Dermatology – Exam Review Set 3

What this deck covers

Dermatology – Exam Review Set 3 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. Hard lumps on a well baby’s back
2. Sleepy, six weeks after the plaques
3. Skin that will not pinch
4. A lump at the end of the eyebrow
5. Two brown spots on one line
6. A green glow, or nothing at all
7. A grey line ending in a dot
8. What the spatula uncovers
9. Nothing to show in clinic
10. A pale mark that will not tan
11. Two courses of the wrong cream
12. Afraid of the strong cream
13. Labia that look joined
14. Sore, and every evening in bubble bath
15. Painless spotting, and a red ring
16. Only one child in the house itches
17. Something attached behind the ear
18. A line that has moved
19. Six hours of crying, and one dusky toe
20. A pattern that blistered
21. Shivering, with the heating on
22. Day nine, and he will not walk
23. Sore toes, two days after the cold
24. Weals out of the swimming pool
25. Flushed, ten minutes in
26. Bigger, and less like itself
27. The staff itch and he does not
28. A painless sore since the summer
29. Craters, and a smell in the room
30. A brown patch in the groin
31. A stony lump by the ear
32. Yellow-orange, and it stopped growing
33. Squeeze it and watch what happens
34. A tag with something firm inside
35. A fold in front of the anus
36. Yellow palms, white eyes
37. Thinning where it is pulled tightest
38. Fine hair on the back and arms
39. A shiny patch on the shin
40. White specks that will not brush out
41. Throbbing beside the fingernail
42. Blisters on a thumb that is sucked
43. The corner that keeps digging in
44. Wet hands, ruined homework
45. Purple under the thumb after the door
46. A blue dome inside the lip
47. Red to the lobe, and no further
48. A tongue that looks furry
49. Bare at the temple since infancy
50. She has never needed a haircut

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Cellulitis needing antibiotics today, Aspirate it in clinic, Repeat the antifungal cream, Separate them gently in the clinic now, Papular urticaria from insect bites, Elevate the foot and review the following morning, Acute urticaria, Give intramuscular adrenaline, A boil that has burst, A lymph node, A skin tag of no particular origin, Alopecia areata, Hair casts, Nothing; it settles by itself.

Clinical pearls from this deck

• A well baby with hard purple plaques over the pressure points is fat, not infection. Look at the feeding before you reach for antibiotics.
• The plaques are harmless and the calcium is not. Keep checking it for months after the skin has settled.
• Skin you cannot pinch on a collapsing preterm baby is a prognosis, not a rash. Treat the sepsis and the circulation.
• Lateral brow, mobile over bone: excise it. Anything in the midline gets a scan before a scalpel.
• Two brown spots on one line from armpit to groin are nipples, not moles. Nothing needs doing.
• The lamp rules in and never rules out. A dark scalp still gets its hairs sent off.

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.