Children with typical features of innocent murmurs should be subjected to the following measures:

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Question 1 of 5

Children with typical features of innocent murmurs should be subjected to the following measures:

Correct Answer: D

Rationale: Innocent murmurs are benign and require no restriction of activity, antibiotic prophylaxis, or serial echocardiography unless symptoms suggest structural heart disease.

Question 2 of 5

Major Depressive disorder (MDD) is being increasingly seen in offspring of depressed parents; it has many forms that may be seen in the same family. Of the following, the MOST common depressive disorder in children and adolescent is

Correct Answer: C

Rationale: Adjustment disorder with depressed mood is more common in children and adolescents due to their vulnerability to stressors.

Question 3 of 5

The exposure to which of the following early in childhood protects against the development of atopy

Correct Answer: D

Rationale: Early exposure to dogs has been linked to a reduced risk of atopy, possibly due to microbial diversity exposure that modulates immune responses. Other exposures listed do not provide protection.

Question 4 of 5

The patient described in Question 6 is most likely suffering from

Correct Answer: C

Rationale: Congenital pneumonia with sepsis is likely given the low WBC count, prematurity, and need for ventilation

Question 5 of 5

What is an anion gap?

Correct Answer: C

Rationale: The anion gap is calculated as (Na⁺ - [Cl⁻ + HCO₃⁻]) and represents unmeasured anions in plasma. It helps differentiate metabolic acidosis causes, with high values suggesting lactic acidosis or toxin ingestion.

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