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    STU 25SUM1 Pediatric Competency Proctored Exam

    When observing the scalp of a 9-year-old patient, the NP notes round scaling patches. The patient's hairs appear broken close to the surface of the scalp. These findings may be consistent with:

    Explanation & Rationale

    Rationale: A. Tinea capitis, a fungal infection of the scalp, commonly presents with round, scaly patches and broken hairs close to the scalp. It often causes itching and may lead to mild inflammation. B. Seborrheic dermatitis typically presents with greasy, yellowish scales rather than broken hairs. C. Trichotillomania is characterized by hair loss due to repetitive pulling, often with irregular patches and no scaling. D. Alopecia areata presents as smooth, well-demarcated, non-scaly patches of hair loss without broken hairs.

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