Features suggestive of major manifestations of acu

Question 1 of 9

Features suggestive of major manifestations of acute rheumatic fever include all the following Except:

A. Involuntary purposeless, jerky dysrhythmic movement of hands and arms B. Swollen tender large joint C. Pruritic erythematous rash over the face D. Auscultation of a new apical pansystolic murmur in a previously normal heart

Correct Answer: C

Rationale: Erythema marginatum, not a pruritic facial rash, is associated with RF.

Question 2 of 9

Primary malignancies with the highest cumulative incidence of a second neoplasm are

A. soft tissue sarcoma B. cancers of bone C. Hodgkin disease D. leukemias

Correct Answer: C

Rationale: Hodgkin disease survivors have the highest cumulative incidence of second malignancies due to chemotherapy and radiation exposure.

Question 3 of 9

All the following are common features of postinfectious arthritis or reactive arthritis EXCEPT

A. there is a transient joint swelling or pain B. it lasts less than 6 wk C. it may be a common sequelae of streptococcus group A infection D. spondyloarthritis is a common causative agent infection

Correct Answer: D

Rationale: Spondyloarthritis is not a causative agent but a related condition.

Question 4 of 9

What is the role of hydroxychloroquine in the treatment of rheumatic diseases?

A. Suppress immune response B. Reduce inflammation C. Improve skin lesions D. All of the above

Correct Answer: D

Rationale: Hydroxychloroquine is used to suppress immune response, reduce inflammation, and improve skin lesions in conditions like lupus and rheumatoid arthritis.

Question 5 of 9

One of the following statements is TRUE regarding skin tests in identifying food allergies in patients with atopic dermatitis

A. Negative skin and blood test results for allergen-specific IgE have a low predictive value for excluding suspected allergens B. Positive results of skin or blood tests using foods often correlate with clinical symptoms and no need to be confirmed with controlled food challenges C. Extensive elimination diets are commonly required D. the majority of patients react to more than 3 foods

Correct Answer: D

Rationale: Skin prick tests and specific IgE tests can help identify relevant allergens.

Question 6 of 9

Topical anti-inflammatory agents, including corticosteroids and immunomodulators, are the cornerstone of therapy for atopic dermatitis. All the following statements are true EXCEPT

A. Ointments generally are preferred over creams and lotions B. The least potent corticosteroid that is effective should be used C. Low-potency, nonfluorinated corticosteroids should be used on the face D. Reduced efficacy of topical corticosteroids is usually related to glucocorticoid resistance

Correct Answer: D

Rationale: Reduced efficacy is usually due to tachyphylaxis (diminished response), not true glucocorticoid resistance.

Question 7 of 9

A 14-year-old presents with acute onset of urticaria that has gradually worsened over the past 10 days... Which diagnostic option is recommended?

A. Systematic elimination diets to determine a possible ingestant cause B. Allergy skin testing C. Serum IgE and RAST D. None of the above

Correct Answer: D

Rationale: For acute urticaria without a clear cause, no specific diagnostic testing is typically recommended initially.

Question 8 of 9

Topical anti-inflammatory agents, including corticosteroids and immunomodulators, are the cornerstone of therapy for atopic dermatitis. All the following statements are true EXCEPT

A. Ointments generally are preferred over creams and lotions B. The least potent corticosteroid that is effective should be used C. Low-potency, nonfluorinated corticosteroids should be used on the face D. Reduced efficacy of topical corticosteroids is usually related to glucocorticoid resistance

Correct Answer: D

Rationale: Reduced efficacy is usually due to tachyphylaxis (diminished response), not true glucocorticoid resistance.

Question 9 of 9

Seizures beginning in the delivery room or shortly thereafter may be due to

A. hypoxic-ischemic encephalopathy B. unintentional injection of maternal local anesthetic into the fetus C. intracranial hemorrhage D. hypoglycemia

Correct Answer: A

Rationale: Hypoxic-ischemic encephalopathy is a common cause of seizures in newborns, especially those occurring shortly after birth. The other causes are possible but less common.

Features suggestive of major manifestations of acute rheumatic fever include all the following Except:

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