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