A 4-year-old boy presents with failure to thrive, irritability, bloating, and a symmetrical rash on his elbows and knees. Transglutaminase IgA antibodies are positive. What is the most likely diagnosis?

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Question 1 of 5

A 4-year-old boy presents with failure to thrive, irritability, bloating, and a symmetrical rash on his elbows and knees. Transglutaminase IgA antibodies are positive. What is the most likely diagnosis?

Correct Answer: A

Rationale: Dermatitis herpetiformis is a cutaneous manifestation of celiac disease and is associated with positive transglutaminase IgA antibodies.

Question 2 of 5

Hemophilia A is characterized by:

Correct Answer: C

Rationale: Hemophilia A is due to Factor VIII deficiency, leading to prolonged activated partial thromboplastin time (APPT), while PT and bleeding time remain normal.

Question 3 of 5

One of the following is not among causes of normocytic normochromic anemia:

Correct Answer: A

Rationale: Iron deficiency anemia typically presents as microcytic hypochromic anemia due to reduced hemoglobin production. Normocytic normochromic anemia is seen in conditions like aplastic anemia and hemorrhagic anemia.

Question 4 of 5

A head-injured patient, who opens eyes to painful stimuli, is confused & localizes to pain. His Glasgow coma score is:

Correct Answer: B

Rationale: A patient with eye opening to pain (E2), confused speech (V4), and localizing to pain (M5) has a GCS of 9.

Question 5 of 5

What test should NOT be included in evaluating a symptomatic toddler for autistic spectrum disorders?

Correct Answer: D

Rationale: Woods lamp is primarily used for detecting skin conditions and fungal infections, not relevant for diagnosing ASD. Other tests like hearing assessments and brain imaging help rule out alternative causes.

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