Improving Outcomes in Pediatric Patients with AD : Pre-test

1.

A 7-year-old girl presents with moderate to severe atopic dermatitis (AD) that has been poorly controlled with emollients and low-potency topical corticosteroids. She has significant pruritus, sleep disturbance, and frequent flares, which have affected her school performance and emotional well-being. Her parents report feeling overwhelmed by the time-consuming treatment regimen. Which of the following would be the most appropriate next step in managing this patient’s AD?

A. Increase the potency of the topical corticosteroid and add a topical calcineurin inhibitor for maintenance therapy
B. Recommend daily bleach baths and wet wrap therapy to reduce skin infections and improve barrier function
C. Initiate a systemic biologic agent targeting interleukin pathways involved in AD pathogenesis
D. Educate the family on skin care routines and provide psychological support without changing the current treatment regimen

2.

A 10-yr-old boy with moderate to severe AD has experienced inadequate symptom control with high-potency topical corticosteroids and topical calcineurin inhibitors. He continues to have significant pruritus, sleep disruption, and poor quality of life. You are considering starting a biologic therapy. Based on the current evidence, which of the following biologic therapies is the most appropriate for this patient?

A. Dupilumab
B. Tralokinumab
C. Risankizumab
D. Baricitinib

3.

A 9-year-old girl with moderate to severe AD presents with persistent pruritus, skin lesions, and difficulty sleeping despite using topical corticosteroids and emollients. You are considering initiating a systemic biologic therapy. To incorporate shared decision-making (SDM) into the treatment plan, which of the following would be the most effective approach?

A. Recommend the biologic therapy based on clinical guidelines and instruct the parents how to administer the treatment
B. Provide detailed information regarding the benefits and potential adverse drug events of biologic therapy and ask the parents to decide what they would like to do
C. Discuss the child's and parents' treatment goals and concerns, and decide on the next step in treatment
D. Present the treatment options, recommend that the parents conduct their own research, and schedule a follow-up discussion

4.

How confident are you in treating your pediatric patients with atopic dermatitis?

A. Not confident
B. Very confident
C. Somewhat not confident
D. Somewhat confident
E. Confident

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From Flare to Control in Atopic Dermatitis: Improving Outcomes in Pediatric Patients With Moderate to Severe Disease

Katie Smiley, PA-C

Joy Wan, MD, MSCE

Pretest

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