Description Qs

Question 1

• Rash on cheeks with high temp
• rash on 1 or both cheeks
• runny nose, sore throat and headache
• few days later - spotty rash on chest, arms, legs - raised and itchy

Answer 1

Slapped cheek syndrome

Question 2

Slapped cheek syndrome treatment

Answer 2

• rest
• fluids
• paracetamol/ibuprofen
• moisturiser on itchy skin
• antihistamine for children
• NO ASPIRIN <16

Question 3

• raised spots/blisters on hands and feet
• ulcers in mouth
• sore throat, high temp, don’t want to eat

Answer 3

hand, foot and mouth disease

Question 4

Hand, foot and mouth disease treatment

Answer 4

• self - limiting within 7-10 days
• fluids
• avoid acidic drinks e.g. fruit juice
• eat soft foods like yoghurt and avoid hot and spicy foods
• paracetamol/ibuprofen for sore mouth/throat

Question 5

• rash of small, raised bumps that feels rough like sandpaper
• swollen neck glands
  rash starts on chest and tummy then spreads
• white coating on tongue, red, swollen and little bumps (strawberry tongue)
• cheeks can be red

Answer 5

Scarlet fever

Question 6

Scarlet fever treatment

Answer 6

• antibiotics - phenocymethylpenicillin
• drink cool fluids
• eat soft foods
• paracetamol
• calamine lotion/antihistamine

Question 7

• cold like symptoms
• small white spots inside mouth
• spotty rash starts on face/behind ears then spreads to rest of body
• rash can be raised and join together to form blotchy patches

Answer 7

Measles

Question 8

Measles treatment

Answer 8

• see GP
• fluid
• paracetamol/ibuprofen
• cotton wool soaked in warm water to remove crust from eyes

Question 9

• small, raised spots that feel itchy or prickly
• mild swelling

Answer 9

heat rash

Question 10

Heat rash treatment

Answer 10

• keep skin cool by:
• wear loose cotton clothing
• use lightweight bedding
• take cool baths or showers
• drink plenty fluid
• damp cloth/ice pack for unto 20 mins
• tap/pat rash don’t itch
• don’t use perfumes shower gels or creams

Question 11

• itchy, dry, cracked skin
• commonly behind knees, elbows and neck

Answer 11

atopic eczema

Question 12

atopic eczema treatment

Answer 12

• no cure
• self care e.g. reduce scratching and avoid triggers
• emollients for dry skin
• topical corticosteroids - reduce swelling, redness and itching

Question 13

• raised, itchy patches or spots in many shapes and sizes
• anywhere on body
• itchy, sting or burns

Answer 13

Hives

Question 14

Hives treatment

Answer 14

• antihistamine
• 999 if suspected anaphylaxis

Question 15

• itchy, dry, ring-shaped patch of skin
• red, pink, silver or darker than surrounding skin

Answer 15

ringworm

Question 16

Ringworm treatment

Answer 16

• anti fungal medicine -azoles
• wash towels and bedsheets regularly
• keep skin clean and wash hands after touching animals/soil
• take pet to vet
• DON’T scratch - will spread
• DON’T share towels, combs, bedsheets

Question 17

• small, itchy spots that turn into blisters and scabs
• high temperature
• aches and pains
• loss of appetite

Answer 17

chickenpox

Question 18

Chickenpox treatment

Answer 18

• stay off school/work until spots scab
• fluid
• paracetamol
• cut nails
• cooling creams
• antihistamine
• bathe in cool water and pat skin dry
• dress in loose clothes
• NO NSAIDs

Question 19

• sores (non-bullous)/blisters (bullous) that burst and leave crusty golden brown patches
• itchy sores, can get bigger and spread
• cornflakes stuck to skin

Answer 19

Impetigo

Question 20

Impetigo treatment

Answer 20

• antibiotics
• stay away from school/work
• wash hands
• loose clothing
• wipe toys with detergent and warm water

Question 21

• intense itchy raised spots
• raised lines with a dot at one end
• often between fingers
• may spread and turn into tiny spots

Answer 21

Scabies

Question 22

Scabies treatment

Answer 22

• permethrin
• malathion
• repeat tx 1 week later
• tx everyone in the household

Question 23

• vary small white spots on baby’s face when few days old
• no fever or itching

Answer 23

Milia

Question 24

Milia treatment

Answer 24

• no treatment
• away in few weeks on own

Question 25

• raised red, yellow and white spots in babies when born
• on face, body and upper arms and thighs
• disappears and reappears

Answer 25

erythema toxicum

Question 26

Erythema toxicum treatment

Answer 26

better in few weeks without treatment

Question 27

• skin coloured or pink spots
• small, firm, raised spots
• spots 2-5mm wide, appear together
• dome shaped with shiny white dimple in middle

Answer 27

Molluscum contagiosum

Question 28

Molluscum contagiosum treatment

Answer 28

• harmless
• clears within 18 months w/o treatment
• hold damp towel against skin
• cool baths
• keep affected area covered
• waterproof bandages if swimming
• condom during sex if infected

Question 29

• baby has red and sore bottom
• skin hot to touch
• scaly and dry
• itchy painful bottom
• uncomfortable or distressed baby
• spots, pimples, blisters on bottom

Answer 29

nappy rash

Question 30

Nappy rash treatment

Answer 30

• change wet/dirty nappies ASAP
• keep skin clean and dry
• leave nappies off when possible
• use extra absorbent nappies
• make sure nappies fit properly
• clean skin with water or fragrance free and alcohol free wipes
• bathe baby daily
• use olive oil to remove nappy rash ointment rather than water
• don’t use soaps, baby lotion or bubble bath
• don’t use talcum powder or antiseptics

Question 31

• pimples on cheeks, nose and forehead within a month after birth

Answer 31

baby acne

Question 32

Baby acne treatment

Answer 32

better within few weeks or months without treatment

Question 33

• yellow or white, greasy, scaly patches on baby’s scalp
• flaky

Answer 33

cradle cap

Question 34

Cradle cap treatment

Answer 34

• lightly massage an emollient on scalp to help loosen scales
• gently brush scalp with soft brush and then wash with baby shampoo
• NO olive oil, peanut oil, soap, adult shampoos
• DON’T pick crust

Question 35

• fever
• non-blanching rash
• stiff neck
• seizures
• dislike of bright lights

Answer 35

Meningitis

Question 36

Meningitis treatment

Answer 36

• 999 or A&E
• abx, fluids and oxygen

Question 37

• flaky patches of skin that form pink, red, white, silvery scales/plaques
• usually on elbows, knees, scalp and lower back

Answer 37

psoriasis

Question 38

psoriasis treatment

Answer 38

• no cure
• vit D analogues
• topical corticosteroids
• phototherapy

Question 39

• milder spotty rash starts on face/behind ears and spreads

Answer 39

rubella

Question 40

Rubella treatment

Answer 40

• usually better in 1 week
• rest, fluids
• paracetamol/ibuprofen

Question 41

• itchy, white patches between toes
• sore and flaky patches on feet

Answer 41

athletes foot

Question 42

Athletes foot treatment

Answer 42

• anti fungal creams, sprays or powders
• dry feet after washing them, especially between toes
• use separate towel for feet
• shoes off at home
• clean socks every day - preferably cotton

Question 43

• discoloured and thicker nail
• brittle nail
• pieces break off, sometimes whole nail
• pain and swelling in skin around the nail

Answer 43

fungal nail infection

Question 44

Fungal nail infection treatment

Answer 44

• anti fungal nail cream
• nail-softening cream for 2 weeks so infected part can be scraped off

Question 45

• headache, generally unwell
• tingling or painful feeling in an area of skin
• belt/nerve pattern rash on torso
• usually one side of body

Answer 45

shingles

Question 46

Shingles treatment

Answer 46

• paracetamol
• keep rash clean and dry to reduce risk of infection
• loose-fitting clothing
• cool compress a few times a day
• DON’T let dressings or plasters stick to rash
• DON’T use abx cream - it slows healing

Question 47

• worms in poo
• white thread in poo
• extreme itching around anus/vagina, especially at night
• irritability and waking up during night

Answer 47

threadworm

Question 48

Threadworm treatment

Answer 48

• mebendazole
• everyone in house treatment
• refer if under 2, pregnant or breastfeeding