Ahmed is a 7-year-old boy with recent history of migratory polyarthritis, newly heard apical pansystolic murmur, arthralgia, positive acute phase reactants, and ASOT of 500 units. Regarding diagnosis of rheumatic fever the boy is considered to have

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Question 1 of 5

Ahmed is a 7-year-old boy with recent history of migratory polyarthritis, newly heard apical pansystolic murmur, arthralgia, positive acute phase reactants, and ASOT of 500 units. Regarding diagnosis of rheumatic fever the boy is considered to have

Correct Answer: B

Rationale: According to Jones criteria, the presence of two major or one major and two minor criteria supports a diagnosis of rheumatic fever. The patient has polyarthritis and carditis (major) along with arthralgia and elevated inflammatory markers (minor).

Question 2 of 5

The combination of recurrent wheezing, abnormal stool & marked failure to thrive are suggestive of:

Correct Answer: B

Rationale: Cystic fibrosis presents with chronic respiratory symptoms, pancreatic insufficiency leading to malabsorption, and growth failure. It is caused by mutations in the CFTR gene leading to thick mucus production affecting multiple organ systems.

Question 3 of 5

The prominent creases under the lower eyelids in an atopic child are called

Correct Answer: D

Rationale: Dennie-Morgan folds are characteristic infraorbital creases seen in children with atopic dermatitis or allergic rhinitis.

Question 4 of 5

A 12-year-old with spina bifida experiences respiratory distress during induction of anesthesia for an orthopedic procedure. He has been otherwise well prior to this hospital admission. The most likely diagnosis is

Correct Answer: A

Rationale: Latex allergy is common in spina bifida due to frequent exposure to latex materials. Symptoms include respiratory distress during anesthesia.

Question 5 of 5

In treatment of hypernatremia, the maximum accepted rate of drop of serum sodium per 24 hours?

Correct Answer: B

Rationale: The safe correction rate for hypernatremia is no more than 12 mmol/L per 24 hours to prevent cerebral edema caused by rapid osmotic shifts.

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