Caroline, a 5-year-old girl presented to the primary care clinic with a generalized rash present for 5 weeks. Pruritis was minimal and has now resolved. There has been no fever. The parents noted that the rash began as a single lesion on the abdomen that grew in size as the rash progressed elsewhere and is now the largest lesion present. Examination revealed an otherwise well, afebrile child with a generalized rash consisting of scaly, reddish-pink plaques. A single lesion on the abdomen was the largest with a Christmas tree pattern on her trunk. The likely differential and treatment of choice is:

Carson, a 10-year-old is brought to the primary care clinic for a rash that is all over her skin. According to her mother, she suffered symptoms of fever, malaise, sore throat, headache, and loss of appetite for a few days, and then as her symptoms improved, she started exhibiting a rash. The rash began a day after her initial symptoms and started with oral-cavity blisters. Over the last few days, the rash has progressed to small red dots on the face and scalp and spread quickly to her torso and limbs within a day. There are now blisters and pustules that accompany the initial papules seen. Carson’s temperature= 100.2 degrees F, HR= 90, RR= 20, BP= 110/80. The child is on a modified vaccine schedule (per family choice) and has only received DtaP, Hepatitis B, HIB, and Pneumococcal vaccines. Physical exam reveals approximately 300 macules, pustules, and blisters all over her body (including pharynx vagina, and anus in different stages (see photo below). What is the most likely diagnosis?

Which one of the following skin findings should be treated with topical antifungals?

You were evaluating a male at a well-child-visit. Prenatal and past medical histories were unremarkable. Examination was normal. You noted that he can hop on either foot and knows his primary colors. His mother states that he climbs well and can use scissors to cut across paper. These milestones are met by children who are:

The mother of a 10-year-old girl, says that she is worried because the child is developing breast buds and fears that she may be entering puberty too early. The FNP’s response is based on the following:

Eric, a 13-year-old boy is in the clinic today for a sports physical. Physical findings include the following: curly hair starting to spread over the pubis, but not completely covering the pubis, and not on the thighs; testes and scrotum are enlarged and the penis is notably longer. This patient would be classified on the Tanner scale (stages) as:

Extra credit Question (2pts) Describe the medical condition, gestational diabetes, and explain two main symptoms of someone with this condition

Phagocytes, like neutrophils and macrophages, can be considered as tiny containers of disinfectants because the following are made in their phagolysosomes: 

 Identify D below.

The F1 offspring of a monohybrid cross would show the genotype(s)