Pediatric Sample CME Question 1
A 4-year-old girl was brought to the doctor by her mother for an intensely pruritic rash on her lower face that had been present for a few weeks. The patient had no history of asthma or hay fever, but her mom reported a family history of atopy, including eczema and asthma. On examination, the patient appeared well. Examination of the face revealed finely scaly pink papules and plaques over the lower face, lower lip scaling, and linear transverse folds below the lower eyelids (Dennie-Morgan folds). What is the diagnosis?
Can you diagnose the patient? Use the Differential Builder in VisualDx to help you.
- APerioral dermatitis of childhood
- BUrticaria
- CAtopic dermatitis
- DPsoriasis
Pediatric Sample CME Question 2
A 9-year-old boy with a history of allergic rhinitis and asthma presented for evaluation of a rash that had been recurring intermittently for the preceding 2 years. He noted that the rash was not itchy or painful. On examination, multiple discrete, follicularly-based, fine, scaly, tiny papules were seen on the elbows and knees. The patient had no systemic symptoms and appeared well otherwise. What is the diagnosis?
Can you diagnose the patient? Use the Differential Builder in VisualDx to help you.
- AFolliculitis
- BJuvenile pityriasis rubra pilaris
- CLichen spinulosus
- DAcrokeratosis verruciformis
Pediatric Sample CME Question 3
A 5-year-old boy, with unknown vaccination history, was brought to the doctor by his father with complaints of repetitive coughing spells, malaise, and excessive tearing that developed 2 weeks prior. The father noted that the coughing bursts occurred mostly in the evening hours, and that his son expelled a thick mucus with the cough. On physical examination, a low-grade fever of 38.0°C (100.4°F) and conjunctival injection were present, and an inspiratory “whoop” sound was heard between hacking coughs. On laboratory examination, C-reactive protein was elevated, and peripheral blood leukocytosis with predominant lymphocytosis were seen. What is the diagnosis?
Can you diagnose the patient? Use the Differential Builder in VisualDx to help you
- APertussis
- BCommunity-acquired pneumonia
- CCOVID-19
- DInfluenza
Pediatric Sample CME Question 4
A 9-year-old boy presented with arthralgia, dysphagia, fatigue, and a widespread taut, shiny, and discolored skin chest and arms. On skin examination, diffuse sclerosis and scattered large, depigmented patches with perifollicular retention of pigment on the trunk and arms were seen. Additionally, prominent proximal nail fold capillaries were present. Antinuclear Antibody (ANA) and anti-topoisomerase antibody (Scl-70) tests were positive. What is the diagnosis?
Can you diagnose the patient? Use the Differential Builder in VisualDx to help you.
- AScleroderma of childhood
- BMixed connective tissue disease
- CMorphea
- DLeprosy
Results
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