Derm

Question 1

2 forms of impetigo + causative organisms

Answer 1

Bullous - staph aureas

Non bullous - staph or strep

Question 2

Management of impetigo

Answer 2

Fusidic acid (1st) or (2nd) mupirocin (if MRSA +ve)
If needed :Flucloxacillin or clarithromycin

Question 3

Complications of staph/ strep infection

Answer 3

Cellulitis
Scarlet fever – any strep infection can lead to this
Post-strep glomerulonephritis

Question 4

RF for HSP infection

Answer 4

Recent infection (group B strep)
Vaccinations

Question 5

Associated symptoms for HSP

Answer 5

Abdo pain 
Joint pain
Scrotal pain 
Diarrhoea 
Haematuria 
Headaches

Question 6

Management of HSP

Answer 6

NSAID +/- steroids

Question 7

Complications of HSP

Answer 7

Intusseception
Pulmonary haemorrhage
Kidney probs

Question 8

What % of kids with HSP will get recurrent symptoms?

Answer 8

25%

Question 9

Differences between 3 types of nappy rash

Answer 9

Contact dermatitis – erythema sparing skin folders, borders not well defined
Candida – erythema with well defined, raised borders, no sparing of skin folds, satellite lesions
Superimposed bacterial infection – increased erythema + purulent discharge

Question 10

Management of nappy rash

Answer 10

• Nappy changes up to 12 times a day
• Naked time
• Thorough cleaning with water
• Barrier creams
• Topical antifungals = clotrimazole
• Abx = fusidic acid
• Steroids for severe cases = 0.5% hydrocortisone

Question 11

What does viral exanthum look like?

Answer 11

Pink rash covering body - worse when child is hot

Question 12

What is the NICE fluid challenge for kids?

Answer 12

50ml/kg over 4 hours - ideally ORS

Question 13

when to give abx in gastroenteritis?

Answer 13

Sepsis, salmonella, C diff

Question 14

What is a serious complication of measles?

Answer 14

subacute sclerosing panencephalitis