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7987 Pediatrics

Many rashes and skin lesions can be found first in the newborn period. For each of the descriptions listed below, select the most likely diagnosis. Each lettered option may be used once, more than once, or not at all. An adolescent boy complains of a splotchy red rash on the nape of his neck, discovered when he had his head shaved for football season.The rash seems to become more prominent with exercise or emotion. His mother notes that he has had the rash since infancy, but that it became invisible as hair grew. He had a similar rash on his eyelids that resolved in the newborn period.

ASebaceous nevus
BSalmon patch
CNeonatal acne
DPustular melanosis
Pediatrics
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7989 Pediatrics

A 20 month old female child is brought for routine check-up. Complete blood count (CBC) shows moderate neutropenia. Child looks healthy, eats well and within expected parameters for age and sex. Other parameters of blood count are within normal range expected for age. Family history is unremarkable. CBC after 1 and 2 weeks shows same results. Bone marrow examination is normal. Next step

ACorticosteroid administration
BMultivitamin administration
CWatch and wait strategy
DAntibiotics to prevent infection
Pediatrics
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