A black teenager presents with a sharply demarcated, dense, firm, rubbery growth on the face at the site of a previous, smaller laceration that occurred long ago. Which is the most likely diagnosis?

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Pediatric Integumentary Questions Questions

Question 1 of 4

A black teenager presents with a sharply demarcated, dense, firm, rubbery growth on the face at the site of a previous, smaller laceration that occurred long ago. Which is the most likely diagnosis?

Correct Answer: B

Rationale: Keloids are firm, rubbery overgrowths at prior injury sites, common in darker skin tones.

Question 2 of 4

Which is the recommended treatment of scabies?

Correct Answer: A

Rationale: Permethrin 5% is the first-line treatment for scabies.

Question 3 of 4

A 2-year-old child presents with symmetric psoriasiform skin lesions distributed in the perioral, acral, and perineal areas and on the cheeks, knees, and elbows. There is mild alopecia and a history of chronic diarrhea. Which is the most likely diagnosis?

Correct Answer: C

Rationale: Acrodermatitis enteropathica (zinc deficiency) causes psoriasiform lesions, alopecia, and diarrhea.

Question 4 of 4

An overweight adolescent male complains of pain in the medial aspect of his knee. He denies trauma, and he has not had a fever. The most likely diagnosis is

Correct Answer: D

Rationale: Slipped capital femoral epiphysis in overweight adolescents can refer pain to the knee.

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