A high index of suspicion of which of the followin

Question 1 of 5

A high index of suspicion of which of the following conditions is to be undertaken in a patient with atopic dermatitis and failure to thrive

A. Wiskott-Aldrich syndrome B. severe combined immune deficiency C. Histiocytosis D. hyper IgE syndrome

Correct Answer: A

Rationale: Wiskott-Aldrich syndrome is associated with eczema thrombocytopenia and immune dysfunction.

Question 2 of 5

Reticulocyte count is expected to be low in one of the following conditions:

A. Acute hemorrhage B. Aplastic anemia C. Sickle cell disease D. Hereditary spherocytosis

Correct Answer: B

Rationale: Aplastic anemia leads to bone marrow failure, causing a decreased reticulocyte count due to impaired red blood cell production.

Question 3 of 5

An 8-year-old boy experienced generalized urticaria immediately after a honeybee sting... Appropriate recommendations include all of the following EXCEPT

A. immunotherapy B. an epinephrine auto-injector (EpiPen) for administration if stung again C. wearing shoes when outdoors D. a Medic-Alert bracelet

Correct Answer: A

Rationale: Immunotherapy is not typically recommended after a single episode of generalized urticaria without systemic symptoms.

Question 4 of 5

Matching: Anesthetic risks

A. Retroviral agents B. Cocaine C. Succinylcholine D. Oxygen

Correct Answer: C

Rationale: Succinylcholine increases the risk of myocardial depression with volatile agents, which can lead to life-threatening cardiac events.

Question 5 of 5

A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she â€œfought the mask and cried a lotâ€ on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more â€œclingyâ€ and wants her parents to cuddle her frequently. She reports that in her dreams, she canâ€™t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT

A. this is an extreme reaction and suggests a severe underlying tendency toward psychiatric illness B. traumatic induction of anesthesia can commonly produce behavioral changes for several weeksâ€”in the majority of cases, these resolve within 4-6 weeks C. parental presence for mask induction of anesthesia may reduce the distress of induction for some children and may reduce the incidence of some postoperative behavioral changes D. intraoperative awareness can occur during general anesthesia and could possibly account for the content of her dreams and some of the severity of these behavioral changes

Correct Answer: A

Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.