A family history of allergic disease is often pres

Question 1 of 5

A family history of allergic disease is often present in atopic patients. If one parent has allergies, the risk that a child will develop an allergic disease is

A. 15% B. 25% C. 35% D. 50%

Correct Answer: D

Rationale: If one parent has allergies, the child's risk of developing an allergic disease is approximately 50% due to genetic predisposition.

Question 2 of 5

Treatment of juvenile dermatomyositis (JDM) includes pharmacological and non-pharmacological therapy. The mainstay of pharmacological therapy is corticosteroids that should be integrated with non-pharmacological therapy. Of the following, the recommendation that is LEAST part of non-pharmacological treatment program in JDM is

A. physical therapy B. occupational therapy C. avoidance of sun exposure D. bed rest

Correct Answer: D

Rationale: Bed rest is not typically recommended; activity is encouraged to prevent muscle atrophy.

Question 3 of 5

One of the following can cause unilateral dilated fixed pupil

A. Organophosphate B. Anticholinergics C. Narcotics D. Tentorial herniation

Correct Answer: D

Rationale: Tentorial herniation compresses the oculomotor nerve, leading to a fixed, dilated pupil. This occurs due to increased intracranial pressure, which causes brain herniation, affecting the parasympathetic fibers controlling pupil constriction.

Question 4 of 5

A delay in fetal pulmonary maturation may be associated with

A. hydrops fetalis B. severe premature separation of the placenta C. premature rupture of the fetal membranes D. maternal hypertensive and renal vascular disease

Correct Answer: D

Rationale: Maternal hypertensive and renal vascular disease can impair placental function, leading to delayed fetal lung maturation. The other conditions are less directly related to pulmonary development.

Question 5 of 5

During treatment of metabolic acidosis, what is the expected change in serum potassium level?

A. It will drop B. It will initially drop then rise C. It will initially rise then drop D. It will remain the same

Correct Answer: A

Rationale: During acidosis, potassium shifts out of cells, increasing serum levels. Correction reverses this shift, leading to a drop in serum potassium, which may cause hypokalemia.