Chapter 104 - Adolescent Dermatology

Question 1

Occurs in 2-5 years of age wherein terminal hairs are replaced by vellus hairs at the frontotemporal scalp

Answer 1

Triangular temporal alopecia

Question 2

Pyramidal soft velvety tongue like smooth protrusion almost exclusively in females located midline anterior to anus

Answer 2

Infantile perineal protrusion

Infantile pyramidal protrusion

Question 3

Idiopathic form of retention keratosis in diaper wearing infants with thick flake like scale

Answer 3

Infantile granular parakeratosis

Question 4

Performing procedures on a young child

Answer 4

A-nesthesia; appointment times
B-lood
C- alm parents; consent
D- istraction techniques
E- xpedite procedure
F- our hands
G- o to a day surgery setting
H- overing parents
I- nvest time

Question 5

Toxicity of emla
\_\_g for 1 to 3 mo old
\_\_g for 3- 12 mo old
\_\_g for 1 to 6 year old
\_\_g for 7 to 12 years old

Answer 5

1
2
10
20

Question 6

Alkalinization to pH 7 decreases shelf life to approximately ___ due to rapid oxidation of epinephrine

Answer 6

1 week

Question 7

Patch testing in children, top allergens are

Answer 7

22% nickel
11% fragrance mix 1
9.1% cobalt
8% balsam of Peru
7% neomycin, propylene glycol
6% cocamidopropyl betaine, bacitracin, formaldehyde, gold

Question 8

Mean age of patch testing in children

Answer 8

11 years old

Question 9

In adolescents, short term outcomes are valued more.

True or False

Answer 9

True

Question 10

___ is powerful motivator for adolescents

Answer 10

Body image

Question 11

Females with treatment resistant acne and signs of virilization should be evaluated for

Answer 11

PCOS

Question 12

Adherence to __ mos of OCPS is needed to establish Tx efficacy

Answer 12

3

Question 13

Spironolactone with concomitant administration of OCP with __ requires potassium monitoring

Answer 13

Drospirenone

Question 14

If no abnormalities occur during the __ mos of tx of isotretinoin foregoing of lab monitoring is appropriate

Answer 14

First 2 mos

Question 15

___ may decrease risk of glucocorticoid growth suppression

Answer 15

Alternate day with single morning dosing

Question 16

Tetracycline is contraindicated in children less than __ years

Answer 16

8

Question 17

Quinolones are contraindicated in children less than __ years

Answer 17

18

Question 18

Intracranial connection in __% of midline dermoids

Answer 18

25

Question 19

Intracranial connection in __% of encephaloceles

Answer 19

100%

Question 20

Telogen effluvium is commonly observed in infants, esp. ___ mos of age

Answer 20

3 to 4

Question 21

Occipital alopecia is a combination of ff factors

Answer 21

Physiologic telogen effluvium

localized Pressure

Question 22

Triangular temporal alopecia is a form of scarring alopecia.

True or False

Answer 22

False, nonscarring

Question 23

Factors to differentiate temporal triangular alopecia vs alopecia areata

Answer 23

1. Typical location, shape
2. Presence of vellus hairs
3. Absence of exclamation point hairs, histologic findings of alopecia areata

Question 24

Early onset in alopecia areata is considered a good prognosis
True or False

Answer 24

False, poor

Question 25

Alopecia areata in 1 year olds should be distinguished from the ff genetic disorders

Answer 25

Congenital atrichia with papular lesions

Vitamin D resistance

Question 26

___ is most common dermatophyte in tinea capitis

Answer 26

Trichophyton tonsurans

Question 27

Treatment of choice for tinea capitis

Answer 27

Oral griseofulvin

Question 28

3 settings of infantile perineal protrusion

Answer 28

Constitutional
Functional
Associated with lichen sclerosus et atrophicus