peds hard one
HIV - 01-13-08 21:00

A healthy 8-year-old girl is brought to the
physician in July
for a well-child examination. Her mother says that
her daughter is
spending the summer at a nearby lake. Over the past
month, she has had two
episodes of painful sunburn despite her mother's
efforts, including SPF
25 sunblock just before she goes swimming and urging
her to wear a hat
and long-sleeved garments. The child takes no
medications. She has
blond hair, blue eyes, and a fair complexion. The
mother seeks advice
about preventing further sun damage to her child's
skin. Which of the
following is the most appropriate recommendation?

A
) Prohibit swimming on cloudless days

B
) Apply the sunblock lotion 45 minutes before
swimming

C
) Change to a higher-level SPF lotion

D
) Apply Burrow's solution compresses after each
overexposure

E
) Daily use of antioxidant vitamin supplement

F
) Early treatment of any sun overexposure with
topical
corticosteroids