South University, Savannah - NSG 6435

Week 7 Quiz

Question1)An infant client is positive for moist, beefy-red macules and papules with sharply marked borders and satellite lesions to the diaper area. KOH-treated scrapings of satellite lesions show pseudohyphae. What is the most likely diagnosis?

                       Tinea

Miliaria

Erythema toxicum

Candidiasis

Question 2                                                                                         

A 6-year-old client presents to the clinic c/o of an intermittent limp and pain to the anterior thigh. Upon exam, the following is noted: antalgic gait with limited hip movement, atrophy of the gluteus, quadriceps, and hamstring muscles; decreased abduction, internal rotation, and extension of the hip and pain on rolling the leg internally. What is the most likely diagnosis?

Legg-Calvé-Perthes Disease

Osteomyelitis

Rheumatoid arthritis

Gaucher disease

Question 3                                                                                         

A 9-year-old client in town for the summer presents to the clinic c/o a rash. Upon exam, the following is noted: multiple, annular, scaling, and discrete hypopigmented patches located on the trunk. KOH scrapings of the lesions revealed short curved hyphae and circular spores that fluoresced yellow-orange under the Wood’s lamp. What is the most likely diagnosed?

Tinea corporis

Tinea manuum

Tinea versicolor

Tinea capitis

Question 4                                                                                         

A 17-year-old client presents to the clinic c/o of small bumps all over the face. Upon exam, the following is noted: very small, firm, flesh-colored discrete papules 1 to

6 mm in size located to the face, axillae, and trunk. What is the most likely diagnosis?

Molluscum contagiosum

Condyloma acuminatum

Small epidermal cysts

Acne vulgaris

Question 5                                                                                         

A 5-year-old client who presents to your clinic is found to have small white oval cases attached tightly to the hair shafts at the back of the head, nape of the neck and eyelashes. What is the best treatment approach?

Prescribe Antifungals

Prescribe Antiparasitics

Prescribe combination medication consisting of Antifungals and Antiparasitics

Prescribe medication that follows local resistance patterns

Question 6                                                                                         

A 4-year-old client reports to the clinic with visible scratch marks to the arms. The mother explains that the client is restless, cranky and scratches throughout the day which intensifies at night. On exam, the following is noted: S-shaped burrows in the webs of fingers, sides of hands and forearms. What is the most likely diagnosis and the most appropriate treatment?

Scabies; treat with Antiparasitics

Insect bites; treat with Antiparasitics

Scabies, treat with Antifungals

Insect bites; treat with Antifungals