A 3-year-old male child develops hematoma and bruising of his right hand next day after falling on the ground; the mother stated that her child has a poor wound healing and a history of delayed umbilical separation during the neonatal period. Of the following, the MOST valuable test for this case is

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Question 1 of 5

A 3-year-old male child develops hematoma and bruising of his right hand next day after falling on the ground; the mother stated that her child has a poor wound healing and a history of delayed umbilical separation during the neonatal period. Of the following, the MOST valuable test for this case is

Correct Answer: D

Rationale: Bruising, poor healing, and delayed umbilical separation suggest factor XIII deficiency. Clot solubility test (E) screens for this, more specific than BT (A), PTT (B), PT (C), or TT (D).

Question 2 of 5

It is a common complication after an open heart surgery due to immunological phenomena with up to 30% of cardiac surgery. Treatment is usually with anti-inflammatory medications and colchicine.

Correct Answer: C

Rationale: Postpericardiotomy syndrome (C) occurs in up to 30% of cardiac surgeries, treated with anti-inflammatories and colchicine, fitting the description.

Question 3 of 5

Which of the following symptoms/signs is a manifestation of polycythemia?

Correct Answer: B

Rationale: Deep vein thrombosis (B) is common in polycythemia due to increased viscosity and clotting risk.

Question 4 of 5

The LEAST helpful historical clue in Iron deficiency anemia is

Correct Answer: D

Rationale: Giardia (D) is less commonly linked to iron deficiency than pica (A), milk intake (C), or surgery (E); age (B) is relevant.

Question 5 of 5

Vitiligo, glossitis, ataxia, and peripheral neuropathy are features of

Correct Answer: B

Rationale: Vitamin B₁₂ deficiency (B) causes these neurologic and mucocutaneous symptoms due to megaloblastic anemia and nerve damage.

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