A 1-year-old child (10 kg) presents with urticaria and wheeze after eating peanut butter. What is the correct management?

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Question 1 of 5

A 1-year-old child (10 kg) presents with urticaria and wheeze after eating peanut butter. What is the correct management?

Correct Answer: A

Rationale: For anaphylaxis, intramuscular (IM) adrenaline at 0.01 mg/kg (1:1000) is the recommended treatment, equating to 0.1 mL for a 10 kg child.

Question 2 of 5

Which of the following is a cause of obstructive shock?

Correct Answer: A

Rationale: Tension pneumothorax causes obstructive shock by preventing normal venous return to the heart due to increased intrathoracic pressure.

Question 3 of 5

All the following can cause metabolic acidosis with high anion gap Except:

Correct Answer: C

Rationale: Renal tubular acidosis typically causes normal anion gap metabolic acidosis rather than an increased anion gap.

Question 4 of 5

Acute urticaria is a self-limited illness requiring little treatment. All the following can be used EXCEPT

Correct Answer: C

Rationale: Epinephrine is not typically needed for acute urticaria unless there is anaphylaxis. Antihistamines and corticosteroids are preferred treatments.

Question 5 of 5

In pediatric shock, which of the following is an early sign?

Correct Answer: D

Rationale: Tachycardia is often the earliest sign of shock in children due to increased sympathetic response in compensation for decreased perfusion.

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