In the emergency department, the patient may be discharged to home if there is symptomatic improvement, normal physical findings, PEF >70% of predicted or personal best, and oxygen saturation >92% in room air for 4 hr. Of the following, the MOST likely discharge medication used is

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Question 1 of 5

In the emergency department, the patient may be discharged to home if there is symptomatic improvement, normal physical findings, PEF >70% of predicted or personal best, and oxygen saturation >92% in room air for 4 hr. Of the following, the MOST likely discharge medication used is

Correct Answer: D

Rationale: Inhaled beta-agonists for symptom relief and a short course of oral corticosteroids to reduce inflammation are standard discharge medications for asthma exacerbations.

Question 2 of 5

Autism spectrum disorders (ASDs) are seen with equal prevalence among all racial and ethnic groups. Of the following, the disorder that is only prevalent in girls is

Correct Answer: D

Rationale: Rett syndrome primarily affects girls, causing progressive neurological deterioration.

Question 3 of 5

Which of the following is an important diagnostic study for neonatal cholestasis

Correct Answer: D

Rationale: Hepatobiliary scintigraphy assesses bile flow and is crucial for diagnosing biliary atresia, the most common cause of neonatal cholestasis.

Question 4 of 5

Familial Mediterranean fever (FMF) is a recessively inherited autoinflammatory disease characterized by self-limited episodes of fever, serositis, and rash. The hallmark cutaneous finding of this disease is

Correct Answer: A

Rationale: Erysipelas-like rash is characteristic of FMF.

Question 5 of 5

Expiratory grunting is a sign of:

Correct Answer: B

Rationale: Expiratory grunting indicates difficulty in oxygenation and is often a compensatory mechanism in pneumonia, where alveolar collapse or consolidation reduces oxygen exchange.

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