Infants infested with scabies have diffuse erythema, scaling, and pinpoint papules. Pustules, vesicles, and nodules are much more common in infants and may be more diffusely distributed. The face and scalp usually are spared in adults and older children, but these areas are usually involved in infants.

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Pediatric Musculoskeletal Questions

Question 1 of 5

Infants infested with scabies have diffuse erythema, scaling, and pinpoint papules. Pustules, vesicles, and nodules are much more common in infants and may be more diffusely distributed. The face and scalp usually are spared in adults and older children, but these areas are usually involved in infants.

Correct Answer: D

Rationale: In infants with scabies, the presentation includes diffuse erythema and involvement of the face and scalp, unlike in older patients where these areas are typically spared.

Question 2 of 5

Treatment of Leg-length discrepancy (LLD) is usually required if it is greater than

Correct Answer: A

Rationale: LLD >2 cm often requires intervention due to potential gait and spinal issues.

Question 3 of 5

Idiopathic scoliosis is characterized by all the following EXCEPT

Correct Answer: B

Rationale: Idiopathic scoliosis occurs in neurologically normal children; neurological defects suggest other types.

Question 4 of 5

A 16-year-old athlete male presented with burning pain, weakness, and numbness of right upper extremity after lateral flexion of the neck away from the involved upper extremity, the symptoms resolve after 10 minutes. Of the following, the MOST likely cause is

Correct Answer: A

Rationale: Brachial plexopathy (e.g., burner/stinger) is common in athletes and matches the transient neurological symptoms.

Question 5 of 5

Matching: Kocher-Debré-Sémélaigne Syndrome

Correct Answer: D

Rationale: Kocher-Debré-Sémélaigne Syndrome is associated with hypothyroidism, featuring muscle hypertrophy and weakness. Other options are distinct metabolic or endocrine disorders.

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