ABD - American Board of Dermatology Pediatric Dermatology Questions and Answers

Question 1

A 3-month-old infant presents with a rapidly proliferating, 3 cm segmental hemangioma on the right cheek that is beginning to obstruct the visual axis.
What is the most appropriate first-line treatment for this patient?

Accepted Answer

Oral propranolol

Answer

Topical timolol

Answer

Intralesional corticosteroids

Answer

Watchful waiting

Question 2

A 3-week-old neonate presents with multiple erythematous papules and pustules confined to the face and scalp. Examination reveals a complete absence of comedones. Which of the following is the most likely diagnosis?

Accepted Answer

Neonatal cephalic pustulosis

Answer

Erythema toxicum neonatorum

Answer

Neonatal acne

Answer

Miliaria rubra

Question 3

Which of the following biologic agents is FDA-approved for the treatment of moderate-to-severe atopic dermatitis in children as young as 6 months old?

Accepted Answer

Dupilumab

Answer

Adalimumab

Answer

Secukinumab

Answer

Ustekinumab

Question 4

An 8-year-old child is evaluated for multiple hypopigmented macules on the trunk that have been present since infancy. The examination reveals three ash-leaf spots, facial angiofibromas, and a shagreen patch on the lower back. This constellation of findings is most characteristic of which genetic disorder?

Accepted Answer

Tuberous sclerosis complex

Answer

Neurofibromatosis type 1

Answer

Incontinentia pigmenti

Answer

Epidermolysis bullosa

Question 5

A 2-year-old child develops an abrupt, symmetric, monomorphous eruption of skin-colored to erythematous papules on the face, buttocks, and extensor surfaces of the extremities. The trunk is relatively spared. The child had a mild upper respiratory infection one week prior. What is the most likely diagnosis?

Accepted Answer

Gianotti-Crosti syndrome

Answer

Hand, foot, and mouth disease

Answer

Erythema multiforme

Answer

Pityriasis rosea

Question 6

A 9-month-old infant presents with a persistent, scaly, crusted rash in the scalp and axillae that has been unresponsive to topical corticosteroids and antifungals. Examination reveals yellowish-brown scaly papules with scattered petechiae within the plaques. Which diagnosis should be strongly considered?

Accepted Answer

Langerhans cell histiocytosis

Answer

Psoriasis

Answer

Scabies

Answer

Acrodermatitis enteropathica