A pathological murmur is suspected in the presence of one of the following auscultatory findings

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Question 1 of 5

A pathological murmur is suspected in the presence of one of the following auscultatory findings

Correct Answer: D

Rationale: A click suggests structural heart disease, such as aortic or pulmonary stenosis. Pathological murmurs are often associated with abnormal heart sounds, unlike benign murmurs that change with position or respiration.

Question 2 of 5

The drug that is LEAST effective for the treatment of chronic renal disease occurring in 1-2% of children with Henoch-Schonlein purpura (HSP) is

Correct Answer: A

Rationale: Prednisolone alone may be less effective for severe renal involvement.

Question 3 of 5

What is the most appropriate referral for a 13-year-old adolescent with fatigue, low blood pressure, and hypokalemia?

Correct Answer: C

Rationale: Given the severity of symptoms like hypokalemia and low blood pressure, immediate referral to the hospital for comprehensive investigations is necessary before considering psychiatric or dietary interventions.

Question 4 of 5

Type I Hypersensitivity reactions are triggered by antigen binding to IgE receptors on mast cells or basophils. A recognized example of type I reaction is

Correct Answer: C

Rationale: Allergic asthma is a classic example of type I hypersensitivity, which involves IgE-mediated mast cell degranulation.

Question 5 of 5

A third-grade student refuses to go back to school after the winter break. She now needs her mother to go to sleep with her and complains of headache, bellyache, and muscle pain. The physical exam is totally normal, but you notice the child is very clingy to the mother. The most likely diagnosis is

Correct Answer: D

Rationale: Separation anxiety disorder involves excessive fear or distress when separated from attachment figures, fitting the scenario of clinging behavior and somatic complaints post-break.

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