Pediatric Dermatology: ABFM practice questions

5 board-style questions on pediatric dermatology in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

An 8-year-old boy presents with several patches of hair loss on his scalp. Examination reveals areas of broken hair shafts close to the scalp surface creating a "black dot" appearance. There is mild scaling and tender posterior cervical lymphadenopathy. KOH preparation of plucked hairs shows endothrix fungal spores within the hair shaft. Which of the following is the most appropriate treatment?

1. Selenium sulfide 2.5% shampoo alone
2. Topical terbinafine 1% cream for 2 weeks
3. Oral griseofulvin for 6 to 8 weeks
4. Topical ketoconazole 2% cream applied to the scalp for 4 weeks

Sample question 2

A 4-month-old infant is brought in for a diaper rash that has been present for 5 days. The mother has been applying zinc oxide paste without improvement. On examination, there are beefy-red, sharply demarcated plaques in the inguinal folds with satellite papules and pustules extending beyond the main area of erythema. What is the most appropriate treatment?

1. Topical mupirocin ointment three times daily
2. Oral fluconazole 6 mg/kg for 14 days
3. Switch to a higher-potency barrier cream with petrolatum
4. Topical nystatin cream applied with each diaper change

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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