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NURS 524 - Peds Final Questions And Correct Answers
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NURS 524 - Peds Final Questions And CorrectAnswers 2024-2025
Flat non-palpable discolored lesion, 1 cm or
smaller - Answer Macule
Solid raised lesion of varied color with
distinct borders, 1 cm or smaller - Answer Papule
Blisters filled with clear fluid - Answer Vesicle
Fleeting, irregularly shaped, elevated, itchy
lesion of varied sizes, pale at the center,
slightly red at the borders - Answer Wheal
vesicle larger than 1 cm - Answer Bulla
Raised, firm, movable lesion with indistinct
borders and deep palpable portion, 2 cm or
Nodule
smaller
Solid, raised, flat-topped lesion w/distinct
borders, > 1 cm - Plaque
Raised lesion containing pus, often in hair
follicle or sweat pore - Pustule
,Psoriasis The most likely diagnosis for a child presenting with a 4cm silver, scaly patch
on knee that is flaky and itchy
A blistered, warm, redenned, mildly swollen, itchy rash - Answer Contact dermatitis -
generally localized to area in contact except poison ivy/oak if oil touched and other area
touched
Annular/circular rash with central clearing - Answer Tinea corporis
Christmas tree like rash that is flat, with erythema, NO itching - Answer Pityriasis rosea
Refugee child w/ 2 day history of blister-like rash on chest, likely cause Answer Varicella
- appears on trunk first then usually spread, refugee key as immunizations may not be
uptodate
Honey crusted, weeping lesions around childs mouth Answer Impetigo
What organism usually causes impetigo Answer Staph and Strep. - careful watch for
MRSA
What is the typical management for impetigo? Where might this management shift?
Topical treatment if scattered and localized lesions;
Change to oral if no improvement in 24-48h, recurrent, widespread, constitutional
symptoms, immunocompromised or <1 month old, or if conditions like no running water
over crowding, etc.
What would you advice to the parents of an 8 month olf with a port wine stain on left arm
- Ans It will grow proportionally with the child and doesn't have any medical significance
unless over trigeminal area of face.
This birth mark fades with time and commonly involves nape of neck or bridge of nose -
Ans Stork bites
, vascular birthmark which involutes over time - Ans Strawberry Hemangioma
What is the common treatment for strawberry hemangioma - Ans propranolol if caught
early or surgical treatment
Bright red, bumpy, irregular and raised lesions which appear at birth - Ans Strawberry
hemangioma
At what age is roseola is usually diagnosed - Ans 7-24 months
If a strawberry hemangima presents on these parts of the body, concern and should be
treated. -Answer Eyes -can but pressure, affect vision
Inside mouth - can spread to airway
Mongolian spots most common in this two ethnic groups -Answer Asian and indigenous
True or false: mongolian spots are cause for alarm -Answer No they are benign, careful
to not mix up with a bruise/abuse
How many days does the course of Roseola (6th disease) usually last? -Answer Resolves
within hrs (2-4) to a MAX of 3 days
What is the treatment for roseola -Answer Symptomatic treatment
- Antipyretics for fever
- Prevention of dehydration if GI symptoms
What is the common presentation for roseola - Answer General well
high fever >40 for 3-5 days accompanied by
- periorbital edema
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