Paediatric Dermatology

Question 1

What is the infecting agent in mumps?

Answer 1

Paramyoxovirus

Question 2

Presentation of mumps

Answer 2

Parotitis, fever, malaise

Question 3

Is mumps a notifiable disease?

Answer 3

Yes

Question 4

Complication of mumps in boys?

Answer 4

Orchitis

Question 5

What is the infecting agent in measles?

Answer 5

Rubeola virus

Question 6

Grain of salt on buccal mucosa

Answer 6

Measles

Koplik spots - small greyish white spots

Question 7

Is measles a notifiable disease?

Answer 7

Yes

Question 8

Management of measles?

Answer 8

Supportive

Question 9

Following white Koplik spots on the buccal mucosa in measles, a few days later a rash appears - where is the rash?

Answer 9

Starts behind ears then spreads to whole body

erythematous maculopapular

Question 10

What is German measles also known as?

Answer 10

Rubella

Question 11

Strawberry tongue

Answer 11

Kawasaki disease or scarlet fever

Question 12

Infectious agent in impetigo

Answer 12

Staph aureus or strep pyogenes

Question 13

Crusted yellow rash next to lip

Answer 13

Impetigo

Question 14

Management of impetigo

Answer 14

Topical fusidic acid

Question 15

What is slapped cheek also known as?

Answer 15

Erythema infectiosum

Question 16

What is the infectious agent in slap cheek erythema infectiosum?

Answer 16

Parvovirus B19

Question 17

What complication can erythema infectiosum cause in sickle cell disease?

Answer 17

Aplastic anaemia

Question 18

Sandpaper rash

Answer 18

Scarlet fever

Question 19

What is the infectious agent in hand foot and mouth disease?

Answer 19

Coxsackie A16 virus

Question 20

What is the management of scarlet fever?

Answer 20

PO penicillin V

Question 21

What is the mode of transmission of chickenpox?

Answer 21

Aerosol

Question 22

Multiple discrete umbilicated shiny papules with central punctum

Answer 22

Molluscum contagiosum

Question 23

Infectious agent in molluscum

Answer 23

Pox virus

Question 24

What type of vaccine is the MMR?

Answer 24

Live attenuated vaccine

Question 25

Erythematous rash sparing the area around the mouth (perioral pallor)

Answer 25

Scarlet fever

Question 26

Vesicles in the mouth + on palms + soles of feet

Answer 26

Hand, foot and mouth

Question 27

What is the management of hand foot and mouth?

Answer 27

Supportive

Question 28

Is scarlet fever a notifiable disease?

Answer 28

Yes

Question 29

Non-blanching rash back of legs/buttocks

Answer 29

Henoch Schoenlein purpura

Question 30

Berger’s disease AKA

Answer 30

IgA nephropathy (strongly associated with HSP - so do urinalysis to look)

Question 31

What is the management of HSP?

Answer 31

Supportive self-limits

Question 32

Steven Johnson syndrome or erythema multiforme - which more often affects mucosa?

Answer 32

SJS

Question 33

Birth mark at the back of the neck

Answer 33

Stork mark

Question 34

Salmon patch or port wine stain - which may last for years?

Answer 34

Port wine stain

Question 35

Forehead port wine stain + seizures + cognitive impairment

Answer 35

Sturge Weber syndrome

Question 36

Strawberry naevi aka

Answer 36

Capillary haemangioma

Question 37

What is seen on the eyes in neurofibromatosis?

Answer 37

Lisch nodule

Question 38

Ash leaf spots

• pigmented or depigmented?
• what condition?

Answer 38

Depigmented

Tuberous sclerosis

Question 39

Shagreen patches

• what do they look like?
• what condition?

Answer 39

Roughened patches of skin over lumbar spine

Tuberous sclerosis

Question 40

What condition causes axillary / groin freckles?

Answer 40

Neurofibromatosis

Question 41

What condition causes cafe au lait macules?

Answer 41

Neurofibromatosis

can be seen in tuberous sclerosis, but more common in neurofibromatosis

Question 42

Mongolian blue spot is seen in what skin types?

Answer 42

4, 5, 6

Question 43

What should you do if a congenital melanocytic naevus changes shape or appearance?

Answer 43

Biopsy