The mother of an 8-year-old boy with acute streptococcal tonsillitis calls to report that within 15 minutes after the first dose of penicillin V... You should recommend

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Question 1 of 5

The mother of an 8-year-old boy with acute streptococcal tonsillitis calls to report that within 15 minutes after the first dose of penicillin V... You should recommend

Correct Answer: B

Rationale: Immediate return to the office or ER is necessary due to the risk of anaphylaxis from penicillin allergy.

Question 2 of 5

A term newborn presents with jaundice and a total bilirubin level of 20 mg/dL. Which treatment is most appropriate?

Correct Answer: C

Rationale: Phototherapy is the first-line treatment for neonatal jaundice with high bilirubin levels, as it converts bilirubin into a water-soluble form for excretion. Exchange transfusion is reserved for severe cases with signs of kernicterus.

Question 3 of 5

The risk of developing infective endocarditis is the least in a patient with:

Correct Answer: D

Rationale: Large atrial septal defects do not cause turbulent flow near valves or endocardial surfaces, making them less prone to infective endocarditis compared to other defects like VSD, which promote bacterial seeding.

Question 4 of 5

Which of the following is a common feature of Takayasu arteritis?

Correct Answer: D

Rationale: Takayasu arteritis can cause pulselessness, hypertension, and fatigue due to large-vessel inflammation, making 'All of the above' the correct answer.

Question 5 of 5

Which of the following behaviors indicates that an infant has developed object permanence?

Correct Answer: C

Rationale: During the first 6 months of life, infants believe that objects exist only as long as they can see them. When infants

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