Early introduction of all the following decreases the risk of asthma and allergic rhinitis EXCEPT

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Question 1 of 5

Early introduction of all the following decreases the risk of asthma and allergic rhinitis EXCEPT

Correct Answer: A

Rationale: Early introduction of fish, eggs, meat, and wheat has been shown to decrease allergy risks. However, rye has not been found to provide a protective effect and may sometimes contribute to allergic responses.

Question 2 of 5

The MOST vital initial treatment in the management of severe asthma exacerbations is

Correct Answer: B

Rationale: Inhaled short-acting beta-agonists (SABAs) are the first-line treatment for acute asthma exacerbations, providing rapid bronchodilation.

Question 3 of 5

A 3-month-old precious baby of a keen and highly educated family presented with history of URTI followed by deterioration of level of consciousness and seizure. CT brain shows intracranial bleeding with no evidence of skull fracture. Fundoscopy was normal. Mother gives history of difficult labor but with normal development, mild hypotonia, and macrocephaly which was reassured initially by general Pediatrician. Of the following, the MOST likely diagnosis is

Correct Answer: D

Rationale: Abusive head trauma (AHT) is more likely given the absence of skull fracture, normal fundoscopy, and clinical presentation post-URTI. Residual birth trauma and glutaric aciduria type 1 are less plausible without additional supportive findings.

Question 4 of 5

Nebulized adrenaline is indicated in which of the following conditions:

Correct Answer: D

Rationale: Nebulized adrenaline is commonly used in croup to reduce airway edema, improving airflow and reducing respiratory distress.

Question 5 of 5

Which of the following is one of the five principal clinical features of Kawasaki disease

Correct Answer: D

Rationale: Kawasaki disease is diagnosed based on fever for ≥5 days and at least four of five criteria, including bilateral bulbar conjunctival injection without exudate.

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