Which of the following is a likely cause of metabolic acidosis with a large anion gap?

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Question 1 of 5

Which of the following is a likely cause of metabolic acidosis with a large anion gap?

Correct Answer: C

Rationale: Salicylate poisoning leads to metabolic acidosis with a high anion gap due to the accumulation of organic acids, including lactate and ketoacids. It initially causes respiratory alkalosis, followed by metabolic acidosis.

Question 2 of 5

The appropriate therapy of severe obstructive sleep apnea syndrome is

Correct Answer: A

Rationale: Adenotonsillectomy is the first-line treatment for severe obstructive sleep apnea in children with enlarged tonsils and adenoids.

Question 3 of 5

A 7-year-old child brought by his father to your clinic often expresses fear of being injured by a car accident during transport to school. He expresses this fear to teachers and parents. Of the following, the TRUE description of his reaction is

Correct Answer: C

Rationale: Separation anxiety involves excessive fear or anxiety about separation from home or attachment figures, which fits the scenario.

Question 4 of 5

Generalized edema may be seen in the neonatal period with the following conditions EXCEPT

Correct Answer: B

Rationale: Turner syndrome typically presents with lymphedema rather than generalized edema. Hydrops fetalis, congenital nephrosis, and Hurler syndrome are all associated with significant fluid retention and generalized edema.

Question 5 of 5

Features suggestive of minor manifestation of acute rheumatic fever include

Correct Answer: C

Rationale: Minor criteria include arthralgia (joint pain without objective findings), fever, elevated acute phase reactants, and prolonged PR interval on ECG.

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