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

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.

Question 3 of 5

Stage 1 hypertension in children is defined as:

Correct Answer: D

Rationale: Stage 1 hypertension in children is defined as blood pressure levels between the 95th and 99th percentile for age, height, and sex.

Question 4 of 5

Which of the following drugs is contraindicated in patients with gout?

Correct Answer: B

Rationale: Aspirin can exacerbate gout by altering uric acid excretion, making it contraindicated in these patients.

Question 5 of 5

Common skin and soft tissue manifestations of neonatal bacterial infections are

Correct Answer: D

Rationale: Omphalitis (infection of the umbilical stump) is a common skin and soft tissue manifestation in neonates, often caused by bacteria such as Staphylococcus aureus.

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