Question 1

A child has white plaque in the mouth with a few shallow ulcers. What treatment does the healthcare professional educate the parent about?

Accepted Answer

A) Nystatin oral suspension 
B) Warm saline rinses 
C) Topical antivirals 
D) No specific treatment 
A) Nystatin oral suspension 
B) Warm saline rinses 
C) Topical antivirals 
D) No specific treatment A

Question 2

A child has atopic dermatitis. What assessment finding does the healthcare professional associate with this condition?

Accepted Answer

A) Papular rash 
B) High fever 
C) Vesicles that burst and form crusts 
D) Itching 
A) Papular rash 
B) High fever 
C) Vesicles that burst and form crusts 
D) Itching D

Question 3

A baby has diaper dermatitis. What secondary infection does the healthcare professional assess for?

Accepted Answer

A) Escherichia coli 
B) Candida albicans 
C) Proteus spp. 
D) Staphylococcus aureus 
A) Escherichia coli 
B) Candida albicans 
C) Proteus spp. 
D) Staphylococcus aureus B

Question 4

A student cannot remember the differences between rubeola and rubella. Which clinical manifestation does the healthcare professional tell the student is present in rubeola but not in rubella?

Accepted Answer

A) Conjunctivitis 
B) Enlarged lymph nodes 
C) Presence of a cough 
D) Runny nose 
A) Conjunctivitis 
B) Enlarged lymph nodes 
C) Presence of a cough 
D) Runny nose

Question 5

The healthcare professional is teaching a group of new parents about childhood diseases. What does the professional tell them the incubation period for rubella is?

Accepted Answer

A) 3 to 5 days 
B) 14 to 21 days 
C) 7 to 10 days 
D) 5 to 15 days 
A) 3 to 5 days 
B) 14 to 21 days 
C) 7 to 10 days 
D) 5 to 15 days

Question 6

Rubeola is a highly contagious acute disease in children caused by which type of infection?

Accepted Answer

A) Bacterial 
B) Fungal 
C) Yeast 
D) Viral 
A) Bacterial 
B) Fungal 
C) Yeast 
D) Viral

Question 7

What is the treatment plan the healthcare professional discusses with a patient for a strawberry hemangioma?

Accepted Answer

A) Cosmetic surgical removal 
B) Topical steroid therapy 
C) Oral antibiotics 
D) Support of its involution 
A) Cosmetic surgical removal 
B) Topical steroid therapy 
C) Oral antibiotics 
D) Support of its involution

Question 8

Which contagious disease is caused by the itch mite?

Accepted Answer

A) Miliaria 
B) Tinea corporis 
C) Pediculosis 
D) Scabies 
A) Miliaria 
B) Tinea corporis 
C) Pediculosis 
D) Scabies

Question 9

The healthcare professional is educating a parenting class on Koplik spots? What information is most appropriate to include? (Select all that apply.)

Accepted Answer

A) Koplik spots are associated with rubeola. 
B) They appear as white spots. 
C) The lesions are surrounded by a red ring. 
D) The lesions of Koplik spots are large in size. 
E) Koplik spots are primarily found on buccal mucosa. 
A) Koplik spots are associated with rubeola. 
B) They appear as white spots. 
C) The lesions are surrounded by a red ring. 
D) The lesions of Koplik spots are large in size. 
E) Koplik spots are primarily found on buccal mucosa.

Question 10

Which leukocytes are elevated in atopic dermatitis?

Accepted Answer

A) Eosinophils 
B) Neutrophils 
C) Basophils 
D) Monocytes 
A) Eosinophils 
B) Neutrophils 
C) Basophils 
D) Monocytes

Question 11

Which immunoglobulin (Ig) is elevated in atopic dermatitis?

Accepted Answer

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

Question 12

Parents want their child vaccinated against chickenpox. The healthcare professional prepares to administer the vaccine against which organism?

Accepted Answer

A) Poxvirus 
B) Varicella-zoster virus 
C) Adenovirus 
D) Human papillomavirus 
A) Poxvirus 
B) Varicella-zoster virus 
C) Adenovirus 
D) Human papillomavirus

Question 13

What information does the student learn about scalded skin syndrome? (Select all that apply.)

Accepted Answer

A) Virulent group II staphylococci cause the scalded skin syndrome. 
B) A trauma burn triggers the syndrome. 
C) The syndrome results in a separation involving the epidermis. 
D) Toxins resulting from scalded skin syndrome are circulated through the blood. 
E) The lesions of scalded skin syndrome are sites of the infective organism. 
A) Virulent group II staphylococci cause the scalded skin syndrome. 
B) A trauma burn triggers the syndrome. 
C) The syndrome results in a separation involving the epidermis. 
D) Toxins resulting from scalded skin syndrome are circulated through the blood. 
E) The lesions of scalded skin syndrome are sites of the infective organism.

Question 14

A person has a vascular anomaly associated with a congenital malformation of dermal capillaries and has been told this lesion does not fade with age. What treatment options can the healthcare professional discuss with this person?

Accepted Answer

A) Surgical excision 
B) Pulsed dye laser 
C) Cool temperatures 
D) Cosmetic tattooing 
A) Surgical excision 
B) Pulsed dye laser 
C) Cool temperatures 
D) Cosmetic tattooing

Question 15

The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?

Accepted Answer

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

Question 16

Rubella (German or 3-day measles) is caused by what type of organism?

Accepted Answer

A) Virus 
B) Bacterium 
C) Fungus 
D) Yeast 
A) Virus 
B) Bacterium 
C) Fungus 
D) Yeast

Question 17

A parent of a child in a crowded daycare is worried about the staff passing on a bacterial infection to the child. Which infection would be most likely?

Accepted Answer

A) Atopic dermatitis 
B) Staphylococcal scalded-skin syndrome 
C) Impetigo 
D) Tinea capitis 
A) Atopic dermatitis 
B) Staphylococcal scalded-skin syndrome 
C) Impetigo 
D) Tinea capitis

Question 18

A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has?

Accepted Answer

A) Ask the child if he or she has been around puppies or kittens. 
B) Check the child's hair for the presence of small mites. 
C) Ask the child if itching occurs especially at night. 
D) Assess the child's trunk and abdomen for petechiae. 
A) Ask the child if he or she has been around puppies or kittens. 
B) Check the child's hair for the presence of small mites. 
C) Ask the child if itching occurs especially at night. 
D) Assess the child's trunk and abdomen for petechiae.

Question 19

Which acne lesions are classified as inflammatory? (Select all that apply.)

Accepted Answer

A) Closed comedones 
B) Opened comedones 
C) Nodules 
D) Papules 
E) Pustules 
A) Closed comedones 
B) Opened comedones 
C) Nodules 
D) Papules 
E) Pustules

Question 20

Parents do not want the child to contract tinea corporis. Which animal would they limit the child's exposure to?

Accepted Answer

A) Mites 
B) Kittens 
C) Ponies 
D) Ticks 
A) Mites 
B) Kittens 
C) Ponies 
D) Ticks

Exam 48: Alterations of the Integument in Children

A child has white plaque in the mouth with a few shallow ulcers. What treatment does the healthcare professional educate the parent about?

A child has atopic dermatitis. What assessment finding does the healthcare professional associate with this condition?

A baby has diaper dermatitis. What secondary infection does the healthcare professional assess for?

A student cannot remember the differences between rubeola and rubella. Which clinical manifestation does the healthcare professional tell the student is present in rubeola but not in rubella?

The healthcare professional is teaching a group of new parents about childhood diseases. What does the professional tell them the incubation period for rubella is?

Rubeola is a highly contagious acute disease in children caused by which type of infection?

What is the treatment plan the healthcare professional discusses with a patient for a strawberry hemangioma?

Which contagious disease is caused by the itch mite?

The healthcare professional is educating a parenting class on Koplik spots? What information is most appropriate to include? (Select all that apply.)

Which leukocytes are elevated in atopic dermatitis?

Which immunoglobulin (Ig) is elevated in atopic dermatitis?

Parents want their child vaccinated against chickenpox. The healthcare professional prepares to administer the vaccine against which organism?

What information does the student learn about scalded skin syndrome? (Select all that apply.)

A person has a vascular anomaly associated with a congenital malformation of dermal capillaries and has been told this lesion does not fade with age. What treatment options can the healthcare professional discuss with this person?

The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?

Rubella (German or 3-day measles) is caused by what type of organism?

A parent of a child in a crowded daycare is worried about the staff passing on a bacterial infection to the child. Which infection would be most likely?

A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has?

Which acne lesions are classified as inflammatory? (Select all that apply.)

Parents do not want the child to contract tinea corporis. Which animal would they limit the child's exposure to?

Cellular Biology

Altered Cellular and Tissue Biology: Environmental Agents

The Cellular Environment: Fluids and Electrolytes, Acids and Bases

Genes and Genetic Diseases

Genes, Environment-Lifestyle, and Common Diseases

Epigenetics and Disease

Innate Immunity: Inflammation and Wound Healing

Adaptive Immunity

Alterations in Immunity and Inflammation

Infection

Stress and Disease

Cancer Biology

Cancer Epidemiology

Cancer in Children

Structure and Function of the Neurologic System

Pain, Temperature Regulation, Sleep, and Sensory Function

Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction

Neurobiology of Schizophrenia, Mood Disorders, and Anxiety Disorders

Alterations of Neurologic Function in Children

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Obesity and Disorders of Nutrition

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Alterations of the Male Reproductive System

Sexually Transmitted Infections

Structure and Function of the Hematologic System

Alterations of Erythrocytes, Platelets, and Hemostatic Function

Alterations of Leukocyte and Lymphoid Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function

Alterations of Musculoskeletal Function in Children

Structure, Function, and Disorders of the Integument

Shock, Multiple Organ Dysfunction Syndrome, and Burns in Adults

Shock, Multiple Organ Dysfunction Syndrome, and Burns in Children

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