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Quizzes and Polls

Latest Quiz

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December 2014

A Teenager With Fever, Rash, and Arthralgia

A 16-year-old girl presented with fever, rash, and diffuse pain for 5 days. She reported a pruritic, painful rash on her hands and feet and multiple painful joints.

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Test your knowledge with previous versions of the JAMA Pediatrics Clinical Challenge Quizzes.

November 2014

A Newborn With a Chest Mass

A newborn presented on the first day of life with a chest mass found on initial examination in the nursery. She was born at 38.3 weeks via spontaneous vaginal delivery after an uncomplicated pregnancy to a 35-year-old, G3, now P2 mother with no significant medical history.

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October 2014

Grouped Hemorrhagic Vesicles

An 8-year-old girl presented to the dermatology clinic for further evaluation of a lesion over the right posterior thigh. Her mother reported the lesion appeared at age 3 months, was previously diagnosed as a hemangioma, and was treated with observation.

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September 2014

A 6-Day-Old Male Infant With Linear Band of Skin-Colored Papules

A 6-day-old male infant presented to the emergency department with a linear band of skin-colored papules on his left upper extremity.

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August 2014

An 18-Year-Old Man With Bilateral Violaceous Cervical Adenopathy

An 18-year-old Hispanic man residing in Los Angeles, California, presented with bilateral masses at the base of his neck, which he had for 2 months. The left-sided mass had been spontaneously draining straw-colored fluid for 5 days.

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July 2014

Adolescent With Right Orbital Swelling and Proptosis

An adolescent boy presented to our hospital with a 5-day history of right eyelid swelling and redness accompanied by blurred vision and pain with ocular movement.

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June 2014

Pink-Violaceous Patches on the Lower Back, Buttocks, and Thighs of a 13-Year-Old Girl

A 13-year-old girl with a history of Crohn disease presented to the pediatric dermatology clinic for evaluation of a rash on her buttocks and back. The patient noticed the rash 1 day prior to presentation.

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May 2014

Boy With Yellow-Orange, Rough Nodule on Right Thigh

An 8-year-old otherwise healthy boy presented with a yellow-orange, rough nodule on his medial right thigh. It had evolved from a flat discoloration since the age of 3 years, which continued to slowly enlarge and thicken.

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April 2014

Infant With a Papular Eruption Localized to the Back

A 9-week-old girl had a rash on her back that had been present for 7 weeks. The rash was asymptomatic and started as red bumps that then evolved into pustules and blisters.

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March 2014

Rare Adverse Effect of Treatment With Minocycline

An 18-year-old woman presented with a 4-week history of a solitary painful bullous skin lesion over the lower right anterior tibia accompanied by generalized myalgia, polyarthalgia, joint stiffness, paraesthesia, and episodic ankle swelling.

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February 2014

An Unusual Inflammatory Rash

A 4-year-old, 15-kg girl presented with a 3-month history of a pruritic rash bilaterally on the cheeks, initially thought to be related to mosquito bites.

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January 2014

Newborn With Unexpected Skin Lesions

A 25-day-old newborn was admitted to our hospital with a diagnosis of bronchiolitis. During admission, the infant developed violaceous skin lesions with edema in inguinal and axillary regions.

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December 2013

Teen With Lesion on Nasal Sidewall

A 15-year-old male presented to the dermatology clinic with a lesion that had been present on his right nasal sidewall since birth. At puberty, the lesion expanded in size, became irritated, and developed a papillated, rough texture.

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November 2013

Trunklike Projection in 10-Day-Old Girl

A 10-day-old, full-term girl presented with a trunklike projection from the medial canthus of the left eye. There was no other craniofacial anomaly and bilateral nasal cavities were normal.

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October 2013

A Child With Bullous Skin Lesions

A 5-year-old girl presented with a 2-week history of pruritic, bullous skin lesions that had started on her lower limbs. She had been treated with topical mupirocin and oral amoxicillin–clavulanate potassium for a suspected superficial skin infection.

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September 2013

Spiny Follicular Hyperkeratotic Papules on the Face

A 5-year-old boy, known to have acute lymphoblastic leukemia since the age of 3 years, presented with a 3-week history of asymptomatic skin lesions primarily affecting the face and to a lesser extent the trunk and extremities.

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August 2013

Fever and Rash in a 7-Month-Old Infant

A previously well 7-month-old male infant presented to our emergency department with 1 week of loose stools, 4 days of fever up to 39.2°C, and 2 days of skin rash.

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June/July 2013

Newborn With Mild, Self-resolving Respiratory Distress

A female infant was born by vaginal delivery at 39 weeks' gestation. The Apgar score was 7 to 9 at 1 and 5 minutes. Birth weight was 2630 g.

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In Print June 2013

May 2013

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In Print June 2013

May 2013

A 5-year-old girl presented with a 2½-year history of persistently dry, itchy, tender skin around the mouth.

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In Print May 2013

April 2013

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In Print May 2013

April 2013

A 17-year-old boy presented to our hospital with a 4-week history of pain and restriction of movement in his left shoulder.

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In Print April 2013

March 2013

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In Print April 2013

March 2013

A 23-month-old girl with a history of mild atopic dermatitis presented for evaluation of a rash.

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In Print March 2013

February 2013

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In Print March 2013

February 2013

A 12-year-old boy presented with painful hands and flexible wrists, which were first noticed at 3 years of age. He had no other medical or family history, but he had undergone several bilateral operations on his feet for the correction of deformities.

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In Print February 2013

January 2013

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In Print February 2013

January 2013

A 15-year-old girl presented to the office with a 3-day history of dark-purple and tender plaques on her lateral thighs and buttocks that were increasing in number.

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In Print January 2013

December 2012

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In Print January 2013

December 2012

A 9-year-old otherwise healthy girl presented with a lesion on the left upper lip for the past year. It was slowly growing and somewhat tender to deep palpation but was not interfering with feeding or development.

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In Print December 2012

November 2012

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In Print December 2012

November 2012

A 20-year-old African American woman presented to the pediatric dermatology department for evaluation of a widespread itchy rash involving the trunk and extremities, with acral accentuation, sparing the face.

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In Print November 2012

October 2012

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In Print November 2012

October 2012

An 18-year-old woman reported to the emergency department after 2 weeks of having fatigue, poor appetite, and general malaise.

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In Print October 2012

September 2012

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In Print October 2012

September 2012

A 2-month-old boy was referred to the surgical department with complaint of an episode of choking and persistent cough.

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In Print September 2012

August 2012

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In Print September 2012

August 2012

A 3-month-old girl was referred to our Vascular Anomalies Center for assessment of a rapidly enlarging left hand mass.

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In Print August 2012

July 2012

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In Print August 2012

July 2012

A 2-month-old boy was admitted because of a 4-day history of fever, cough, purulent nasal discharge, and skin lesions.

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In Print July 2012

June 2012

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In Print July 2012

June 2012

A 16-year-old girl presented with a 3-week history of gingival pain and inflammation; mastication exacerbated the pain. She denied having experienced bleeding, rash, or fever. At age 1 year, the patient had a developmental hip dislocation that required surgical treatment.

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In Print June 2012

May 2012

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In Print June 2012

May 2012

A 9.5-year-old boy was referred to the neurology clinic for waddling gait and hip pain. He has had a history of constipation, cold intolerance, reduced energy, and poor concentration for at least 4 years.

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In Print May 2012

April 2012

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In Print May 2012

April 2012

A 12-year-old boy with nonverbal autism developed a 2-month history of petechiae and bruising followed by worsening musculoskeletal pain and refusal to walk.

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In Print April 2012

March 2012

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In Print April 2012

March 2012

A 4-year-old boy born in Jamaica presented to the emergency department with a 2-year history of intermittent "rash."

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In Print March 2012

February 2012

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In Print March 2012

February 2012

A 3-month-old African American boy presented to the dermatology clinic for evaluation of scalp lesions that were not improving with topical or oral antifungal medications.

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In Print February 2012

January 2012

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In Print February 2012

January 2012

A 17-year-old girl with a history of chronic feeding intolerance secondary to gastroparesis was admitted for gastrojejunostomy tube placement.

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In Print January 2012

December 2011

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In Print January 2012

December 2011

A 9-month-old previously healthy infant presented to an emergency department with an episode of gagging with feeds.

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In Print December 2011

November 2011

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In Print December 2011

November 2011

A 31-month-old Hispanic boy presented for evaluation of possible retinoblastoma of the right eye.

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In Print November 2011

October 2011

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In Print November 2011

October 2011

A 5-year-old girl presented to the clinic with a 6-month history of dermatitis that started on her knees and elbows and spread to her face.

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In Print October 2011

September 2011

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In Print October 2011

September 2011

A 7-year-old girl was admitted with a 2-week history of recurrent episodes of right upper quadrant abdominal pain. Two days prior to hospital admission, she had fever and several episodes of vomiting.

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In Print September 2011

August 2011

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In Print September 2011

August 2011

An 11-month-old boy presented to the emergency department with a 24-hour history of barking cough and sudden onset of increased work of breathing.

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In Print August 2011

July 2011

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In Print August 2011

July 2011

A full-term-born white boy developed severe eczema soon after birth and seemed poorly responsive to topical medications.

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In Print July 2011

June 2011

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In Print July 2011

June 2011

A 13-year-old girl presented with a 2-week history of sharp, intermittent, periumbilical abdominal pain.

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In Print June 2011

May 2011

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In Print June 2011

May 2011

A girl carried to term and born weighing 2.87 kg was delivered spontaneously to a 29-year-old woman with no medical illness.

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In Print May 2011

April 2011

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In Print May 2011

April 2011

A 6-year-old boy presented to the emergency department with 2 weeks of progressive right leg pain and a limp.

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In Print April 2011

March 2011

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In Print April 2011

March 2011

A 7-week-old boy with recurrent blisters.

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In Print March 2011

February 2011

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In Print March 2011

February 2011

A 15-year-old girl had red spots on her tongue.

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In Print February 2011

January 2011

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In Print February 2011

January 2011

A 19-year-old white woman was hospitalized with a 4-day history of a rash of unknown etiology.

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In Print January 2011

December 2010

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In Print January 2011

December 2010

A 14-year-old girl presented with a 2-day history of anorexia, nausea, abdominal distention.

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In Print December 2010

November 2010

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In Print December 2010

November 2010

A 9-year-old white boy presented with unruly hair since birth.

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In Print November 2010

October 2010

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In Print November 2010

October 2010

A 9-year-old boy with a history of an autism spectrum disorder.

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In Print October 2010

September 2010

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In Print October 2010

September 2010

An 8-year-old boy from Botswana was referred to a tertiary-level center with a 1-day history of fever.

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In Print September 2010

August 2010

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In Print September 2010

August 2010

A 3-year-old adopted girl was referred for evaluation of a history of skin fragility and blister formation.

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In Print August 2010

July 2010

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In Print August 2010

July 2010

A 6-year-old healthy South Asian boy presented to a pediatric dermatology.

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In Print July 2010

June 2010

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In Print July 2010

June 2010

A 3-week-old boy presented to the emergency department with an unusual pattern.

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In Print June 2010

May 2010

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In Print June 2010

May 2010

A 9-year-old girl presented to our pediatric dermatology practice for evaluation of a congenital scalp lesion.

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In Print May 2010

April 2010

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April 2010

A 9-year-old boy presented for ophthalmologic evaluation.

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In Print April 2010

March 2010

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March 2010

An 8-year-old boy was born with a vascular mass involving the left axilla.

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In Print March 2010

February 2010

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In Print March 2010

February 2010

A previously well 16-year-old boy presented to his local hospital with intermittent pyrexia, diffuse headache, and a left-sided swelling that had gradually enlarged over the previous 7 days.

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In Print January 2010

December 2009

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In Print January 2010

December 2009

A 16-year-old male patient presented with slurred speech, somnolence, and hypotension after a diagnosis of streptococcal pharyngitis 3 days earlier.

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In Print December 2009

November 2009

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In Print December 2009

November 2009

A previously healthy, 10-year-old boy presented with 5 days of fever and malaise.

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In Print November 2009

October 2009

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In Print November 2009

October 2009

A 3-year-old girl presented...with a 20-month history of a nonhealing crusted lesion on her left cheek.

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In Print October 2009

September 2009

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In Print October 2009

September 2009

A...14-year-old girl had a large but asymptomatic lesion on the left lower eyelid margin.

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In Print September 2009

August 2009

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In Print September 2009

August 2009

A 13-year-old girl, born in São Tomé and Príncipe, a country off the western coast of Africa, presented to the hospital with an ulcerated cutaneous lesion measuring 6 x 4.5 cm.

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In Print August 2009

July 2009

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In Print August 2009

July 2009

A 7-month-old boy had a 3-week history of nonbloody diarrhea and increasing irritability.

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In Print July 2009

June 2009

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In Print July 2009

June 2009

An 11-year-old Italian boy with type 1 diabetes mellitus with onset in 2004 was brought to the Department of Pediatrics for a routine visit during which a large hemangioma in the left leg was observed.

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In Print June 2009

May 2009

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In Print June 2009

May 2009

A 7-year-old girl fell while running. It seemed to be a minor fall, and she was fine immediately after the incident. Ten to 15 minutes later, she began to experience mild abdominal and left anterior chest pain.

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In Print May 2009

April 2009

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In Print May 2009

April 2009

A 12-day-old girl was evaluated for a rash.

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In Print April 2009

March 2009

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In Print April 2009

March 2009

A 6-year-old girl presented with a 3-week history of papular lesions that had begun on her right hand and subsequently spread to the rest of her body.

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In Print March 2009

February 2009

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In Print March 2009

February 2009

A previously healthy 4-year-old boy presented with left arm weakness and pain that had lasted 1 day.

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In Print February 2009

January 2009

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In Print February 2009

January 2009

A 2-month-old, previously healthy infant developed partial seizures, eventually controlled by anticonvulsants.

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