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Test Bank For Pediatrics 19th Edition By Nelson 2024.
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, Test Bank For Pediatrics 19th Edition By Nelson 2024.
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WhichLphaseLofLKawasakiLdiseaseLisLassociatedLwithLcoronaryLaneurysms?
A. AcuteLfebrileLphase
B. SubacuteLphase
C. ConvalescentLphase
D. PhaseLofLcomplications
E. AllLofLtheLaboveL-LANSWERL-L1LB.
KawasakiLdiseaseLpresentsLwithLcharacteristicallyLhigh,LunremittingLfeverLandL4LoutLofLtheL5Lpri
ncipalLfeatures:
BilateralLnonexudativeLbulbarLconjunctivalLinjectionLwithLlimbalLsparing;
ErythemaLofLtheLoralLandLpharyngealLmucosaLwithLstrawberryLtongueLandLdry,LcrackedLlips;L
EdemaLandLerythemaLofLtheLhandsLandLfeet;
RashLofLvariousLformsL(scarlatiniform,Lmaculopapular,LerythemaLmultiforme);LNonsuppurat
iveLcervicalLlymphadenopathyL(usuallyLunilateral,LwithLnodeLsizeL>1.5cm).LAcuteLfebrileLphas
eL-LfeverLandLtheLacuteLsignsLofLillnessLandLusuallyLlastsL1-2wks
SubacuteLfebrileLphaseL-
Ldesquamation,Lthrombocytosis,LcoronaryLaneurysmsLandLhighestLriskLofLsuddenLdeathLusua
llyLlastsL2Lwks
ConvalescentLphaseL-LAllLclinicalLsignsLhaveLdisappearedLuntilLESRLnormalizesLtypicallyL6-
L 8wksLafterLonsetLonLillness
Source:LNelson'sLTextbookLofLPediatricsL19thLeditionLp864
ALfourLyearLoldLpresentsLwithLlow-
gradeLfever,LintermittentLcrampyLabdominalLpainLwithLemesisLandLswollenLkneesLofL3LdaysLd
uration.LALpurpuricLrashLdistributedLbelowLtheLkneesLofLbothLlowerLextremitiesLisLnotedLonLp
hysicalLexamination.LThisLpatientLmostLlikelyLhas:
A. Meningococcemia
B. IdiopathicLthrombocytopenicLpurpura
C. Henoch-ScholeinLpurpura
D. SLELE.LJuvenileLRheumatoidLarthritisL-LANSWERL-L2LC.
HSPLisLaLcommonLvasculitisLamongLchildrenLandLpresentsLwithLtheLclassicLfindingsLofLabdom
inalLpainLwithLorLwithoutLrectalLbleeding,LvasculitisLrash,LarthritisLandLnephritis.LTheLplatele
tLcountLisLnormal.LGastrointestinalLinvolvementLmayLprogressLtoLintussusception.
Source:LNelson'sLTextbookLofLPediatricsL19thLeditionLp868
AL3LyearLoldLfemaleLpresentsLwithL1LweekLhistoryLofLdailyL(quotidian)LfeverLassociatedLwithL
arthritisLofLbothLanklesLandLherLrightLknee.LHerLmotherLnotesLthatLsheLhasLdecreasedLactivity
Test Bank For Pediatrics 19th Edition By Nelson 2024.
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, Test Bank For Pediatrics 19th Edition By Nelson 2024.
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andLalsoLnotesLrashesLthatLcomeLandLgoLinLdifferentLpartsLofLherLbodyLbutLnotLonLtheLface.LOn
LphysicalLexamination,LsalmonLcoloredLpatchesLwereLnotedLonLtheLtrunkLandLextremities.LPa
lpationLrevealedLsplenomegaly.LWhatLisLtheLdiagnosis?
A. HenochLSchoenleinLPurpura
B. SystemicLLupusLErythematosus
C. JuvenileLRheumatoidLarthritis
D. JuvenileLDermatomyositis
E. DengueLfeverL-LANSWERL-L3LC.
Don'tLforgetLtoLstudyLrheumaticLdiseasesLofLchildhoodLevenLifLit'sLnotLyourLfavoriteLtopic.LFa
miliarizeLyourselfLwithLtheLrelativelyLcommonLonesLlikeLJRA,LSLEL andLdermatomyositis,L HSP
L andL scleroderma.L PayL attentionL toL theLcharacteristicsL ofL theL rashL andL otherL features.L(Do
n'tLfallLforLtheLtrapLofLrashL+LarthritisL=LSLE..LIt'sLnotLalwaysLSLE!)
JRAL-
LSalmonLcoloredLpatch,Levanescent,LsparesLtheLfaceLSLEL-
LMalarLrash,Lphotosensitive
DermatomyositisL-
LheliotropeL(periorbital)Lrash,LgottronLpapulesL(rashLonLtheLknuckles)LHSPL-
LpurpuraLinLdependentLportions
ForLJRA,LknowLtheLdifferencesLbetweenLsubtypesL(oligoarticularLvsLpolyarticularLvsLsystemicLon
set)
ThisLcaseLinLparticularLisLaLcaseLofLsystemicLonsetLJuvenileLRheumatoidLarthritisL(alsoLcalledLStil
l'sLDisease)
Source:LNelson'sLTextbookLofLPediatricsL19thLeditionLp830
AL4LyrLoldLboyLpresentsLwithLhisLthirdLepisodeLofLpainfulLcervicalLlymphadenitis.LEachLwasLtr
eatedLwithLincisionLandLdrainageLandLgrewLS.Laureus.LHeLalsoLexperiencesLrecurrentLskinLinf
ections.LALyearLago,LheLwasLhospitalizedLforLosteomyelitis.LTheLmostLimportantLlaboratoryLte
stLis:
A. PCRLforLADALdeficiency
B. NitroblueLtetrazoliumLtest
C. MAC-ILassay
D. NeutrophilLcount
E. GeneticLchromosomalLanalysisL-LANSWERL-
L4LB.LThisLisLaLcaseLofLchronicLgranulomatousLdiseaseL(CGD)LwhereinLpatientsLareLsusceptible
LtoLcatalaseLpositiveLorganismsLlikeLS.Laureus.LTheLnitroblueLtetrazoliumLtestsLtheLneutrophils
LabilityLtoLgenerateLsuperoxideLanionLandLthusLkillLingestedLbacteria.
Source:LNelson'sLTextbookLofLPediatricsL19thLeditionLp746
Test Bank For Pediatrics 19th Edition By Nelson 2024.
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, Test Bank For Pediatrics 19th Edition By Nelson 2024.
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WhichLamongLtheLfollowingLisLnotLaLprominentLfeatureLofLWiskott-AldrichLsyndrome?
A. X-linkedLrecessiveLinheritance
B. AtopicLdermatitis
C. Thrombocytopenia
D. RecurrentLinfectionsLwithLencapsulatedLbacteria
E. LeukopeniaL-LANSWERL-L5LE.
Note:L TheL prominentL immunologicL impairmentL inL WiskottL AldrichL SyndromeL isL againstLpol
ysaccharidesLofLencapsulatedLorganisms
Source:LNelson'sLTextbookLofLPediatricsL19thLeditionLp734
AL12LyearLoldLseeksLconsultLforL1LdayLhistoryLofLsneezing,LclearLrhinorrheaLandLnasalLitching
LnotLassociatedLwithLfeverLorLanyLotherLsystemicLsymptoms.LPELrevealsLboggy,LpaleLnasalLed
emaLwithLaLclearLdischarge.LTheLmostLlikelyLdiagnosisLis?
A. ForeignLbody
B. VasomotorLrhinitis
C. AllergicLrhinitis
D. NeutrophilicLrhinitis
E. RhinitisLmedicamentosaL-LANSWERL-L6LC.
AllergicL rhinitisL isL oftenL seasonalL andL associatedL withL allergicL conjunctivitis.L EosinophilsLpr
edominateLinLtheLnasalLsecretions.LItLisLclassifiedLas:
SeasonalL(cyclical)LorLperennialL(allLyear)
IntermittentL (symptomsL occurL <4L daysL perL weekL orL <4L consecutiveL weeks)L orL persistentL(sy
mptomsLoccurL>4LdaysLperLweekLorL>4LconsecutiveLweeks)
Mild-
moderateL(noLimpairment)LorLsevereL(withLimpairmentLofLdailyLliving/sleep)LSource:LNel
son'sLTextbookLofLPediatricsL19thLeditionLp775
TheLKasaiLprocedureLisLindicatedLforLwhichLofLtheLfollowing?
A. NeonatalLhepatitis
B. BiliaryLatresia
C. MetabolicLliverLdisease
D. FulminantLhepaticLfailure
E. NoneLofLtheLaboveL-LANSWERL-L7LB.
DespiteLinitialLsuccessLofLtheLKasaiLoperation,LpatientsLwithLbiliaryLatresiaLeventuallyLgetLliverLtra
nsplantation.
Source:LNelson'sLTextbookLofLPediatricsL19thLeditionL1387
Test Bank For Pediatrics 19th Edition By Nelson 2024.
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