A red-haired, blue-eyed, Caucasian 15-year-old with a small congenital nevus undergoes a biopsy to rule out melanoma. For pain control, naproxen 15 mg/kg TID is given. Two days after surgery, blood is noted to be oozing from the wound, which won’t stop bleeding. All of the following are correct EXCEPT

Correct Answer: C

Rationale: Ibuprofen also has anticoagulant properties similar to naproxen, meaning bleeding risk would not be completely avoided by switching to ibuprofen.

Correct Answer: D

Rationale: In compensated shock, blood pressure remains normal due to sympathetic activation, but tachycardia and delayed capillary refill may be present.

Correct Answer: C

Rationale: Absence of a central pulse (carotid or femoral) confirms cardiac arrest. Peripheral pulses may be weak in shock, but loss of a central pulse requires immediate resuscitation efforts.

Correct Answer: A

Rationale: Cardiogenic shock leads to increased central venous pressure due to heart failure, while hypovolemic and septic shock cause a drop in CVP due to fluid loss or vasodilation.

Correct Answer: C

Rationale: Interfering early by calming the child may disrupt the natural resolution of the spell, which is typically brief and self-limiting.