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Pediatric- TEST 2 > DERMATITIS- > Flashcards

DERMATITIS- Flashcards

DERM- TEST 2

1
Q

What are the two most common types of drug-induced skin symptoms?

a. Vesicular and Bullous
b. Macular and Papular
c. Morbilliform (measles-like) and Urticaria
d. Pustular and Purpuric

A

c. Morbilliform (measles-like) and Urticaria

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2
Q

Which medications are most commonly associated with morbilliform rashes

a. Antihistamines and antifungals
b. PCNs, Sulfa drugs, cephalosporins, erythromycin, and NSAIDs
c. Antivirals and antipsychotics
d. Diuretics and beta-blockers

A

Answer: b. PCNs, Sulfa drugs, cephalosporins, erythromycin, and NSAIDs

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3
Q

When do drug eruption reactions commonly occur after starting medication?
a. 1-2 days
b. 3-5 days
c. 1-2 weeks
d. 3-4 weeks

A

Answer: c. 1-2 weeks

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4
Q

Which of the following is an appropriate diagnostic test for a suspected drug eruption?

a. Lumbar puncture
b. Monospot/EBV panel
c. MRI
d. Serum alcohol level

A

b. Monospot/EBV panel

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5
Q

What is one important aspect to document when identifying a potential drug allergy?

a. Specific laundry detergent used by the patient
b. Presence of systemic and respiratory symptoms
c. Favorite foods
d. Birth weight

A

b. Presence of systemic and respiratory symptoms

why because this can be a true allergy

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6
Q

Atopic Dermatitis

  1. What is the primary symptom of atopic dermatitis?
    a. Fever
    b. Pruritus
    c. Headache
    d. Nausea
A

Answer: b. Pruritus

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7
Q

Which phase of atopic dermatitis typically involves the cheeks and chin in infants aged 2 months to 2 years?*

a. Adolescent phase
b. Childhood phase
c. Infant phase
d. Adult phase

A

c. Infant phase

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8
Q

What is the primary goal in managing atopic dermatitis?

a. Prescribe antibiotics
b. Control itching and minimize rash
c. Increase exercise
d. Limit dietary fiber

A

Answer: b. Control itching and minimize rash

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9
Q

Which topical medication is commonly used for mild flares of atopic dermatitis?

a. Clindamycin
b. Tacrolimus
c. Hydrocortisone (HC) 2.5% cream
d. Lotrimin

A

Answer: c. Hydrocortisone (HC) 2.5% cream

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10
Q

For severe refractory flares of atopic dermatitis, what is an appropriate next step?

a. Increase hydration
b. Referral to dermatology and allergists
c. Recommend herbal supplements
d. Advise strict bed rest

A

*Answer:** b. Referral to dermatology and allergists

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11
Q

May include a symmetric, macular to maculopapular rash starting on the trunk and extending to extremities; mouth usually not affected

A

Drug Eruption Reaction:

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12
Q

CBC, Monospot/EBV panel, ANA, ASO titers, mycoplasma testing, CXR

A

Drug Eruption Reaction:

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13
Q

These can be differentials for?

Viral exanthem, scarlet fever, measles, roseola, Kawasaki disease, HFM, erythema infectiosum.

A

Drug Eruption Reaction:

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14
Q

What treatment would you do for drug eruption reaction?

A

Discontinue new medications, document potential allergy, antihistamines (Diphenhydramine, Hydroxyzine),

severe reactions may require Prednisone. Follow-up based on severity, potential allergy consult

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15
Q

Elevated IgE levels, genetics, immune impairment, environmental factors, foods, chemicals, allergens.

What is this?

A

Atopic Dermatitis

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16
Q

A child 6 years old complaints of pruritus, dry skin, oozing/bleeding skin, secondary infections, family history of eczema/asthma/allergic rhinitis.

what does this child have

A

Atopic Dermatitis:

17
Q

Control itching, minimize rash, reduce inflammation, moisturize skin, prevent flares.

For what condition?

A

Atopic Dermatitis:

17
Q

Infant phase (2mo-2yrs) involves scalp, face, neck, chest, extensor surfaces.

Childhood phase (2-10 years) affects flexor surfaces.

Adolescent/Adult phase affects flexor areas, hands.

what is this?

A

Atopic Dermatitis:

18
Q

Low to mid-potency topical steroids (e.g., Hydrocortisone 2.5%), antihistamines; avoid triggers.

Is this a treatment for
aa) low flat
a) mild flare
b) mod flare
c) severe flare
d) both aa & a

A

D) both aa & a low to mid flare

Low to mid-potency topical steroids (e.g., Hydrocortisone 2.5%), antihistamines; avoid triggers.
—- these are low to mid steroids

19
Q

Increase steroid potency (e.g., Triamcinolone 0.1% or 0.5%), use topical immunomodulators (Elidel, Protopic) if necessary.

a) mild
b) mod
c) severe
d) both b and c

A

Moderate to Severe Flare Treatment

d) both b and c

20
Q

When do you refer to term & allergists for what type of atopic term flare?
a. mild
b. mod
c. severe
d. n/a

A

c- severe

21
Q

Secondary Infections:
Treatments? may include Bactrim, Clindamycin, Bactroban ointment.

When should you follow up?

A

Bactrim, Clindamycin, Bactroban ointment.

Follow up?
1-2 weeks to evaluate treatment or as needed.

22
Q

A child was started on doxy for treating bacterial pneumonia. Now the child has a rash that started about 10 days ago. The rash is
symmetric, macular to maculopapular rash scattered and becomes confluent; usually starts on trunk and extends to extremities; may be brownish colored and peeling w/ resolution; mouth is usually not affected

What is this?

A

drug eruption reaction

23
Q

Which of the following is a primary cause of contact dermatitis in the diaper area?

a. Lack of exposure to detergents and lotions
b. Prolonged contact with urine and feces
c. Absence of barrier ointment use
d. Drinking non-potable water

A

b. Prolonged contact with urine and feces

24
Q

What should be observed during the physical exam of a patient with contact dermatitis?

a. Clear, pristine skin
b. Erythema, papules, vesicles, ulcerations, and a scalded appearance
c. Peeling, non-itchy skin
d. Blue discoloration of skin

A

Answer: b. Erythema, papules, vesicles, ulcerations, and a scalded appearance

25
Q

What is the appropriate treatment for mild irritant diaper dermatitis?*

a. Systemic antibiotics
b. Over-the-counter barrier treatments like Desitin and Vaseline
c. Topical steroid creams immediately
d. Switching to cloth diapers

A

*Answer:** b. Over-the-counter barrier treatments like Desitin and Vaseline

26
Q

For moderate/severe irritant diaper dermatitis with erythematous vesicles, which treatment is recommended?

a. Hydrocortisone 1% cream BID for 7-10 days
b. Oral antihistamines
c. Nystatin powder
d. Olive oil compresses

A

*Answer:** a. Hydrocortisone 1% cream BID for 7-10 days

27
Q

Which causative agent is associated with candida diaper dermatitis?**
a. Staphylococcus aureus
b. Candida albicans
c. Escherichia coli
d. Pseudomonas aeruginosa

A

Answer: b. Candida albicans

28
Q

How would you describe the appearance of candida diaper dermatitis?**
a. Beefy red, shiny with sharply demarcated borders, satellite lesions
b. Dry, flaky skin
c. Blue-green discoloration
d. Pale, anemic patches

A

Answer: a. Beefy red, shiny with sharply demarcated borders, satellite lesions

29
Q

*What is the recommended treatment for candida diaper dermatitis?**
a. H2O2 washes to the affected area
b. Nystatin cream applied TID-QID
c. Daily oatmeal baths
d. Intravenous antifungals

A

Answer: b. Nystatin cream applied TID-QID

30
Q

At what life stages does seborrheic dermatitis most commonly occur?**
a. Only in infancy
b. During puberty, and between the ages of 20-50
c. Exclusively in elderly individuals
d. During adolescence only

A

Answer: b. During puberty, and between the ages of 20-50

31
Q

What is a common treatment for infant seborrheic dermatitis (cradle cap)?**
a. Oral antibiotics
b. Warm olive oil compresses followed by baby shampoo
c. Daily deep tissue massage
d. Application of iodine solution

A

Answer: b. Warm olive oil compresses followed by baby shampoo

32
Q

*What is the typical presentation of keratosis pilaris on the skin?**
a. Large, painful blisters
b. Small papules with follicular plugs, often on posterior upper arms, thighs, and cheeks
c. Large, dark moles
d. Red, peeling skin

A

Answer: b. Small papules with follicular plugs, often on posterior upper arms, thighs, and cheeks

33
Q

*What is an appropriate treatment option for keratosis pilaris?**
a. Topical steroids
b. Topical lactic acid, salicylic acid, urea creams, or retinoids
c. Cold compresses
d. Oral antihistamines

A

Answer: b. Topical lactic acid, salicylic acid, urea creams, or retinoids

34
Q
A

Pediatric- TEST 2 (25 decks)

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