss of epidermis. He recently discontinued taking Bactrim but his skin condition continues to worsen. What the next appropriate action? - answer Toxic Epidermal Necrolysis→REFER TO BURN CENTER
30 yo male presents with maculopapular target lesions on Lt hand with some bullae forming at the center of the lesions. Labs reveal elevated ESR. What is the most appropriate tx?
a) erythromycin
b) lotions/emollients
c) oral Prednisone
d) acyclovir - answer Target lesions→erythema multiforme→acyclovir
15 yo female presents with open and closed comedones as well as papules and pustules on her face and back. The patient is not pregannt. What is the most appropriate tx?
a) topical steroids
b) lotions/emollients
c) birth control pills/Accutane/ or doxycycline - answer c) birth control pills/Accutane/ or doxycycline
33 you male presents with thinning of frontal hairline. What would be the most appropriate tx?
a) head and shoulders shampoo
b) spironolactone
c) finasteride
d) minoxidil
e) either c or d - answer androgenic alopecia→do DHEA and testosterone analysis
e) either c or d
____ degree burns involve full thickness of dermis and epidermis. - answer 3rd
Thin walled, fluid-filled blisters, moist, blanche with pressure and painful describes what type of burn? - answer 2nd degree
2023
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 - 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 - 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? - 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 - 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 acyclovir
c) Mupirocin cream - answer round plaque with scaly periphery (Herald patch)→pityriasis rosea→thought to be caused by human herpes virus 7→b) lotions/emollients and acyclovir
13 yo male presents with multiple blistering lesions diffusely across back described as painful and stinging. He is currently be treated with amoxicillin/clavulanate for a URI. What is his dx?
a) pityriasis rosea
b) erythema multiform
c) SJS
d) TEN - answer blistering lesions on trunk post abx use→SJS→immediately discontinue abx and opthalmology referral
Pt presents with severe full thickness loss of epidermis. He recently discontinued taking Bactrim but his skin condition continues to worsen. What the next appropriate action? - answer Toxic Epidermal Necrolysis→REFER TO BURN CENTER
30 yo male presents with maculopapular target lesions on Lt hand with some bullae forming at the center of the lesions. Labs reveal elevated ESR. What is the most appropriate tx?
a) erythromycin
b) lotions/emollients
c) oral Prednisone
d) acyclovir - answer Target lesions→erythema multiforme→acyclovir
15 yo female presents with open and closed comedones as well as papules and pustules on her face and back. The patient is not pregannt. What is the most appropriate tx?
a) topical steroids
b) lotions/emollients
c) birth control pills/Accutane/ or doxycycline - answer c) birth control pills/Accutane/ or doxycycline
33 you male presents with thinning of frontal hairline. What would be the most appropriate tx?
a) head and shoulders shampoo
b) spironolactone
c) finasteride
d) minoxidil
e) either c or d - answer androgenic alopecia→do DHEA and testosterone analysis
e) either c or d
____ degree burns involve full thickness of dermis and epidermis. - answer 3rd
Thin walled, fluid-filled blisters, moist, blanche with pressure and painful describes what type of burn? - answer 2nd degree
