What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?
Infrequent diaper changes
Impetigo (staph)
Candida albicans (yeast)
Urine and feces
The Correct Answer is C
Choice A reason: Infrequent diaper changes can contribute to diaper rash, but the presence of satellite lesions suggests a yeast infection rather than a simple irritant rash.
Choice B reason: Impetigo, caused by staphylococcal or streptococcal bacteria, typically presents with honey-colored crusts and is not usually associated with satellite lesions.
Choice C reason: The description of bright red scaly plaques and satellite lesions is characteristic of a yeast infection, specifically caused by Candida albicans.
Choice D reason: While urine and feces can irritate the skin and cause diaper rash, the specific clinical findings mentioned point more towards a yeast infection.
 
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:By around 12 months, infants typically triple their birth weight, but that milestone isn't expected at 6 months. Therefore, telling the mother three times birth weight at this age would be inaccurate and misleading.
Choice B reason: While it's true that each child grows at their own pace, there are general milestones for weight gain that can guide expectations.
Choice C reason: This choice is incorrect. A 10 lb increase is not a standard milestone for weight gain at 6 months.
Choice D reason: Evidence-based pediatric growth milestones state that by 6 months, an infant’s weight typically doubles from birth weight. This aligns with widely accepted developmental guidelines and is the most accurate and reassuring response to the mother’s question.
Correct Answer is D
Explanation
Choice A reason: Massage can be helpful but may not be the most effective method for reducing joint pain in rheumatoid arthritis.
Choice B reason: Ice can help reduce inflammation but is typically used for acute injuries rather than chronic conditions like rheumatoid arthritis.
Choice C reason: Video games are not a pain management strategy and can potentially exacerbate joint pain due to repetitive motions.
Choice D reason: This is the correct choice. Moist heat can help relieve stiffness and pain in the joints, making it a suitable non-pharmacological measure for rheumatoid arthritis.
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