Psoriasis in Children – Board-Style Questions

What this deck covers

Psoriasis in children in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Sharp-edged patches
2. After a sore throat
3. The fingernails
4. A stiff knee
5. Along the graze
6. Scale but no bald patch
7. What set it off
8. Sheets of tiny blisters
9. Do we need a sample
10. Thick scale in the hair
11. Where to start on the limbs
12. Behind the knee crease
13. Getting through the crust
14. Starting the tablet
15. Sending her to hospital
16. More than the skin
17. Putting a number on it
18. Will her brother get it

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Tinea corporis, spreading outward from a single scaly ring, Most such eruptions fade within three to four months, Thickened crumbling nails with a fungal edge, Whether he has had any recent chest infections, Injured skin seeds new lesions along the hurt line, The scale is greasy rather than dry to the touch, Vitamin C tablets together with a high-protein diet, Chickenpox, with vesicles at differing stages, None, since the bedside appearance is characteristic, A coal tar shampoo used twice a week without anything else, Oral methotrexate started at a low weekly dose, No treatment at all until some scale appears, The scale is softened and lifted so treatment reaches, A chest radiograph repeated every three months without fail.

Clinical pearls from this deck

• Sharp edge with silvery scale: plaque disease.
• Drop-shaped spots after a throat infection settle.
• Nail pits with a lifted edge point to psoriasis.
• Ask about waking stiffness at every skin review.
• New plaques along an injury: the Koebner response.
• Hair growing through the scale is not a fungus.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all dermatology case decks · pediatric reference values.