Topical Corticosteroids in Children: Safety and Steroid Phobia — Board-Style Questions

What this deck covers

Topical Corticosteroids in Children: Safety and Steroid Phobia 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. They have not started it
2. Passed on by a relative
3. Which one is at risk
4. Stop it today
5. Have the creams stunted him
6. She is very distressed
7. A friend told him
8. Used to it, he says
9. Four times this year
10. Nobody sees it all
11. The pharmacist noticed
12. Advised about safe use
13. Her brother’s cream
14. Too young, he says
15. How will I know
16. They do not want it
17. Which order, she asks
18. Give me one rule

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The topical treatment, Moisturiser inactivates the preparation completely, Measured his cortisol, Which strength, to, By adding an oral antihistamine instead, Two weeks at any strength.

Clinical pearls from this deck

• Answer the fear with the numbers that make it true or false here.
• Under a nappy, every preparation is stronger than it says on the tube.
• Four things decide absorption. One of them alone decides nothing.
• Come off a big topical dose the way you would come off an oral one.
• Measure the child, and suspect the disease before the cream.
• Flexures and potency for a year is how this happens, and it does not undo.

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.