ATI RN
Pediatric Integumentary System Questions
Question 1 of 4
A 13-year-old boy experiences a single 8-cm annular lesion with a raised border with fine, adherent scales. Approximately 5-7 days later, he experiences a widespread, symmetric eruption involving the trunk with multiple, ovoid, maculopapular lesions less than 1 cm in diameter that are pink to brown. Which is the most likely diagnosis?
Correct Answer: C
Rationale: Pityriasis rosea starts with a herald patch (annular lesion) followed by a symmetric trunk eruption.
Question 2 of 4
A child presents with multiple, discrete, skin-colored, 1- to 3-mm dome-shaped smooth papules on the face with central umbilication. Which is the most likely diagnosis?
Correct Answer: D
Rationale: Molluscum contagiosum presents as umbilicated, dome-shaped papules.
Question 3 of 4
What is the most serious adverse event associated with isotretinoin?
Correct Answer: D
Rationale: Teratogenicity is the most serious adverse effect of isotretinoin, causing severe birth defects.
Question 4 of 4
Which is the best initial treatment for dislocated, unrelocatable, congenitally dysplastic hips first discovered at 7 months of age?
Correct Answer: C
Rationale: At 7 months, a plaster spica cast is used for congenital hip dysplasia after failed relocation.