The child with polyarticular JIA often has a more prolonged course of active joint inflammation and requires early and aggressive therapy. Of the following, the predictor that carries the WORST prognosis is

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Question 1 of 5

The child with polyarticular JIA often has a more prolonged course of active joint inflammation and requires early and aggressive therapy. Of the following, the predictor that carries the WORST prognosis is

Correct Answer: D

Rationale: Nodules indicate more severe disease and carry a worse prognosis.

Question 2 of 5

Vitamin A supplementation given largely to infants < 1,000 g resulted in all the following EXCEPT

Correct Answer: D

Rationale: Vitamin A supplementation reduces BPD and sepsis but does not significantly impact the need for ECMO. The other options are benefits of vitamin A supplementation.

Question 3 of 5

Food protein-induced enterocolitis syndrome is characterized by all the following EXCEPT

Correct Answer: D

Rationale: Soy protein-based formula can also trigger symptoms in food protein-induced enterocolitis syndrome, making it a poor treatment choice.

Question 4 of 5

Early sign of shock is:

Correct Answer: D

Rationale: Tachycardia is an early compensatory response in shock to maintain perfusion before blood pressure drops.

Question 5 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.

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