What is the most appropriate referral for a 13-year-old adolescent with fatigue, low blood pressure, and hypokalemia?

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Question 1 of 5

What is the most appropriate referral for a 13-year-old adolescent with fatigue, low blood pressure, and hypokalemia?

Correct Answer: C

Rationale: Given the severity of symptoms like hypokalemia and low blood pressure, immediate referral to the hospital for comprehensive investigations is necessary before considering psychiatric or dietary interventions.

Question 2 of 5

Which common sugar does the clinitest screen not detect?

Correct Answer: B

Rationale: Clinitest screens detect glucose, galactose, and sucrose but not fructose, as it requires a different enzymatic reaction for detection.

Question 3 of 5

All the following are common features of postinfectious arthritis or reactive arthritis EXCEPT

Correct Answer: D

Rationale: Spondyloarthritis is not a causative agent but a related condition.

Question 4 of 5

A 4-year-old boy ingests a large dose of aspirin. What is the most appropriate therapy to maximize urinary excretion?

Correct Answer: D

Rationale: Urinary alkalinization with sodium bicarbonate increases aspirin elimination by ion trapping, reducing toxicity.

Question 5 of 5

Which of the following is a characteristic feature of systemic sclerosis?

Correct Answer: A

Rationale: Raynaud's phenomenon, characterized by vasospasm in response to cold or stress, is a common feature of systemic sclerosis.

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