Grade A+ BURNS PEDIATRICS CHAPTER 37. DERMATOLOGIC DISORDERS
CORRECT ANS: B. HAVE THE CHILD SOAK
1. THE PRIMARY CARE PEDIATRIC ARNP IS
IN A LUKEWARM WATER BATH
TEACHING A PARENT OF A CHILD WITH DRY
SKIN ABOUT HYDRATING THE SKIN WITH
BATHING. WHAT WILL THE ARNP INCLUDE IN RATIONALE:
TEACHING? SOAKING THE CHILD IN A LUKEWARM
BATH HELPS TO HYDRATE THE SKIN
A. APPLY LUBRICATING AGENTS AT LEAST 1 BY ALLOWING MOISTURE TO BE AB-
HOUR AFTER THE BATH. SORBED INTO THE SKIN WITHOUT IR-
B. HAVE THE CHILD SOAK IN A LUKEWARM RITATING IT. SOAKING FOR TOO LONG
WATER BATH. CAN DEHYDRATE THE SKIN, AND APPLY-
C. KEEP THE CHILD IN THE BATH UNTIL THE ING LUBRICANTS AFTER THE BATH, NOT
SKIN BEGINS TO "PRUNE." BEFORE, ENSURES THAT THE MOISTURE
D. SOAPING SHOULD BE DONE AT THE BEGIN- IS TRAPPED IN THE SKIN.
NING OF THE BATH.
2. A CHILD WILL NEED AN OCCLUSIVE DRESS- ARNP WILL:
ING TO TREAT LICHEN SIMPLEX CHRONICUS.
WHAT WILL THE PRIMARY CARE PEDIATRIC
ARNP TELL THE PARENTS ABOUT APPLYING
THIS TREATMENT?
A. APPLY OINTMENT BEFORE THE DRESSING.
B. PLASTIC WRAP SHOULD NOT BE USED.
C. THE DRESSING SHOULD BE APPLIED TO
DRY SKIN.
D. CHANGE THE DRESSING TWICE DAILY.
3. WHEN PRESCRIBING TOPICAL GLUCOCOR-
TICOIDS TO TREAT INFLAMMATORY SKIN
CONDITIONS, THE PRIMARY CARE PEDIATRIC
,Grade A+ BURNS PEDIATRICS CHAPTER 37. DERMATOLOGIC DISORDERS
CORRECT ANS: A. APPLY OINTMENT BE- FORE THE DRESSING.
RATIONALE:
THE CORRECT APPROACH IS TO APPLY OINTMENT BEFORE APPLYING THE
OC- CLUSIVE DRESSING TO ENSURE THE SKIN ABSORBS THE
MEDICATION PROP- ERLY. THE PLASTIC WRAP IS OFTEN USED AS AN
OCCLUSIVE DRESSING, AND OINTMENT SHOULD BE APPLIED TO
MOIST, NOT DRY, SKIN.
CORRECT ANS: C. PRESCRIBE BRAND- NAME PREPARATIONS FOR
CONSISTENT EFFECTS.
, Grade A+ BURNS PEDIATRICS CHAPTER 37. DERMATOLOGIC DISORDERS
RATIONALE:
A. INITIATE THERAPY WITH A HIGH-POTENCY THE PRIMARY GOAL IS TO ENSURE CON-
GLUCOCORTICOID. SISTENCY IN EFFECTS, SO BRAND-NAME
B. ORDER LOTIONS WHEN HIGHER POTENCY PREPARATIONS ARE PREFERRED OVER
IS NECESSARY. GENERICS WHEN A SPECIFIC RESPONSE
C. PRESCRIBE BRANDNAME PREPARATIONS IS REQUIRED. FLUORINATED STEROIDS
FOR CONSISTENT EFFECTS. ARE USED IN CERTAIN CASES, BUT NOT
D. USE FLUORINATED STEROIDS TO MINIMIZE FOR MINIMIZING ADVERSE EFFECTS.
ADVERSE EFFECTS.
4. A PRESCHOOL-AGE CHILD HAS HONEYCRUST- CORRECT ANS: B. AMOXICILLIN-CLAVU-
ED LESIONS ON ERYTHEMATOUS, ERODED LANATE 90 MG/KG/DAY FOR 10 DAYS
SKIN AROUND THE NOSE AND MOUTH, WITH
SATELLITE LESIONS ON THE ARMS AND LEGS. RATIONALE:
THE CHILD'S PARENT HAS SEVERAL SIMILAR THIS PRESENTATION IS SUGGESTIVE
LESIONS AND REPORTS THAT OTHER CHIL- OF IMPETIGO, WHICH IS COMMON-
DREN IN THE DAY CARE HAVE A SIMILAR LY TREATED WITH AMOXICILLINCLAVU-
RASH. HOW WILL THIS BE TREATED? LANATE. MUPIROCIN IS USED TOPI-
CALLY FOR LOCALIZED LESIONS BUT
A. AMOXICILLIN 40 TO 50 MG/KG/DAY FOR 7 DOESN'T ADDRESS THE BROADER IN-
TO 10 DAYS FECTION OFTEN SEEN IN IMPETIGO.
B. AMOXICILLIN-CLAVULANATE 90
MG/KG/DAY FOR 10 DAYS
C. BACITRACIN CREAM APPLIED TO LESIONS
FOR 10 TO 14 DAYS
D. MUPIROCIN OINTMENT APPLIED TO LE-
SIONS UNTIL CLEAR
5. A CHILD IS BROUGHT TO CLINIC WITH SEVER- CORRECT ANS: B. INITIATE EMPIRIC AN-
AL BRIGHT RED LESIONS ON THE BUTTOCKS. INES THE LESIONS AND
THE PRIMARY CARE PEDIATRIC ARNP EXAM- NOTES SHARP MAR-
CORRECT ANS: B. HAVE THE CHILD SOAK
1. THE PRIMARY CARE PEDIATRIC ARNP IS
IN A LUKEWARM WATER BATH
TEACHING A PARENT OF A CHILD WITH DRY
SKIN ABOUT HYDRATING THE SKIN WITH
BATHING. WHAT WILL THE ARNP INCLUDE IN RATIONALE:
TEACHING? SOAKING THE CHILD IN A LUKEWARM
BATH HELPS TO HYDRATE THE SKIN
A. APPLY LUBRICATING AGENTS AT LEAST 1 BY ALLOWING MOISTURE TO BE AB-
HOUR AFTER THE BATH. SORBED INTO THE SKIN WITHOUT IR-
B. HAVE THE CHILD SOAK IN A LUKEWARM RITATING IT. SOAKING FOR TOO LONG
WATER BATH. CAN DEHYDRATE THE SKIN, AND APPLY-
C. KEEP THE CHILD IN THE BATH UNTIL THE ING LUBRICANTS AFTER THE BATH, NOT
SKIN BEGINS TO "PRUNE." BEFORE, ENSURES THAT THE MOISTURE
D. SOAPING SHOULD BE DONE AT THE BEGIN- IS TRAPPED IN THE SKIN.
NING OF THE BATH.
2. A CHILD WILL NEED AN OCCLUSIVE DRESS- ARNP WILL:
ING TO TREAT LICHEN SIMPLEX CHRONICUS.
WHAT WILL THE PRIMARY CARE PEDIATRIC
ARNP TELL THE PARENTS ABOUT APPLYING
THIS TREATMENT?
A. APPLY OINTMENT BEFORE THE DRESSING.
B. PLASTIC WRAP SHOULD NOT BE USED.
C. THE DRESSING SHOULD BE APPLIED TO
DRY SKIN.
D. CHANGE THE DRESSING TWICE DAILY.
3. WHEN PRESCRIBING TOPICAL GLUCOCOR-
TICOIDS TO TREAT INFLAMMATORY SKIN
CONDITIONS, THE PRIMARY CARE PEDIATRIC
,Grade A+ BURNS PEDIATRICS CHAPTER 37. DERMATOLOGIC DISORDERS
CORRECT ANS: A. APPLY OINTMENT BE- FORE THE DRESSING.
RATIONALE:
THE CORRECT APPROACH IS TO APPLY OINTMENT BEFORE APPLYING THE
OC- CLUSIVE DRESSING TO ENSURE THE SKIN ABSORBS THE
MEDICATION PROP- ERLY. THE PLASTIC WRAP IS OFTEN USED AS AN
OCCLUSIVE DRESSING, AND OINTMENT SHOULD BE APPLIED TO
MOIST, NOT DRY, SKIN.
CORRECT ANS: C. PRESCRIBE BRAND- NAME PREPARATIONS FOR
CONSISTENT EFFECTS.
, Grade A+ BURNS PEDIATRICS CHAPTER 37. DERMATOLOGIC DISORDERS
RATIONALE:
A. INITIATE THERAPY WITH A HIGH-POTENCY THE PRIMARY GOAL IS TO ENSURE CON-
GLUCOCORTICOID. SISTENCY IN EFFECTS, SO BRAND-NAME
B. ORDER LOTIONS WHEN HIGHER POTENCY PREPARATIONS ARE PREFERRED OVER
IS NECESSARY. GENERICS WHEN A SPECIFIC RESPONSE
C. PRESCRIBE BRANDNAME PREPARATIONS IS REQUIRED. FLUORINATED STEROIDS
FOR CONSISTENT EFFECTS. ARE USED IN CERTAIN CASES, BUT NOT
D. USE FLUORINATED STEROIDS TO MINIMIZE FOR MINIMIZING ADVERSE EFFECTS.
ADVERSE EFFECTS.
4. A PRESCHOOL-AGE CHILD HAS HONEYCRUST- CORRECT ANS: B. AMOXICILLIN-CLAVU-
ED LESIONS ON ERYTHEMATOUS, ERODED LANATE 90 MG/KG/DAY FOR 10 DAYS
SKIN AROUND THE NOSE AND MOUTH, WITH
SATELLITE LESIONS ON THE ARMS AND LEGS. RATIONALE:
THE CHILD'S PARENT HAS SEVERAL SIMILAR THIS PRESENTATION IS SUGGESTIVE
LESIONS AND REPORTS THAT OTHER CHIL- OF IMPETIGO, WHICH IS COMMON-
DREN IN THE DAY CARE HAVE A SIMILAR LY TREATED WITH AMOXICILLINCLAVU-
RASH. HOW WILL THIS BE TREATED? LANATE. MUPIROCIN IS USED TOPI-
CALLY FOR LOCALIZED LESIONS BUT
A. AMOXICILLIN 40 TO 50 MG/KG/DAY FOR 7 DOESN'T ADDRESS THE BROADER IN-
TO 10 DAYS FECTION OFTEN SEEN IN IMPETIGO.
B. AMOXICILLIN-CLAVULANATE 90
MG/KG/DAY FOR 10 DAYS
C. BACITRACIN CREAM APPLIED TO LESIONS
FOR 10 TO 14 DAYS
D. MUPIROCIN OINTMENT APPLIED TO LE-
SIONS UNTIL CLEAR
5. A CHILD IS BROUGHT TO CLINIC WITH SEVER- CORRECT ANS: B. INITIATE EMPIRIC AN-
AL BRIGHT RED LESIONS ON THE BUTTOCKS. INES THE LESIONS AND
THE PRIMARY CARE PEDIATRIC ARNP EXAM- NOTES SHARP MAR-
