Dermatology – Exam Review Set 1

What this deck covers

Dermatology – Exam Review Set 1 in 50 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 50 cases, in order

1. After the drug is stopped
2. The first blood test
3. Mottled when undressed
4. A blotchy rash on day three
5. Spots present from birth
6. Born encased in plates
7. A nappy rash in the folds
8. Red where the padding sits
9. Greasy scale in the folds
10. Sore bottom for six weeks
11. A rash that beat three creams
12. Itchy since four months
13. Eczema that turned overnight
14. Golden crusts in the elbow creases
15. Parents afraid of the cream
16. A rash shaped like a watch
17. Severe eczema going nowhere
18. Crusted sores round the nose
19. Large blisters in a newborn
20. It shears at a touch
21. A hot red cheek with an edge
22. Boils that keep coming back
23. A boggy patch on the scalp
24. A ring that beat the cream
25. Itching worst at night
26. Pale patches after the summer
27. A letter from the school
28. Rings on the hands and knees
29. One patch, then many
30. Pearly spots with a dimple
31. Spots on hands, feet and mouth
32. Rough lumps on the fingers
33. A rash three weeks after starting
34. Peeling skin and sore eyes
35. Weals after a biscuit
36. Fragile skin on a painkiller
37. The same spot as last year
38. A shower of small plaques
39. Plaques along a scratch
40. Purple bumps and a sore mouth
41. Spots on the face at fifteen
42. Two bald patches on the scalp
43. Hair falling out in handfuls
44. White patches spreading slowly
45. Brown patches and freckled armpits
46. Pale cheeks after the holidays
47. Blisters where he was handled
48. A patch that swells when rubbed
49. Blisters in whorls and lines
50. A red lump growing fast

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Nothing further, now that the rash has settled, Congenital candidiasis of the newborn, A potent topical corticosteroid, Perianal streptococcal dermatitis, Admit and start intravenous aciclovir, Atopic eczema in an unusual distribution, Epidermolysis bullosa presenting in the newborn, Long-term prophylactic oral antibiotics, A topical corticosteroid to the affected areas, A recent bacterial throat infection, Oral aciclovir started immediately, Start high-dose systemic corticosteroid, Fixed drug eruption, Oral candidiasis with a coincidental rash.

Clinical pearls from this deck

• Two records outlive the rash: the child’s notes and the national report.
• Rash above, weakness beneath: measure the muscle enzyme before anything invasive.
• Warm the baby and look again. One minute of blanket answers the question without any investigation at all.
• The cell on the smear settles it. Eosinophils mean reassurance; neutrophils mean you have a different problem entirely.
• Timing separates the two benign pustular rashes: present at birth is melanosis, appearing on day two or three is erythema toxicum.
• Treat the skin as a burn. Water, warmth and infection are what threaten this baby, not the appearance of the skin itself.

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.