The recognition of allergic rhinitis as a major chronic respiratory disease of children rests largely on all the following features EXCEPT

Correct Answer: E

Rationale: Allergic rhinitis is uncommon in infancy. It usually develops later in childhood as the immune system matures and exposure to allergens occurs. The other options contribute to its recognition as a major chronic disease.

Correct Answer: A

Rationale: History alone is not always reliable. Many cases of F.B. aspiration present with subtle or delayed symptoms, requiring imaging and bronchoscopy for confirmation.

Correct Answer: D

Rationale: Naproxen has shown higher risks for long-term use due to its effects on the gastrointestinal tract and potential cardiovascular complications.

Correct Answer: B

Rationale: Abdominal masses are the most frequent clinical presentation in pediatric Non-Hodgkin lymphoma, often due to involvement of the intestines or lymphatic tissue.

Correct Answer: A

Rationale: Bite marks are relatively rare, occurring in only about 5% of physically abused children. Higher percentages would include broader categories of abuse indicators.