AMK paed derm 14/10/23

Question 1

describe rubella rash

Answer 1

maculopapular rash starting on face and spreading down
lymphadneopathy
arhtralgia and arthritis
URTI
fever

avoid in preg
no shcool for 5 days
MMR once recovered

Question 2

meningocoocal rash described

Answer 2

non-blanching and purpuric

associated with fever headache, photophobia, n and v and drowsy

need fluids and iV abx

Question 3

with chicken are you infective before or after rash

Answer 3

both 4 days before and 5 days after

Question 4

describe chicken pox rash

Answer 4

macular
papular
vesicular
itchy and pruritic

headahces
fever
loss of appetite and anoxeria
URTI

Question 5

managment of chicken pox

Answer 5

conservative - cool skin, cut nails, calamine lotion for itch

exlcude from school until lesions crusted over

Question 6

molluscum self resolves within how long

Answer 6

18 months

Question 7

management of molluscum

Answer 7

no sharing towels and school exclusion is required

treatment not recommened unles cryotherapy of refer - HIV and high sensitivites area

Question 8

slapped cheek ft

Answer 8

N and v
fever
coryza
headaches
commonly outbreaks in school

Question 9

once rash in slapped cheek - parovirus - has devloped how logn infectious till

Answer 9

no longer infectious

be aware of sickle cell disease ( aplastic anaemia) and heriditary spherocytosis

Question 10

hand, foot and mouth diseasa caused by

Answer 10

cocksackie A16 or enterovirus A71 highly ocntagious

Question 11

features of hand foot and mouth disease

Answer 11

rash on hands and feet - soles and palms , macular and maculopapular and vesciuarl rash
sore throat
fever
oral ulcers

mx supportive
hydration
anaalgesia
but no school exclusion

Question 12

scarlet fever rash

Answer 12

group a strep
fever
sore throat
sand paper rash - starts on trunk
cervical lymphadenopathy
strawberry tongue
flushed face with perioral pallor

temp than rash

Question 13

mx of scarlet fever

Answer 13

high risk or cant swallow or dehydrated send to hospital using red flags
give 10 day phenoxymethylpenicllin
clarithryomycin if allergic
no school for 24 hr after intiating abx

Question 14

impetigo caused by staph or strep what are sx

Answer 14

erythematous macule, vescile, bullous
pustular
honey-coloured/ gold crust
on face or neck

Question 15

mx of impetigo

Answer 15

hydrogen peroxide 1% cream
2nd - topical fusidic acid/mupirocin
systemic abx - fluclox or clarithyromycin

Question 16

eczema fx and mx

Answer 16

itcy and erythematous rash
infant trunk and face
yougner extensor surfaces
older. flexor

mx
avoid irritants
hgieine to avodi seconaryi ifnection
emollients
topicla steriods
wet wrapping
antihistmaine s
topicla cacineurin inhibors
severe - oral ciclosporin

falre up give 2 weeks of topicla steriod
mainaitnace step down ptoency

Question 17

complication of ezcema

Answer 17

eczema herpeticum - HS infection - -sore throat , widespread lesions, bleeding areas and fever and lymphadenopathy - orl acylovir

secondary bacterial infection - staph a
weeping, pusutules, crysting and fever
if abx idnicated the fluclox - only if systemically unwell

Question 18

acne

Answer 18

skin disorder occuring to obstruction of pilo follicles - propioibactierum acnes bacteria colonisation casuign infalm

Question 19

features and mx of acne

Answer 19

mild - open adn closed comedone s
mod inflam lesions and papules and po

Question 20

slapped check

Answer 20

rash appeared on rash and torso whereas scarlet fever