ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
A 5-year-old boy develops extensive atopic dermatitis involving both upper and lower extremities, back, and upper chest. Your decision is to start with potent topical corticosteroids. Of the following, the MOST serious complication that may occur with prolonged use of such topical corticosteroids is
Correct Answer: D
Rationale: Adrenal suppression is the most serious complication of prolonged potent topical corticosteroid use due to systemic absorption.
Question 2 of 5
Pityriasis Rosea is characterized by the appearance of a solitary oval patch followed by multiple red scaly macules. Although it may occur at any age, the peak incidence usually occurs during
Correct Answer: D
Rationale: Pityriasis rosea peaks in adolescence, often linked to viral triggers like HHV-6 or HHV-7.
Question 3 of 5
Malignant melanoma may develop in a pre-existing cutaneous melanocytic lesion. Which of the following skin lesion is MOST likely to develop malignant melanoma during childhood?
Correct Answer: B
Rationale: Congenital giant melanocytic nevi have the highest risk of malignant melanoma in childhood due to their size and cellular instability.
Question 4 of 5
You are discussing vascular malformations with medical students; you state that port-wine stains are malformations of the superficial capillaries of the skin. An important statement that should be included in your discussion is
Correct Answer: C
Rationale: Port-wine stains appear as purple or port-wine patches in infancy and persist lifelong, distinguishing them from hemangiomas.
Question 5 of 5
The papillary layer of the dermis is most closely associated with which layer of the epidermis?
Correct Answer: D
Rationale: The papillary layer of the dermis lies just beneath the epidermis and is closely associated with the stratum basale, the deepest layer of the epidermis, where new skin cells are generated.