What is the most important serious side effect that parents should be warned about before commencing atomoxetine?

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Question 1 of 5

What is the most important serious side effect that parents should be warned about before commencing atomoxetine?

Correct Answer: D

Rationale: Atomoxetine has been associated with an increased risk of suicidal ideation, particularly in children and adolescents.

Question 2 of 5

A 3-month-old precious baby of a keen and highly educated family presented with history of URTI followed by deterioration of level of consciousness and seizure. CT brain shows intracranial bleeding with no evidence of skull fracture. Fundoscopy was normal. Mother gives history of difficult labor but with normal development, mild hypotonia, and macrocephaly which was reassured initially by general Pediatrician. Of the following, the MOST likely diagnosis is

Correct Answer: D

Rationale: Abusive head trauma (AHT) is more likely given the absence of skull fracture, normal fundoscopy, and clinical presentation post-URTI. Residual birth trauma and glutaric aciduria type 1 are less plausible without additional supportive findings.

Question 3 of 5

Ahmed is a 7-year-old boy with recent history of migratory polyarthritis, newly heard apical pansystolic murmur, arthralgia, positive acute phase reactants, and ASOT of 500 units. Regarding diagnosis of rheumatic fever the boy is considered to have

Correct Answer: B

Rationale: According to Jones criteria, the presence of two major or one major and two minor criteria supports a diagnosis of rheumatic fever. The patient has polyarthritis and carditis (major) along with arthralgia and elevated inflammatory markers (minor).

Question 4 of 5

What is the primary treatment goal in managing Systemic Lupus Erythematosus?

Correct Answer: D

Rationale: The management of SLE involves reducing symptoms, preventing flares, and improving quality of life, making 'All of the above' the best choice.

Question 5 of 5

Physiological responses to serious illness include an increase in the following Except:

Correct Answer: A

Rationale: Serious illnesses often cause compensatory responses like tachycardia and increased respiratory rate, but blood pressure may not necessarily rise, especially in shock.

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