University of South Alabama FNP FINAL CMN 577 FALL 2022

An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of those lesion measures 1.6 cm. What is the child at risk for? Correct Answer: Neurofibromatosis Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne that has not responded to standard treatment. Which of the following considerations is not true for prescribing Isotretinoin? Correct Answer: Isotretinoin can be prescribed by any healthcare provider A 1-month-old female presents to your clinic with her mother for a well child check. The mother reports a bright red, rubbery appearing bump that is located on her daughter's neck. She says that it started out as a flat red area, but now it has grown and is sticking out. This most likely represents which type of birthmark Correct Answer: Hemangioma You are seeing a 6-year-old male who was brought in by his mother. The mother reports they recently took a family vacation last week and stayed in a few different hotels. He developed significant itching and a rash the day of returning home. He is noted to continuously scratch during the visit. The father and older sister also have a similar rash that developed at the same time. On exam, you note linear burrows around his wrists, ankles, in the webbing of his fingers, and axillary folds with excoriations present. There is no facial involvement. He has never had anything like this before. The most likely diagnosis would be Correct Answer: scabies A 16-year-old female presents to clinic accompanied by her mother. She has a rash that appears as erythematous plaques with thick, white, silvery overlying scales on her elbows, knees, and umbilicus. She reports this has been going on for about 2 years and tends to come and go. The mother reports her father has psoriasis. The patient is not on any medications and she is not currently treating her rash with anything. She has tried various moisturizers in the past but has never had a prescription to treat this. She weighs 130 pounds and has no allergies. You diagnose her with psoriasis with body surface area involvement less than 10%. Which is the best option as first line therapy Correct Answer: Clobetasol (Temovate) 0.05% ointment. A 3-year-old-boy presents to clinic with his mother with honey-colored crusted sores around his mouth and nose. The mother states her son started attending daycare a couple of weeks ago and noticed the sores starting to develop earlier this week. Which highly contagious childhood illness do you suspect Correct Answer: impegtigo Blepharitis that occurs in children has a strong correlation with which disease Correct Answer: rosacea A child with Sturge-Weber Syndrome (SWS) will most likely have what finding on the physical exam Correct Answer: port wine nevous on the face