A 4-year-old girl recently diagnosed with persistent oligoarticular juvenile idiopathic arthritis (JIA); she has 3 involved joints including left elbow; right knee, right ankle. Antinuclear antigen (ANA) is significantly positive. The MOST important regular examination of locomotor system step in the management this girl is

Correct Answer: A

Rationale: Slit-lamp examination is crucial as ANA-positive patients are at risk for asymptomatic uveitis.

Correct Answer: A

Rationale: Obstructive shock results from physical blockage of blood flow, such as cardiac tamponade or pulmonary embolism, impairing ventricular output.

Correct Answer: C

Rationale: Allergic shiners are dark circles under the eyes caused by venous congestion due to chronic nasal obstruction, a hallmark sign of allergic rhinitis.

Correct Answer: C

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

Correct Answer: C

Rationale: Neuromaturation extends well into the third decade of life, impacting cognitive and emotional regulation.