Manifestations of the initial attack of rheumatic fever with carditis may include all the following Except:

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Question 1 of 5

Manifestations of the initial attack of rheumatic fever with carditis may include all the following Except:

Correct Answer: D

Rationale: Apical mid-diastolic rumble is heard in severe mitral stenosis, but not all cases of RF with carditis.

Question 2 of 5

A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?

Correct Answer: C

Rationale: Myxopapillary ependymomas are common in the conus medullaris and filum terminale region.

Question 3 of 5

Two weeks after a viral syndrome, a 9-year-old girl presents to your clinic with a complaint of several days of drooping of her mouth. In addition to the drooping of the left side of her mouth, you note that she is unable to completely shut her left eye. Her smile is asymmetric, but her examination is otherwise normal. This girl likely has:

Correct Answer: E

Rationale: Bell palsy is the most common cause of acute facial nerve paralysis in children and typically follows a viral illness. It is characterized by unilateral facial weakness without other neurological deficits.

Question 4 of 5

In Acute Leukemia, which of the following is a bad prognostic criterion:

Correct Answer: B

Rationale: High leukocyte count (>50,000) at diagnosis indicates aggressive disease and poor prognosis. Other poor prognostic factors include CNS involvement and very young or old age at diagnosis.

Question 5 of 5

Which treatment option is recommended for the patient in Question 29?

Correct Answer: A

Rationale: Oral antihistamines are the first-line treatment for acute urticaria to relieve itching and reduce hives.

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