For an 18-month-old child with breath-holding spells, which advice is NOT true?

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Question 1 of 5

For an 18-month-old child with breath-holding spells, which advice is NOT true?

Correct Answer: C

Rationale: Interfering early might reinforce the behavior. Calm observation without immediate intervention helps prevent reinforcement and allows natural resolution.

Question 2 of 5

In pica disorder, which statement is most appropriate?

Correct Answer: A

Rationale: Pica disorder involves eating non-food items like clay or dirt. While it can occur in younger children, it is not necessarily fatal and may co-occur with other conditions but is distinct.

Question 3 of 5

Juvenile localized scleroderma (LS) is generally insidious with skin manifestations that vary according to disease subtype. Up to 25% of children with LS have extracutaneous manifestations including arthritis and neurological symptoms. Of the following, the subtype that is MOST commonly associated with neurological manifestations is

Correct Answer: D

Rationale: En coup de sabre is associated with neurological complications due to its location on the face and scalp.

Question 4 of 5

Major depression in children may be characterized by

Correct Answer: D

Rationale: Major depression in children can have a genetic basis, may start before adolescence, and carries risks for future depressive episodes. Hallucinations are uncommon but possible.

Question 5 of 5

The incorrect statement regarding corticosteroids in allergy is:

Correct Answer: A

Rationale: The mechanism of action of corticosteroids is well understood; they suppress inflammation by inhibiting cytokine production and reducing immune cell activity. They also downregulate prostaglandins and leukotrienes.

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