A 12-month-old receives the MMR vaccine and suddenly becomes flushed, tachycardic, tachypneic with weak peripheral pulsation & deteriorating consciousness. What is the likely explanation?

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Question 1 of 5

A 12-month-old receives the MMR vaccine and suddenly becomes flushed, tachycardic, tachypneic with weak peripheral pulsation & deteriorating consciousness. What is the likely explanation?

Correct Answer: D

Rationale: Anaphylactic (immunological) shock is a severe allergic reaction leading to vasodilation and capillary leakage.

Question 2 of 5

One of the following is false about CNS leukemia:

Correct Answer: D

Rationale: All statements are true; CNS leukemia has a poor prognosis, causes increased ICP, is prone to relapse, and can lead to cranial nerve palsies.

Question 3 of 5

A 6-year-old male patient presented with microcephaly, microphthalmia, absent thumb, ectopic kidney & recurrent epistaxis. The most informative diagnostic test explaining the underlying etiology is:

Correct Answer: A

Rationale: Chromosomal breakage test is used in disorders like Fanconi anemia, which is associated with congenital abnormalities, bone marrow failure, and increased cancer risk.

Question 4 of 5

One of the following is false about CNS leukemia:

Correct Answer: D

Rationale: All statements are true; CNS leukemia has a poor prognosis, causes increased ICP, is prone to relapse, and can lead to cranial nerve palsies.

Question 5 of 5

Wide fixed splitting of the second heart sound is an auscultatory finding in:

Correct Answer: B

Rationale: ASD causes increased right heart volume, leading to fixed splitting of the second heart sound irrespective of respiration.

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