Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
Which@phase@of@Kawasaki@disease@is@associated@with@coronary@aneurysms?
A. Acute@febrile@phase
B. Subacute@phase
C. Convalescent@phase
D. Phase@of@complications
E. All@of@the@above@-@ANSWER@-@1@B.
Kawasaki@disease@presents@with@characteristically@high,@unremitting@fever@and@4@out@of@the@
5@principal@features:
Bilateral@nonexudative@bulbar@conjunctival@injection@with@limbal@sparing;
Erythema@of@the@oral@and@pharyngeal@mucosa@with@strawberry@tongue@and@dry,@cracked@
lips;@Edema@and@erythema@of@the@hands@and@feet;
Rash@of@various@forms@(scarlatiniform,@maculopapular,@erythema@multiforme);@Nonsuppu
rative@cervical@lymphadenopathy@(usually@unilateral,@with@node@size@>1.5cm).@Acute@febril
e@phase@-@fever@and@the@acute@signs@of@illness@and@usually@lasts@1-2wks
Subacute@febrile@phase@-
@desquamation,@thrombocytosis,@coronary@aneurysms@and@highest@risk@of@sudden@death@u
sually@lasts@2@wks
Convalescent@phase@-
@All@clinical@signs@have@disappeared@until@ESR@normalizes@typically@6-
@ 8wks@after@onset@on@illness
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p864
A@four@year@old@presents@with@low-
grade@fever,@intermittent@crampy@abdominal@pain@with@emesis@and@swollen@knees@of@3@d
ays@duration.@A@purpuric@rash@distributed@below@the@knees@of@both@lower@extremities@is@
noted@on@physical@examination.@This@patient@most@likely@has:
A. Meningococcemia
B. Idiopathic@thrombocytopenic@purpura
C. Henoch-Scholein@purpura
D. SLE@E.@Juvenile@Rheumatoid@arthritis@-@ANSWER@-@2@C.
HSP@is@a@common@vasculitis@among@children@and@presents@with@the@classic@findings@of@a
bdominal@pain@with@or@without@rectal@bleeding,@vasculitis@rash,@arthritis@and@nephritis.@T
he@platelet@count@is@normal.@Gastrointestinal@involvement@may@progress@to@intussuscepti
on.
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p868
A@3@year@old@female@presents@with@1@week@history@of@daily@(quotidian)@fever@associated@
,with@arthritis@of@both@ankles@and@her@right@knee.@Her@mother@notes@that@she@has@decreas
ed@activity
Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
and@also@notes@rashes@that@come@and@go@in@different@parts@of@her@body@but@not@on@the@fa
ce.@On@physical@examination,@salmon@colored@patches@were@noted@on@the@trunk@and@extr
emities.@Palpation@revealed@splenomegaly.@What@is@the@diagnosis?
A. Henoch@Schoenlein@Purpura
B. Systemic@Lupus@Erythematosus
C. Juvenile@Rheumatoid@arthritis
D. Juvenile@Dermatomyositis
E. Dengue@fever@-@ANSWER@-@3@C.
Don't@forget@to@study@rheumatic@diseases@of@childhood@even@if@it's@not@your@favorite@topic
.@Familiarize@yourself@with@the@relatively@common@ones@like@JRA,@SLE@ and@dermatomyosi
tis,@ HSP@ and@ scleroderma.@ Pay@ attention@ to@ the@characteristics@ of@ the@ rash@ and@ other@ f
eatures.@(Don't@fall@for@the@trap@of@rash@+@arthritis@=@SLE..@It's@not@always@SLE!)
JRA@-
@Salmon@colored@patch,@evanescent,@spares@the@face@SLE@
-@Malar@rash,@photosensitive
Dermatomyositis@-
@heliotrope@(periorbital)@rash,@gottron@papules@(rash@on@the@knuckles)@HSP@-
@purpura@in@dependent@portions
For@JRA,@know@the@differences@between@subtypes@(oligoarticular@vs@polyarticular@vs@systemic
@onset)
This@case@in@particular@is@a@case@of@systemic@onset@Juvenile@Rheumatoid@arthritis@(also@calle
d@Still's@Disease)
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p830
A@4@yr@old@boy@presents@with@his@third@episode@of@painful@cervical@lymphadenitis.@Each@
was@treated@with@incision@and@drainage@and@grew@S.@aureus.@He@also@experiences@recurr
ent@skin@infections.@A@year@ago,@he@was@hospitalized@for@osteomyelitis.@The@most@importa
nt@laboratory@test@is:
A. PCR@for@ADA@deficiency
B. Nitroblue@tetrazolium@test
C. MAC-I@assay
D. Neutrophil@count
E. Genetic@chromosomal@analysis@-@ANSWER@-
@4@B.@This@is@a@case@of@chronic@granulomatous@disease@(CGD)@wherein@patients@are@susce
ptible@to@catalase@positive@organisms@like@S.@aureus.@The@nitroblue@tetrazolium@tests@the@n
eutrophils@ability@to@generate@superoxide@anion@and@thus@kill@ingested@bacteria.
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p746
Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
@ @ @ @ @ @ @ @
Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
Which@phase@of@Kawasaki@disease@is@associated@with@coronary@aneurysms?
A. Acute@febrile@phase
B. Subacute@phase
C. Convalescent@phase
D. Phase@of@complications
E. All@of@the@above@-@ANSWER@-@1@B.
Kawasaki@disease@presents@with@characteristically@high,@unremitting@fever@and@4@out@of@the@
5@principal@features:
Bilateral@nonexudative@bulbar@conjunctival@injection@with@limbal@sparing;
Erythema@of@the@oral@and@pharyngeal@mucosa@with@strawberry@tongue@and@dry,@cracked@
lips;@Edema@and@erythema@of@the@hands@and@feet;
Rash@of@various@forms@(scarlatiniform,@maculopapular,@erythema@multiforme);@Nonsuppu
rative@cervical@lymphadenopathy@(usually@unilateral,@with@node@size@>1.5cm).@Acute@febril
e@phase@-@fever@and@the@acute@signs@of@illness@and@usually@lasts@1-2wks
Subacute@febrile@phase@-
@desquamation,@thrombocytosis,@coronary@aneurysms@and@highest@risk@of@sudden@death@u
sually@lasts@2@wks
Convalescent@phase@-
@All@clinical@signs@have@disappeared@until@ESR@normalizes@typically@6-
@ 8wks@after@onset@on@illness
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p864
A@four@year@old@presents@with@low-
grade@fever,@intermittent@crampy@abdominal@pain@with@emesis@and@swollen@knees@of@3@d
ays@duration.@A@purpuric@rash@distributed@below@the@knees@of@both@lower@extremities@is@
noted@on@physical@examination.@This@patient@most@likely@has:
A. Meningococcemia
B. Idiopathic@thrombocytopenic@purpura
C. Henoch-Scholein@purpura
D. SLE@E.@Juvenile@Rheumatoid@arthritis@-@ANSWER@-@2@C.
HSP@is@a@common@vasculitis@among@children@and@presents@with@the@classic@findings@of@a
bdominal@pain@with@or@without@rectal@bleeding,@vasculitis@rash,@arthritis@and@nephritis.@T
he@platelet@count@is@normal.@Gastrointestinal@involvement@may@progress@to@intussuscepti
on.
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p868
A@3@year@old@female@presents@with@1@week@history@of@daily@(quotidian)@fever@associated@
,with@arthritis@of@both@ankles@and@her@right@knee.@Her@mother@notes@that@she@has@decreas
ed@activity
Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
and@also@notes@rashes@that@come@and@go@in@different@parts@of@her@body@but@not@on@the@fa
ce.@On@physical@examination,@salmon@colored@patches@were@noted@on@the@trunk@and@extr
emities.@Palpation@revealed@splenomegaly.@What@is@the@diagnosis?
A. Henoch@Schoenlein@Purpura
B. Systemic@Lupus@Erythematosus
C. Juvenile@Rheumatoid@arthritis
D. Juvenile@Dermatomyositis
E. Dengue@fever@-@ANSWER@-@3@C.
Don't@forget@to@study@rheumatic@diseases@of@childhood@even@if@it's@not@your@favorite@topic
.@Familiarize@yourself@with@the@relatively@common@ones@like@JRA,@SLE@ and@dermatomyosi
tis,@ HSP@ and@ scleroderma.@ Pay@ attention@ to@ the@characteristics@ of@ the@ rash@ and@ other@ f
eatures.@(Don't@fall@for@the@trap@of@rash@+@arthritis@=@SLE..@It's@not@always@SLE!)
JRA@-
@Salmon@colored@patch,@evanescent,@spares@the@face@SLE@
-@Malar@rash,@photosensitive
Dermatomyositis@-
@heliotrope@(periorbital)@rash,@gottron@papules@(rash@on@the@knuckles)@HSP@-
@purpura@in@dependent@portions
For@JRA,@know@the@differences@between@subtypes@(oligoarticular@vs@polyarticular@vs@systemic
@onset)
This@case@in@particular@is@a@case@of@systemic@onset@Juvenile@Rheumatoid@arthritis@(also@calle
d@Still's@Disease)
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p830
A@4@yr@old@boy@presents@with@his@third@episode@of@painful@cervical@lymphadenitis.@Each@
was@treated@with@incision@and@drainage@and@grew@S.@aureus.@He@also@experiences@recurr
ent@skin@infections.@A@year@ago,@he@was@hospitalized@for@osteomyelitis.@The@most@importa
nt@laboratory@test@is:
A. PCR@for@ADA@deficiency
B. Nitroblue@tetrazolium@test
C. MAC-I@assay
D. Neutrophil@count
E. Genetic@chromosomal@analysis@-@ANSWER@-
@4@B.@This@is@a@case@of@chronic@granulomatous@disease@(CGD)@wherein@patients@are@susce
ptible@to@catalase@positive@organisms@like@S.@aureus.@The@nitroblue@tetrazolium@tests@the@n
eutrophils@ability@to@generate@superoxide@anion@and@thus@kill@ingested@bacteria.
Source:@Nelson's@Textbook@of@Pediatrics@19th@edition@p746
Test Bank For Pediatrics 19th Edition By Nelson 2024.
@ @ @ @ @ @ @ @
