ATI RN
Integumentary System of Pediatrics Questions
Question 1 of 5
Topical corticosteroids are the mainstay of anti-inflammatory therapy for atopic dermatitis. They are classified according to strength and potency from I to VII. Which of the following classes should be avoided in young children?
Correct Answer: A
Rationale: Class I (highest potency) corticosteroids should be avoided in young children due to risk of systemic absorption and side effects.
Question 2 of 5
Seborrheic dermatitis is a common, chronic inflammatory disease that has different clinical presentations at different ages. Of the following, the classic seborrheic dermatitis during adolescence is typically localized to the
Correct Answer: A
Rationale: In adolescence, seborrheic dermatitis classically affects the scalp, presenting as dandruff or scaling.
Question 3 of 5
A 9-year-old girl develops plaque-type psoriasis involving the extensor surfaces of the elbow and knee joints, posterior occipital scalp, and lumbosacral region. Which of the following medications should be avoided for this girl?
Correct Answer: B
Rationale: Oral corticosteroids should be avoided in psoriasis due to risk of rebound flares upon discontinuation.
Question 4 of 5
You are evaluating a 2-month-old male infant with extensive beard hemangioma involving the chin and jaw; he has no hoarseness of voice or stridor. Of the following, the NEXT step in the management of this infant is
Correct Answer: A
Rationale: Laryngoscopy is the next step to rule out airway involvement in a beard hemangioma, even without current symptoms.
Question 5 of 5
A 5-year-old boy develops a pruritic skin rash involving the lower extremities; he has a history of fever 1 week before that has been resolved spontaneously. Examination reveals many target lesions distributing symmetrically at knees, legs and feet; the outer layer of each lesion is red, the inner layer is purple, while the intermediate layer is white. Of the following, the MOST likely organism that may cause these target lesions is
Correct Answer: A
Rationale: Herpes simplex virus is the most common cause of erythema multiforme with classic target lesions.