2025 PAEA Pediatrics EOR Exam Study Guide Exam
Review QUESTIONS AND ALL CORRECT ANSWERS
100% SOLVED AND GUARANTEED SUCCESS!!
Diaper dermatitis treatment - answer--Topical Nystatin, Lotrimin, Diflucan
(Fluconazole) PO for 2 weeks. Keep area clean, dry and open to air!
Common causative bug in diaper dermatitis - answer--Candidiasis
Perioral dermatitis treatment - answer--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.
Hypospadias circumcision recommendation - answer--Do not circumcise! Prepuce
used for surgical repair at 18 months of age. Refer to pediatric urologist.
Common allergy causing drugs in pediatrics - answer--Anticonvulsants, Insulin (esp
animal sources of insulin), Iodinated (containing iodine) x-ray contrast dyes,
Penicillin and related antibiotics, Sulfa drugs.
Age group most affected by perioral dermatitis - answer--Young women (age 16-
45)
Diagnosis for discrete erythematous micropapules and micropapulovesicles -
answer--Perioral dermatitis
,Aggravating factor for perioral dermatitis - answer--Chronic oral steroid use
Antibody produced during first exposure drug reaction - answer--IgE
Antibody causing allergy symptoms on second exposure - answer--Histamine
6P's of Lichen Planus - answer--Planar, purple, polygonal, pruritic, papules,
plaques
Lacy, reticular white lines in lichen planus - answer--Wickham Striae
Phenomenon related to scratching in lichen planus - answer--Koebner
phenomenon
Post lesion resolution occurrence in lichen planus - answer--Post inflammatory
hyperpigmentation
Normal distribution of lichen planus - answer--Cutaneous lesions form on FLEXOR
surfaces of: wrists, forearms, legs. Oral lichen planus, genitalia, scalp lichen
planus, nail lichen planus.
Treatment of lichen planus - answer--Not specified in the notes.
,Pityriasis Rosea - answer--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.
Normal age of onset of pityriasis rosea - answer--10 - 43 years
Seasons most common for pityriasis rosea - answer--Fall/spring
Suspected virus for pityriasis rosea - answer--suspect herpes virus type 7 (HSV 7)
Self-limiting nature of Pityriasis Rosea - answer--Pityriasis Rosea is usually self-
limited and resolves on its own in 6-12 weeks.
Treatment for pityriasis rosea - answer--antihistamines, topical steroids, UVB light.
self limiting
Steven Johnson Syndrome - answer--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.
Description of Steven Johnson Syndrome - answer--This is a vesiculobullous
disease of skin, mouth, eyes, genitalia. Ulcerative stomatitis leads to hemorrhagic
crusting.
, Drugs that may cause SJS - answer--sulfonamides, PCN, phenytoin, phenobarbital,
Allopurinol
Treatment for SJS - answer--D/C offending drug immediately. Supportive tx: fluid
and electrolyte balance, fluids, high caloric supplementation, prevention of sepsis.
Steroids- controversial
Toxic epidermal necrosis - answer--This is a progression of SJS to full thickness skin
detachment.
Positive Nikoloksy sign - answer--Sheet like peeling of the epidermis with slight
pressure is called a positive Nikoloksy sign and is often seen in toxic epidermal
necrosis.
Treatment for toxic epidermal necrosis - answer--Aggressive fluid & electrolyte
management, wound care, pain control.
Principal risk factor for erythema multiforme - answer--HSV
Diagnosis for targetoid 'iris' lesions - answer--Erythema Multiforme
Characteristics of Erythema Multiforme - answer--This skin disorder occurs in
younger males, freq recurrences, less fever, milder mucosal lesions, no association
with collagen vascular dz, HIV, or cancer.
Treatment for erythema multiforme - answer--Prednisone
Review QUESTIONS AND ALL CORRECT ANSWERS
100% SOLVED AND GUARANTEED SUCCESS!!
Diaper dermatitis treatment - answer--Topical Nystatin, Lotrimin, Diflucan
(Fluconazole) PO for 2 weeks. Keep area clean, dry and open to air!
Common causative bug in diaper dermatitis - answer--Candidiasis
Perioral dermatitis treatment - answer--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.
Hypospadias circumcision recommendation - answer--Do not circumcise! Prepuce
used for surgical repair at 18 months of age. Refer to pediatric urologist.
Common allergy causing drugs in pediatrics - answer--Anticonvulsants, Insulin (esp
animal sources of insulin), Iodinated (containing iodine) x-ray contrast dyes,
Penicillin and related antibiotics, Sulfa drugs.
Age group most affected by perioral dermatitis - answer--Young women (age 16-
45)
Diagnosis for discrete erythematous micropapules and micropapulovesicles -
answer--Perioral dermatitis
,Aggravating factor for perioral dermatitis - answer--Chronic oral steroid use
Antibody produced during first exposure drug reaction - answer--IgE
Antibody causing allergy symptoms on second exposure - answer--Histamine
6P's of Lichen Planus - answer--Planar, purple, polygonal, pruritic, papules,
plaques
Lacy, reticular white lines in lichen planus - answer--Wickham Striae
Phenomenon related to scratching in lichen planus - answer--Koebner
phenomenon
Post lesion resolution occurrence in lichen planus - answer--Post inflammatory
hyperpigmentation
Normal distribution of lichen planus - answer--Cutaneous lesions form on FLEXOR
surfaces of: wrists, forearms, legs. Oral lichen planus, genitalia, scalp lichen
planus, nail lichen planus.
Treatment of lichen planus - answer--Not specified in the notes.
,Pityriasis Rosea - answer--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.
Normal age of onset of pityriasis rosea - answer--10 - 43 years
Seasons most common for pityriasis rosea - answer--Fall/spring
Suspected virus for pityriasis rosea - answer--suspect herpes virus type 7 (HSV 7)
Self-limiting nature of Pityriasis Rosea - answer--Pityriasis Rosea is usually self-
limited and resolves on its own in 6-12 weeks.
Treatment for pityriasis rosea - answer--antihistamines, topical steroids, UVB light.
self limiting
Steven Johnson Syndrome - answer--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.
Description of Steven Johnson Syndrome - answer--This is a vesiculobullous
disease of skin, mouth, eyes, genitalia. Ulcerative stomatitis leads to hemorrhagic
crusting.
, Drugs that may cause SJS - answer--sulfonamides, PCN, phenytoin, phenobarbital,
Allopurinol
Treatment for SJS - answer--D/C offending drug immediately. Supportive tx: fluid
and electrolyte balance, fluids, high caloric supplementation, prevention of sepsis.
Steroids- controversial
Toxic epidermal necrosis - answer--This is a progression of SJS to full thickness skin
detachment.
Positive Nikoloksy sign - answer--Sheet like peeling of the epidermis with slight
pressure is called a positive Nikoloksy sign and is often seen in toxic epidermal
necrosis.
Treatment for toxic epidermal necrosis - answer--Aggressive fluid & electrolyte
management, wound care, pain control.
Principal risk factor for erythema multiforme - answer--HSV
Diagnosis for targetoid 'iris' lesions - answer--Erythema Multiforme
Characteristics of Erythema Multiforme - answer--This skin disorder occurs in
younger males, freq recurrences, less fever, milder mucosal lesions, no association
with collagen vascular dz, HIV, or cancer.
Treatment for erythema multiforme - answer--Prednisone
