Pediatric Dermatology: ABFM practice questions

5 board-style questions on pediatric dermatology in the PulseMD family medicine question bank — physician-reviewed, 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 terbinafine for 2 to 4 weeks
4. Topical ketoconazole 2% cream applied to the scalp for 4 weeks

Sample question 2

A 7-year-old child is brought in by her mother for multiple small, flesh-colored, dome-shaped papules with central umbilication on the trunk and upper extremities. The lesions have been present for approximately 2 months and are asymptomatic. The child is otherwise healthy. What is the most appropriate counseling for the parents?

1. The child needs oral antiviral therapy to prevent further spread
2. The child should be started on topical retinoids to accelerate clearance
3. The lesions are likely pre-malignant and require excision
4. This self-limited viral infection resolves within 6 to 18 months without treatment

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

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