Deck 40: Alterations of the Integument in Children

Question 1

A 4-month-old female is diagnosed with atopic dermatitis. Which of the following most likely led to this diagnosis?

A) Blistering
B) Moist reddened skin
C) Dry, itchy skin
D) White patches

Answer 1

Dry, itchy skin

Question 2

Rubella, rubeola, and roseola are common communicable diseases caused by:

A) viral infection.
B) bacterial infection.
C) yeast infection.
D) autoimmunity.

Answer 2

viral infection.

Question 3

Molluscum contagiosum affects the skin and:

A) nails.
B) tongue.
C) conjunctiva.
D) hair follicles.

Answer 3

conjunctiva.

Question 4

MMR vaccine should be administered after 15 months of age because:

A) children younger than this age are not susceptible to rubella.
B) by that time maternally acquired passive immunity has been depleted.
C) before that age they are more likely to have an allergic reaction to the vaccine.
D) these diseases are not severe in infants.

Question 5

Acne vulgaris involves inflammation of the:

A) hair follicles.
B) sebaceous glands.
C) eccrine glands.
D) apocrine glands

Question 6

The etiologic agent of smallpox is (are):

A) herpes virus.
B) pox virus.
C) insects.
D) mites.

Question 7

A 3-year-old male develops tinea capitis after playing with the family dog. This infection is caused by a:

A) fungus.
B) bacterium.
C) virus.
D) parasite.

Question 8

A 2-month-old female develops diaper dermatitis. This condition is frequently accompanied by a secondary infection with:

A) Escherichia coli.
B) Proteus.
C) Candida albicans.
D) staphylococci.

Question 9

Bullous impetigo is caused by a strain of _____ that produces an exfoliative toxin that disrupts cellular adhesion.

A) Staphylococcus aureus
B) Streptococcus aureus
C) Escherichia coli
D) Candida albicans

Question 10

A 5-year-old male is diagnosed with tinea corporis following development of lesions on the nonhairy parts of his face, trunk, and limbs. A common source of this condition is:

A) young kittens.
B) pet birds.
C) adult dogs.
D) horses.

Question 11

A 10-year-old female presents with vesicles consistent with vesicular impetigo. Which of the following causes this condition?

A) Herpes virus
B) Candida albicans
C) Streptococcus pyogenes
D) Human papillomavirus (HPV)

Question 12

A 5-year-old female develops chickenpox after exposure at her day care center. This disease is caused by:

A) a pox virus.
B) a herpes virus.
C) adenovirus.
D) human papillomavirus.

Question 13

_____ is also referred to as ringworm.

A) Platyhelminthes
B) Tinea corporis
C) Thrush
D) Psoriasis

Question 14

A 14-year-old female presents with severe acne. Which of the following promotes acne development?

A) Androgens
B) Estrogens
C) Gonadotropins
D) Glucocorticoids

Question 15

Which of the following viral diseases has an incubation period of 14 to 21 days and a duration of 1 to 3 days?

A) Rubeola
B) Rubella
C) Roseola
D) Varicella

Question 16

A fetus is most likely to be malformed if the mother contracts chickenpox during the _____ of pregnancy.

A) first 4 months
B) 5th to 8th month
C) 9th to 10th month
D) any of the above

Question 17

A 4-month-old male is brought to his physician for severe itching and skin lesions. He is diagnosed with atopic dermatitis. Which of the following would be elevated in this patient?

A) IgD
B) IgM
C) IgE
D) IgG

Question 18

A 4-month-old female develops white spots and shallow ulcers in her mouth. Her pediatrician diagnoses her with thrush. This condition is caused by:

A) Escherichia coli.
B) streptococcal bacteria.
C) Candida albicans.
D) staphylococcal bacteria.

Question 19

A 6-year-old male presents with slightly umbilicated, dome-shaped lesions on the skin of the trunk, face, and extremities. He is diagnosed with molluscum contagiosum caused by a highly contagious:

A) bacterium.
B) virus.
C) fungus.
D) parasite.

Question 20

Thrush is characterized by:

A) the presence of white plaques in the mouth.
B) reddened sores in the pharynx.
C) blisters on the tongue.
D) maculopapular rash on the face.

Question 21

Scabies is more common among children who:

A) attend day care.
B) live in crowded, unsanitary conditions.
C) reside in rural areas.
D) play outside.