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

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Question 1 of 5

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

Correct Answer: D

Rationale: Anaphylactic shock is a severe allergic reaction, often triggered by vaccines or medications. It leads to vasodilation, hypotension, and airway obstruction, requiring immediate administration of epinephrine.

Question 2 of 5

The MOST vital initial treatment in the management of severe asthma exacerbations is

Correct Answer: B

Rationale: Inhaled short-acting beta-agonists (SABAs) are the first-line treatment for acute asthma exacerbations, providing rapid bronchodilation.

Question 3 of 5

In males, the first visible sign of puberty is testicular enlargement, beginning as early as

Correct Answer: B

Rationale: Testicular enlargement is the first sign of male puberty, usually starting between ages 9-14, with an average onset around 9.5 years.

Question 4 of 5

What is the best explanation for breath-holding spells?

Correct Answer: A

Rationale: Breath-holding spells are often linked to iron deficiency anemia and typically resolve by age 5. They are not seizures or solely expressed as tonic movements.

Question 5 of 5

All the following are characteristic features of separation anxiety disorder EXCEPT

Correct Answer: D

Rationale: Separation anxiety disorder can occur in children above 8 years of age, though it is more common in younger children.

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