Which of the following is an index of poor outcome in fulminant hepatitis

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Question 1 of 5

Which of the following is an index of poor outcome in fulminant hepatitis

Correct Answer: B

Rationale: A prolonged prothrombin time unresponsive to vitamin K suggests severe hepatic synthetic dysfunction and is a poor prognostic indicator in fulminant hepatitis.

Question 2 of 5

The MOST common reported adverse effect of first-generation antihistamines is

Correct Answer: A

Rationale: First-generation antihistamines cross the blood-brain barrier and commonly cause sedation.

Question 3 of 5

One of the following is not included in the definition of the systemic inflammatory response (SIRS) in neonates and pediatric patients

Correct Answer: D

Rationale: Perfusion abnormalities are not part of the traditional SIRS criteria, which focus on temperature, WBC count, respiratory rate, and heart rate.

Question 4 of 5

A 15-year-old female presented with delusions, paranoia, tachycardia, hypertension, hyperpyrexia, diaphoresis, piloerection, mydriasis, hyperreflexia, seizures, hypotension, and dysrhythmia. The MOST likely cause is

Correct Answer: B

Rationale: Amphetamine intoxication matches these symptoms, including autonomic hyperactivity, psychosis, and cardiovascular effects.

Question 5 of 5

The exposure to which of the following early in childhood protects against the development of atopy

Correct Answer: D

Rationale: Early exposure to dogs has been linked to a reduced risk of atopy, possibly due to microbial diversity exposure that modulates immune responses. Other exposures listed do not provide protection.

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