1
PAEA PEDIATRICS EOR EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
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
, 2
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.
, 3
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.
, 4
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
PAEA PEDIATRICS EOR EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
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
, 2
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.
, 3
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.
, 4
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
