Deck 11: Atopic Dermatitis in Children

Question 1

Which statement concerning atopic dermatitis (AD) in children is correct?

A) In the United States there has been a decrease in the number of children with AD in the past 10 years.
B) AD develops in 45% of affected children in the first 6 months of life.
C) AD develops more commonly in rural populations where there is more exposure to antigen triggers.
D) Having AD as a young child is protective for developing other atopic diseases.
E) AD resolves as a child reaches adolescence.

Answer 1

B

Question 2

Which of the following is a factor that can lead to AD flares?

A) Emotions such as anger and stress
B) Applying an excessive amount of moisturizing cream after bathing
C) Daily bathing
D) Receiving more than two immunizations at one time
E) Living in a moist climate year round

Answer 2

A

Question 3

When examining a child with AD you notice excoriation of the rash. Your main concern should be the following:

A) Child has been playing with a cat with sharp claws.
B) Parents have been neglectful in keeping the child's fingernails short.
C) Child has a bacterial superinfection.
D) Child needs to be taking an antihistamine.

Answer 3

C

Question 4

The goals of clinical management for children with AD are all of the following except?

A) No daytime discomfort or itching
B) No nighttime awaking because of itching
C) No special skin care routine required
D) No missed school because of AD
E) No missed work for parents because of child's AD

Question 5

New data have established that AD results from which of the following?

A) Environmental allergies
B) Excessive use of soap
C) Low intake of fluids, especially water
D) Skin exposure to the sun at a young age
E) Abnormalities of the skin barrier

Question 6

The therapeutic mainstay for AD is:

A) Systemic corticosteroids
B) Antihistamines
C) Topical calcineurin inhibitors
D) Topical corticosteroids
E) Phototherapy

Question 7

Principles of management of AD include:

A) Regular use of antibacterial soaps and scrubs
B) Moisturizing of the skin and application of anti-inflammatory medicine
C) Use of restraints to prevent scratching, especially for babies and young children
D) Building up a tolerance to unavoidable allergens and irritants

Question 8

An Eczema Action Plan is helpful when:

A) Child begins school
B) Child's treatment varies according to the symptoms
C) Child has food or environmental allergies
D) When phototherapy is being considered as an option

Question 9

Atopic dermatitis and allergic rhinitis are two of the diseases belonging to the "allergic triad." The third disease is:

A) Chronic urticaria
B) Psoriasis
C) Seborrhea
D) Asthma
E) Contact dermatitis

Question 10

The "soak and seal" technique for optimum skin care includes all of the following except:

A) Bathe daily with lukewarm water for 10 to 15 minutes
B) Use of minimal amount of fragrance-free, dye-free, gentle soap or cleanser
C) Scrub skin to remove dry skin
D) Pat away excessive water and leave skin slightly damp
E) Apply generous amount of moisturizing cream or ointment to entire body