Quiz 47: Alterations of the Integument in Children
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1. Which immunoglobulin (Ig) is elevated in atopic dermatitis?
a. IgA c. IgE
b. IgM d. IgG
2. Which leukocytes are elevated in atopic dermatitis?
a. Eosinophils c. Basophils
b. Neutrophils d. Monocytes
3. Which clinical manifestation is considered the hallmark of atopic dermatitis?
a. Papular rash c. Vesicles that burst and form crusts
b. High fever d. Itching
4. Frequently, diaper dermatitis is secondarily infected with which organism?
a. Escherichia coli c. Proteus spp.
b. Candida albicans d. Staphylococcus aureus
5. The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?
a. Staphylococcus aureus c. Escherichia coli
b. Streptococcus pyogenes d. Candida albicans
6. The staff member of a crowed day care center is a source for which bacterial infection?
a. Atopic dermatitis
b. Staphylococcal scalded-skin syndrome
d. Tinea capitis
7. Skin lesions that rupture, creating a thin, flat, honey-colored crust, are the hallmark clinical manifestation of which skin disorder?
a. Rubella c. Atopic dermatitis
b. Tinea capitis d. Bullous impetigo
8. Skin lesions caused by tinea corporis are best described as:
a. Pink-to-red coalescing maculopapular rash on the scalp or trunk
b. Vesicles that rupture, creating a thin, flat, honey-colored crust
c. Circular (round or oval) lesions with erythema and scaling patches
d. Red papules, vesicles, and pustules in clusters
9. What is a common contact source of tinea corporis?
a. Mites c. Ponies
b. Kittens d. Ticks
10. What is the cause of molluscum contagiosum?
a. Bacteria c. Fungi
b. Virus d. Rickettsia
11. Thrush is a superficial infection that commonly occurs in children and is caused by which organism?
a. Staphylococcus c. Herpesvirus
b. Streptococcus d. Candida albicans
12. How is thrush best defined?
a. Presence of Candida in the mucous membranes of the mouths of infants
b. Presence of bacteria in the nasal mucous membranes of infants
c. Any viral infection of the mucous membranes of the mouths of infants
d. Acute immune response to oral medication, located in the mucosal lining of the mouths of infants
13. Which viral disease has an incubation period of 14 to 21 days and duration of 1 to 4 days?
a. Rubeola c. Roseola
b. Rubella d. Varicella
14. Rubella (German or 3-day measles) is a common communicable disease of children caused by what type of organism?
a. Virus c. Fungus
b. Bacterium d. Yeast
15. Rubeola is a highly contagious acute disease in children caused by which type of infection?
a. Bacterial c. Yeast
b. Fungal d. Viral
16. Which clinical manifestation is present in rubeola but not in rubella?
a. Conjunctivitis c. Presence of a cough
b. Enlarged lymph nodes d. Runny nose
17. What is the cause of chickenpox?
a. Poxvirus c. Adenovirus
b. Varicella-zoster virus d. Human papillomavirus
18. Which contagious disease has clinical manifestations of burrows several millimeters to 1 cm long, papules, and vesicular lesions with severe itching that worsens at night?
a. Pediculosis c. Scabies
b. Tinea capitis d. Rubeola
19. Which contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site?
a. Pediculosis c. Scabies
b. Tinea capitis d. Rubeola
20. Which contagious disease is caused by the itch mite?
a. Miliaria c. Pediculosis
b. Tinea corporis d. Scabies
21. Which vascular anomaly is associated with a congenital malformation of dermal capillaries that does not fade with age?
a. Cutaneous hemangioma c. Strawberry hemangioma
b. Port-wine (nevus flammeus) stain d. Cavernous hemangioma
22. Which skin disorder is characterized by a vesicular eruption after prolonged exposure to perspiration, with subsequent obstruction of the eccrine ducts?
a. Scabies c. Pediculosis
b. Tinea corporis d. Miliaria
23. What is the treatment plan for a strawberry hemangioma?
a. Cosmetic surgical removal c. Oral antibiotics
b. Topical steroid therapy d. Support of its involution
24. Which statements are true of scalded skin syndrome? (Select all that apply.)
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.
25. Which acne lesions are classified as inflammatory? (Select all that apply.)
a. Closed comedones
b. Opened comedones
26. Which statements are true regarding Koplik spots? (Select all that apply.)
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.
Match the viral disease with the skin lesions produced. Viral diseases may be used more than once.
______ A. Rubella (German measles)
______ B. Rubeola (red measles)
______ C. Roseola (exanthema subitum)
______ D. Varicella (chickenpox)
______ E. Herpes zoster (shingles)
27. Erythematous macular rash over the trunk and neck that lasts 24 hours
28. Pinpoint white spots surrounded by an erythematous ring over the buccal mucosa
29. Groups of vesicles on an inflammatory base following the course of a sensory nerve
30. Pink-to-red coalescing maculopapular rash on the scalp or trunk
31. Red papules, vesicles, and pustules in clusters on the trunk, scalp, or face