Neonatal Rashes and Pustular Melanosis – Board-Style Questions

What this deck covers

Neonatal rashes 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. Blotches on the second day
2. Under the microscope
3. There from the first minute
4. What the slide shows here
5. White pinheads on the nose
6. Wrapped up warm in July
7. Spots at three weeks
8. Something he did himself
9. Red on one side only
10. Which baby to worry about
11. How long will this last
12. The marks left behind
13. Something in his mouth
14. What to put in the bath
15. The baby born early
16. Crops that keep returning
17. Blaming the formula
18. Pustules on the palms at birth

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A drug eruption from something given to the mother, Eosinophils, which dominate in this eruption, Congenital candidal infection of the skin, Yeast forms with pseudohyphae, and a positive culture, Keratin trapped within the skin, clearing later, An antibiotic cream applied to all the affected areas, Ordinary acne of adolescence, arriving very early, An inherited condition in which the skin splits easily, A harmless vasomotor change of the newborn, The exact day of life on which they appeared, It will fade slowly over the next several months, They should be treated with a bleaching preparation daily, The same trapped keratin, inside the mouth, The scented wash, which is made for babies.

Clinical pearls from this deck

• Blotchy spots that move about are harmless here.
• Eosinophils on the smear settle the question.
• Pustules present at birth leaving brown marks.
• Neutrophils and a sterile plate: still harmless.
• Firm white pinheads: trapped keratin, no action.
• Overheated and spotty: cool him, apply nothing.

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.