Dermatology

Question 1

15 year old male presents with mild papular and comedogenic (?papulopustular, not comedogenic?) acne on face, trunk and back. Previously only using soap to wash his skin. Next step for treatment?

A. Tetracycline PO
B. Erythromycin cream
C. Combination of topical retinoids and benzoyl peroxide.
D. Other topical

Answer 1

C. Combo of topical retinoid and benzoyl peroxide

Question 2

A kid with asthma and eczema has an acute worsening of his eczema. What would you treat him with ? Picture with yellow lesions over eczema.

A. Acyclovir
B. Steroids
C. Cefazolin
D. Vancomycin

Answer 2

C. Cefazolin

• there is evidence of a secondary bacterial infection
• administer an ora anti- staph abx x 7-10days
• if no improvement, can consider bacterial culture to look for resistant organisms

Question 3

Baby with a large congenital (melanocytic) nevus on face. What is she at risk for ?

Answer 3

Melanocytosis of the leptomeningeal aka neurocutaneous melanosis