Category: quiz

November 2015 PEM Pearl

What is the likeliest diagnosis in this 6 month old?


A) Impetigo


B) Staphylococcal Scalded Skin Syndrome


C) Superinfected Varicella


D) Eczema Herpeticum


E) Measles






The correct answer for November’s PEM Pearl is D. The first correct response came from Tracey Stephenson. The grouped umbilicated vesicles in areas of eczema indicate eczema herpeticum. The clinician must make an early diagnosis and treat with systemic acyclovir to prevent eye involvement.


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October 2015 PEM Pearl

A) Systemic lupus erythematosus


B) Cellulitis


C) Complex Regional Pain Syndrome


D) Raynaud’s phenomenon








October PEM Pearl’s first correct response came from Christa Dakin. The correct answer is C. Complex Regional Pain Syndrome is characterized by exquisite skin tenderness, color changes, and abnormal temperature. The condition is potentiated by immobilization.


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September 2015 PEM Pearl

This 2 year-old has fever and rash for 3 days.


A) Super-infected eczema


B) Scarlet fever


C) Viral exanthem


D) Staphylococcal scalded skin syndrome



The correct answer is B. The characteristic Pestia’s lines on the antecubital fossa suggest scarlet fever. The first correct responder is Dr. Adam Davidson who will receive a complimentary one-day registration to the 2016 Annual Update conference on May 13-14.


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PEM Pearls

The monthly PEM Pearl MCQ question presents a PEM problem you may encounter in your practice. Submit your answers for a chance to receive a complimentary one-day registration to the Annual Update Conference. The correct response along with a description will appear along with next month’s question by the end of each month.


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December 2015 PEM Pearl Question

What is the likeliest cause of anemia in this 2 year-old?


A) Thalassemia


B) Iron deficiency


C) Sickle cell disease


D) Acute Lymphocytic Leukemia


E) Hemolytic Uremic Syndrome