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                                                    Expiration date: June 2011

   The Nurse Practitioner Associates for Continuing Education (NPACE) is an approved provider of continuing education by the
   Massachusetts Association of Registered Nurses, Inc. (MARN), an accredited approver by the American Credentialing Center’s
   Commission on Accreditation (ANCC).
   The Nurse Practitioner Associates for Continuing Education designates this educational activity for a maximum of 1.0 contact hours of
   credit. Participants should only claim credit commensurate with the extent of their participation in the activity. Posttests must
   be completed and submitted online. NPs may register at no charge at www.mycme.com.You must receive a score of 70% or better on
   each test taken to obtain credit.

CREDITS: 0.5                                   CREDITS: 0.25                                    CREDITS: 0.25
Feature                                        Dermatology Clinic                               Dermatologic Look-Alikes
page 21                                        page 43                                          page 55

Common pediatric hip diseases in               Case #1: Pemphigus foliaceus                     Case #1: Amelanotic melanoma
primary care                                    1. Physical exam of an individual with          1. The lesions of amelanotic melanoma
1. Developmental dysplasia of the hip is           pemphigus foliaceus (PF) often shows a          often present as
   most common in infants who are                  positive                                        a. Flesh-colored umbilicated papules
   a. Born in the breech position                  a. Auspitz sign                                 b. Round vesicles containing clear liquid
   b. The last of multiple births                  b. Nikolsky sign                                c. Scattered yellowish scaly macules
   c. Male gender                                  c. Koebner’s phenomenon                         d. Nonspecific pink scaly plaques
   d. Large for gestational age                    d. Patch test
                                                                                                2. The standard treatment for amelanotic
2. The treatment of choice for develop-         2. Which medication is associated with             melanoma is
   mental dysplasia of the hip is                  drug-induced PF?               
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