The absence of dermal symptoms does not exclude anaphylaxis, because patients who present with cutaneous symptoms (urticaria, angioedema, flushing, warmth) are

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Question 1 of 5

The absence of dermal symptoms does not exclude anaphylaxis, because patients who present with cutaneous symptoms (urticaria, angioedema, flushing, warmth) are

Correct Answer: B

Rationale: Approximately 90% of anaphylaxis cases present with cutaneous symptoms.

Question 2 of 5

A normal platelet count with prolonged bleeding time is seen in:

Correct Answer: B

Rationale: Von Willebrand disease leads to prolonged bleeding time due to defective platelet adhesion despite a normal platelet count.

Question 3 of 5

Retinal hemorrhages are an important marker of abusive head trauma (AHT). Whenever AHT is being considered, a dilated indirect eye examination by a pediatric ophthalmologist should be performed. All the following are characteristic of retinal hemorrhage caused by AHT EXCEPT

Correct Answer: D

Rationale: Various sizes are characteristic of AHT-related retinal hemorrhages. Central involvement and multiple layers are also typical, whereas traumatic retinoschisis is not commonly seen in AHT.

Question 4 of 5

Regarding sodium homeostasis, what is the volume of distribution of sodium?

Correct Answer: D

Rationale: Sodium is primarily distributed in extracellular fluid, with a volume of distribution of about 0.6 times total body weight, including interstitial and intravascular compartments.

Question 5 of 5

Initial treatment of rheumatic fever with severe carditis and congestive heart failure includes all of the following Except:

Correct Answer: C

Rationale: Aspirin is used primarily for arthritis in RF but is not a first-line treatment for severe carditis with CHF.

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