PEDIATRICS TEST BANK ALL ANSWERS CORRECT

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Which phase of Kawasaki disease is associated with coronary aneurysms? A. Acute febrile phase B. Subacute phase C. Convalescent phase D. Phase of complications E. All of the above Ans- 1 B. ... Kawasaki disease presents with characteristically high, unremitting fever and 4 out of the 5 principal features: Bilateral nonexudative bulbar conjunctival injection with limbal sparing; Erythema of the oral and pharyngeal mucosa with strawberry tongue and dry, cracked lips; Edema and erythema of the hands and feet; Rash of various forms (scarlatiniform, maculopapular, erythema multiforme); Nonsuppurative cervical lymphadenopathy (usually unilateral, with node size >1.5cm). Acute febrile phase - fever and the acute signs of illness and usually lasts 1-2wks Subacute febrile phase - desquamation, thrombocytosis, coronary aneurysms and highest risk of sudden death usually lasts 2 wks Convalescent phase - All clinical signs have disappeared until ESR normalizes typically 6-8wks after onset on illness Source: Nelson's Textbook of Pediatrics 19th edition p864 A four year old presents with low-grade fever, intermittent crampy abdominal pain with emesis and swollen knees of 3 days duration. A purpuric rash distributed below the knees of both lower extremities is noted on physical examination. This patient most likely has: A. Meningococcemia B. Idiopathic thrombocytopenic purpura C. Henoch-Scholein purpura D. SLE E. Juvenile Rheumatoid arthritis Ans- 2 C. HSP is a common vasculitis among children and presents with the classic findings of abdominal pain with or without rectal bleeding, vasculitis rash, arthritis and nephritis. The platelet count is normal. Gastrointestinal involvement may progress to intussusception. Source: Nelson's Textbook of Pediatrics 19th edition p868 A 3 year old female presents with 1 week history of daily (quotidian) fever associated with arthritis of both ankles and her right knee. Her mother notes that she has decreased activity and also notes rashes that come and go in different parts of her body but not on the face. On physical examination, salmon colored patches were noted on the trunk and extremities. Palpation revealed splenomegaly. What is the diagnosis? A. Henoch Schoenlein Purpura B. Systemic Lupus Erythematosus C. Juvenile Rheumatoid arthritis D. Juvenile Dermatomyositis E. Dengue fever Ans- 3 C. [Show More]

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