In distributive shock (like septic shock), the systemic inflammatory response syndrome (SIRS) may precede the shock. All the following may be part of the syndrome EXCEPT

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Question 1 of 5

In distributive shock (like septic shock), the systemic inflammatory response syndrome (SIRS) may precede the shock. All the following may be part of the syndrome EXCEPT

Correct Answer: D

Rationale: SIRS includes fever (A), tachycardia (B), hypothermia (C), and tachypnea (D). Immature WBC >5% (E) isn’t a formal criterion, per SIRS definition.

Question 2 of 5

All the following investigations/laboratory measurers are indicated as screening clue in toxicological diagnosis EXCEPT

Correct Answer: D

Rationale: Stool screen (D) is rarely used in acute poisoning screening, unlike ECG (A), ABG (B), urine (C), and blood assays (E), per toxicology protocols.

Question 3 of 5

Of the following the specific antidote for organophosphates poisoning is

Correct Answer: D

Rationale: Pralidoxime (E) reverses organophosphate cholinesterase inhibition, with atropine as adjunct, per toxicology.

Question 4 of 5

Henoch-Schonlein purpura (HSP) is the MOST common systemic vasculitis of childhood. Arthritis occurs in

Correct Answer: D

Rationale: Arthritis occurs in approximately 80% of HSP cases, typically affecting the lower extremities.

Question 5 of 5

The treatment of juvenile idiopathic arthritis (JIA) focuses on suppressing inflammation, preserving and maximizing function, preventing deformity, and preventing blindness. Of the following, the FIRST option in the treatment of JIA is

Correct Answer: D

Rationale: NSAIDs are the first-line treatment for JIA to control pain and inflammation before escalating to other therapies.

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