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c. Verruca vulgaris
*Common warts are found most usually on fingers, hands, and feet in children and are often preceded
by trauma such as nail biting or picking at cuticles - correct answers A 7-year-old African American
female presents with several hyperkeratotic raised, periungual lesions on the two middle fingers of her
left hand. She has a history of nail biting. The most likely diagnosis is:
a. Impetigo
b. Molluscum contagiousum
c. Verruca vulgaris
d. Herpetic whitlow
b. Striae
*Striae describes skin that has been stretched, whereas the skin in atopic dermatitis is thickened,
crusted, and hyperpigmented - correct answers Which of the following secondary skin changes is not
associated with atopic dermatitis?
a. Lichenification
b. Striae
c. Pigment changes
d. Excoriations
a. cheeks and forehead
,*The infantile phase of atopic dermatitis follows a different distribution pattern than that associated
with the childhood phase, which may include the face, trunk, and extensor surfaces - correct answers In
infants, the lesions associated with atopic dermatitis are most likely to be distributed on the:
a. cheeks and forehead
b. Wrists and ankles
c. Antecubital and popliteal fossae
d. Flexural surfaces
d. Cutis marmorata
*Mongolian spots and blue nevus have a bluish discoloration. Cutis marmorata is the only condition that
is generalized. Harlequin color change is more red than pale - correct answers During your newborn
examination, you note a generalized lacy reticulated blue discoloration. This clinical presentation
describes:
a. Harlequin color change
b. Mongolian spots
c. Blue nevus
d. Cutis marmorata
d. Refer to a dermatologist
*The lesions described are café au lait spots. Six or more of these lesions may indicate
neurofibromatosis and should be referred for further evaluation - correct answers During 3-year-old JT's
physical examination, you observe eight, light brown macules, ranging in size from 0.5 to 0.75cm on his
trunk, arms, and legs. Your management plan would be to:
a. Educate the family to apply sunscreen frequently
b. Explain that the lesions will fade with time.
c. Refer to a dermatologist
d. Document the findings and reevaluate in six months
, b. Salmon patch
*A salmon patch is a flat, light pink to light red mark seen on the eyelid, glabella, or nape of neck that
intensifies with crying - correct answers Mrs. Franklin is concerned about a light pink lesion on the back
of 2-month-old Aaron's neck that darkens with crying. This description is consistent with:
a. Sturge-Weber disease
b. Salmon patch
c. Port-wine stain
d. Hemangioma
a. clotrimazole
*The rash described is Candida albicans and should be treated with an antifungal agent - correct
answers DM, 7-years-old, presents with a beefy red macular-papular rash in the diaper area with
satellite lesions on the abdomen. The appropriate treatment would be:
a. clotrimazole
b. A&D ointment
c. Gentian violet 1 to 2%
d. cornstarch
b. Microscopic skin scraping
*microscopic skin scaping of burrows will reveal the mite, eggs, or feces if scabies are present. Although
skin scapings are not routinely done, they are definitive if there is any doubt of the diagnosis - correct
answers The mother of a 4-month-old TW states that the infant has been irritable and has not been
sleeping well. During the physical exam, you note papular lesions on his feet and erythematous papules
over his back.
To confirm your suspicion of scabies you would order a: