CHILDBEARING AND CHILDREARING FAMILY
MIDTERM PRACTICE TEST 2026 QUESTION SET
AND REVIEWED ANSWERS
◉ Paronychia tx. Answer: Systemic oral antx if acute infection
present
candida-nystatin
if purulant-loosen cuticle with blade
◉ Candiasis. Answer: Tx: thrush-oral nystatin QID
if resistant to tx: oral fluconazole
skin diaper rash-nystatin, ketonazole
◉ Tinea captitis. Answer: ringworm of the scalp
diffuse fine scale without obvious hair loss
discrete area of hair loss with broken hairs (black dot ringworm)
trichophyton tonsurans and microsporum canis-most common
organisms
African American boys most common
◉ tx of tinea capitis. Answer: griseofulvin ultramicrosize once or
twice daily for 6-8 weeks, take with fatty food to increase absorption
,shampoo with econazole or ketonazole in addition
◉ tinea corporis. Answer: ringworm
found on non hairy part of body
◉ tx for tinea corporis. Answer: topical antifungals miconazole or
clotrimazole 1-4 weeks BID
◉ Tinea cruris. Answer: jock itch
4-6week of antifungals
◉ tinea pedis. Answer: 3-6 weeks of antifungals
◉ onychomycosis. Answer: fungal infection of the nail
typically with T.rubrum or candida
exam= opaque, white, silvery nail that becomes thick/yellow
seldom symmetrical
tx: oral terbinafine, fluconazole, itraconazole
◉ tinea versicolor. Answer: a fungal infection that causes painless,
discolored areas on the skin
occurs on the trunk
, more in adolescents, warm weather, immunocompromised
exam= hypopigmented or hyper (salmon colored to brown) with
raindrop or guttate appearance
Tx: selenium sulfide lotion or shampoo for 2-4 weeks
older adolescents can use ketonazole
◉ herpex simplex. Answer: HSV type 1-oral mucosa, pharynx, lips
caused by herpes labialis-cold sore/fever blister
HSV-2 neonatal
◉ Herpes simplex exam. Answer: HSV-1= gingivostomatitis- grouped
vesicle that ulcerate and form white plaques on mucosa, gingiva,
tongue, chin, labial folds
halitosis present
herpes labialis-cluster of small clear vesicle with erythematous base
usually only on one side of the mouth
HSV-2= grouped vesicopustules and ulceration with edema, primary
lesions on vaginal mucosa, labia, perineum, penile shaft
◉ Herpes simplex dx & tx. Answer: Dx: viral cx= gold standard for
diagnosis
Tx: acyclovir 20-40mg/kg/dose 5x daily for 5 days
MIDTERM PRACTICE TEST 2026 QUESTION SET
AND REVIEWED ANSWERS
◉ Paronychia tx. Answer: Systemic oral antx if acute infection
present
candida-nystatin
if purulant-loosen cuticle with blade
◉ Candiasis. Answer: Tx: thrush-oral nystatin QID
if resistant to tx: oral fluconazole
skin diaper rash-nystatin, ketonazole
◉ Tinea captitis. Answer: ringworm of the scalp
diffuse fine scale without obvious hair loss
discrete area of hair loss with broken hairs (black dot ringworm)
trichophyton tonsurans and microsporum canis-most common
organisms
African American boys most common
◉ tx of tinea capitis. Answer: griseofulvin ultramicrosize once or
twice daily for 6-8 weeks, take with fatty food to increase absorption
,shampoo with econazole or ketonazole in addition
◉ tinea corporis. Answer: ringworm
found on non hairy part of body
◉ tx for tinea corporis. Answer: topical antifungals miconazole or
clotrimazole 1-4 weeks BID
◉ Tinea cruris. Answer: jock itch
4-6week of antifungals
◉ tinea pedis. Answer: 3-6 weeks of antifungals
◉ onychomycosis. Answer: fungal infection of the nail
typically with T.rubrum or candida
exam= opaque, white, silvery nail that becomes thick/yellow
seldom symmetrical
tx: oral terbinafine, fluconazole, itraconazole
◉ tinea versicolor. Answer: a fungal infection that causes painless,
discolored areas on the skin
occurs on the trunk
, more in adolescents, warm weather, immunocompromised
exam= hypopigmented or hyper (salmon colored to brown) with
raindrop or guttate appearance
Tx: selenium sulfide lotion or shampoo for 2-4 weeks
older adolescents can use ketonazole
◉ herpex simplex. Answer: HSV type 1-oral mucosa, pharynx, lips
caused by herpes labialis-cold sore/fever blister
HSV-2 neonatal
◉ Herpes simplex exam. Answer: HSV-1= gingivostomatitis- grouped
vesicle that ulcerate and form white plaques on mucosa, gingiva,
tongue, chin, labial folds
halitosis present
herpes labialis-cluster of small clear vesicle with erythematous base
usually only on one side of the mouth
HSV-2= grouped vesicopustules and ulceration with edema, primary
lesions on vaginal mucosa, labia, perineum, penile shaft
◉ Herpes simplex dx & tx. Answer: Dx: viral cx= gold standard for
diagnosis
Tx: acyclovir 20-40mg/kg/dose 5x daily for 5 days
