Pathophysiology Chapter 48 Alterations of the Integument in Children

Chapter 48: Alterations of the Integument in Children

MULTIPLE CHOICE

1.            Which immunoglobulin (Ig) is elevated in atopic dermatitis?

a.            IgA

b.            IgM

c.             IgE

d.            IgG

2.            Which leukocytes are elevated in atopic dermatitis?

a.            Eosinophils

b.            Neutrophils

c.             Basophils

d.            Monocytes

3.            A child has atopic dermatitis. What assessment finding does the healthcare professional associate with this condition?

a.            Papular rash

b.            High fever

c.             Vesicles that burst and form crusts

d.            Itching

4.            A baby has diaper dermatitis. What secondary infection does the healthcare professional assess for?

a.            Escherichia coli

b.            Candida albicans

c.             Proteus spp.

d.            Staphylococcus aureus

5.            The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?

a.            Staphylococcus aureus

b.            Streptococcus pyogenes

c.             Escherichia coli

d.            Candida albicans

6.            A parent of a child in a crowded daycare is worried about the staff passing on a bacterial infection to the child. Which infection would be most likely?

a.            Atopic dermatitis

b.            Staphylococcal scalded-skin syndrome

c.             Impetigo

d.            Tinea capitis

7.            A parent reports a child has skin lesions that rupture, creating a thin, flat, honey-colored crust. What treatment does the healthcare professional educate the parent about?

a.            Supportive care only

b.            Oral griseofulvin

c.             Topical corticosteroids

d.            Topical mupirocin

 8.           A child has been diagnosed with tinea corporis. Which lesion would the healthcare professional assess for in this condition?

a.            Pink-to-red coalescing maculopapular rash on the face or trunk

b.            Vesicles that rupture, creating a thin, flat, honey-colored crust

c.             Circular (round or oval) lesions with erythema and scaling patches

d.            Red papules, vesicles, and pustules in clusters

9.            Parents do not want the child to contract tinea corporis. Which animal would they limit the child’s exposure to?

a.            Mites

b.            Kittens

c.             Ponies

d.            Ticks

10.          The student learns that the cause of molluscum contagiosum is which of these?

a.            Bacteria

b.            Virus

c.             Fungi

d.            Rickettsia

11.          The healthcare professional teaches a parent group that which organism causes thrush?

a.            Staphylococcus

b.            Streptococcus

c.             Herpesvirus

d.            Candida albicans

12.          A child has white plaque in the mouth with a few shallow ulcers. What treatment does the healthcare professional educate the parent about?

a.            Nystatin oral suspension

b.            Warm saline rinses

c.             Topical antivirals

d.            No specific treatment

13.          The healthcare professional is teaching a group of new parents about childhood diseases. What does the professional tell them the incubation period for rubella is?

a.            3 to 5 days

b.            14 to 21 days

c.             7 to 10 days

d.            5 to 15 days

14.          Rubella (German or 3-day measles) is caused by what type of organism?

a.            Virus

b.            Bacterium

c.             Fungus

d.            Yeast

15.          Rubeola is a highly contagious acute disease in children caused by which type of infection?

a.            Bacterial

b.            Fungal

c.             Yeast

d.            Viral

16.          A student cannot remember the differences between rubeola and rubella. Which clinical manifestation does the healthcare professional tell the student is present in rubeola but not in rubella?

a.            Conjunctivitis

b.            Enlarged lymph nodes

c.             Presence of a cough

d.            Runny nose

17.          Parents want their child vaccinated against chickenpox. The healthcare professional prepares to administer the vaccine against which organism?

a.            Poxvirus

b.            Varicella-zoster virus

c.             Adenovirus

d.            Human papillomavirus

18.          A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has?

a.            Ask the child if he or she has been around puppies or kittens.

b.            Check the child’s hair for the presence of small mites.

c.             Ask the child if itching occurs especially at night.

d.            Assess the child’s trunk and abdomen for petechiae.

19.          Which contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site?

a.            Pediculosis

b.            Tinea capitis

c.             Scabies

d.            Rubeola

20.          Which contagious disease is caused by the itch mite?

a.            Miliaria

b.            Tinea corporis

c.             Pediculosis

d.            Scabies

21.          A person has a vascular anomaly associated with a congenital malformation of dermal capillaries and has been told this lesion does not fade with age. What treatment options can the healthcare professional discuss with this person?

a.            Surgical excision

b.            Pulsed dye laser

c.             Cool temperatures

d.            Cosmetic tattooing

22.          An infant has a skin disorder that is characterized by a vesicular eruption after prolonged exposure to perspiration, with subsequent obstruction of the eccrine ducts. What care measures does the healthcare provider educate the parents about?

 a.           Topical antifungals

b.            Corticosteroids

c.             Oral ivermectin

d.            Keeping skin cool and dry

23.          What is the treatment plan the healthcare professional discusses with a patient for a strawberry hemangioma?

a.            Cosmetic surgical removal

b.            Topical steroid therapy

c.             Oral antibiotics

d.            Support of its involution

MULTIPLE RESPONSE

 

1.            What information does the student learn about scalded skin syndrome? (Select all that apply.)

a.            Virulent group II staphylococci cause the scalded skin syndrome.

b.            A trauma burn triggers the syndrome.

c.             The syndrome results in a separation involving the epidermis.

d.            Toxins resulting from scalded skin syndrome are circulated through the blood.

e.            The lesions of scalded skin syndrome are sites of the infective organism.

2.            Which acne lesions are classified as inflammatory? (Select all that apply.)

a.            Closed comedones

b.            Opened comedones

 c.            Nodules

d.            Papules

e.            Pustules

3.            The healthcare professional is educating a parenting class on Koplik spots? What information is

most appropriate to include? (Select all that apply.)

a.            Koplik spots are associated with rubeola.

b.            They appear as white spots.

c.             The lesions are surrounded by a red ring.

d.            The lesions of Koplik spots are large in size.

e.            Koplik spots are primarily found on buccal mucosa.