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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, Test Bank For Pediatrics 19th Edition By Nelson 2025.
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Which phase of Kawasaki disease is associated with coronary aneurysms?
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A. Acute febrile phase ee ee
B. Subacute phase ee
C. Convalescent phase ee
D. Phase of complications ee ee
E. All of the above - ANSWER - 1 B.
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Kawasaki disease presents with characteristically high, unremitting fever and 4 out of the 5
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principal features:
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Bilateral nonexudative bulbar conjunctival injection with limbal sparing;
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Erythema of the oral and pharyngeal mucosa with strawberry tongue and dry, cracked lips;
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Edema and erythema of the hands and feet;
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Rash of various forms (scarlatiniform, maculopapular, erythema multiforme);
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Nonsuppurative cervical lymphadenopathy (usually unilateral, with node size >1.5cm). Acute
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febrile phase - fever and the acute signs of illness and usually lasts 1-2wks
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Subacute febrile phase - desquamation, thrombocytosis, coronary aneurysms and highest
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risk of sudden death usually lasts 2 wks
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Convalescent phase - All clinical signs have disappeared until ESR normalizes typically 6- ee ee ee ee ee ee ee ee ee ee ee ee
e 8wks after onset on illness
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Source: Nelson's Textbook of Pediatrics 19th edition p864
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A four year old presents with low-grade fever, intermittent crampy abdominal pain with
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emesis and swollen knees of 3 days duration. A purpuric rash distributed below the knees of
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both lower extremities is noted on physical examination. This patient most likely has:
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A. Meningococcemia
B. Idiopathic thrombocytopenic purpura ee ee
C. Henoch-Scholein purpura ee
D. SLE E. Juvenile Rheumatoid arthritis - ANSWER - 2 C.
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HSP is a common vasculitis among children and presents with the classic findings of
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abdominal pain with or without rectal bleeding, vasculitis rash, arthritis and nephritis. The
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platelet count is normal. Gastrointestinal involvement may progress to intussusception.
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Source: Nelson's Textbook of Pediatrics 19th edition p868
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A 3 year old female presents with 1 week history of daily (quotidian) fever associated with
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arthritis of both ankles and her right knee. Her mother notes that she has decreased activity
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Test Bank For Pediatrics 19th Edition By Nelson 2025.ee ee ee ee ee ee ee ee
, Test Bank For Pediatrics 19th Edition By Nelson 2025.
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and also notes rashes that come and go in different parts of her body but not on the face. On
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physical examination, salmon colored patches were noted on the trunk and extremities.
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Palpation revealed splenomegaly. What is the diagnosis?
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A. Henoch Schoenlein Purpura ee ee
B. Systemic Lupus Erythematosus ee ee
C. Juvenile Rheumatoid arthritis ee ee
D. Juvenile Dermatomyositis ee
E. Dengue fever - ANSWER - 3 C. ee ee ee ee ee ee
Don't forget to study rheumatic diseases of childhood even if it's not your favorite topic.
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Familiarize yourself with the relatively common ones like JRA, SLE and dermatomyositis,
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HSP and scleroderma. Pay attention to the characteristics of the rash and other
e e e e e e e e e e e e e e ee e e e e e e e e e e
features. (Don't fall for the trap of rash + arthritis = SLE.. It's not always SLE!)
e e ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
JRA - Salmon colored patch, evanescent, spares the face SLE
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- Malar rash, photosensitive
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Dermatomyositis - heliotrope (periorbital) rash, gottron papules (rash on the knuckles) ee ee ee ee ee ee ee ee ee ee
HSP - purpura in dependent portions
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For JRA, know the differences between subtypes (oligoarticular vs polyarticular vs systemic
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onset)
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This case in particular is a case of systemic onset Juvenile Rheumatoid arthritis (also called
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Still's Disease)
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Source: Nelson's Textbook of Pediatrics 19th edition p830
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A 4 yr old boy presents with his third episode of painful cervical lymphadenitis. Each was
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treated with incision and drainage and grew S. aureus. He also experiences recurrent skin
ee ee ee ee ee ee ee ee ee ee ee ee ee ee
infections. A year ago, he was hospitalized for osteomyelitis. The most important laboratory
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test is:
ee ee
A. PCR for ADA deficiency ee ee ee
B. Nitroblue tetrazolium test ee ee
C. MAC-I assay ee
D. Neutrophil count ee
E. Genetic chromosomal analysis - ANSWER - 4 B. This is a case of chronic granulomatous
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disease (CGD) wherein patients are susceptible to catalase positive organisms like S. aureus.
ee ee ee ee ee ee ee ee ee ee ee ee ee
The nitroblue tetrazolium tests the neutrophils ability to generate superoxide anion and thus
ee ee ee ee ee ee ee ee ee ee ee ee ee
kill ingested bacteria.
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Source: Nelson's Textbook of Pediatrics 19th edition p746
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Test Bank For Pediatrics 19th Edition By Nelson 2025.
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, Test Bank For Pediatrics 19th Edition By Nelson 2025.
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Which among the following is not a prominent feature of Wiskott-Aldrich syndrome?
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A. X-linked recessive inheritance ee ee
B. Atopic dermatitis ee
C. Thrombocytopenia
D. Recurrent infections with encapsulated bacteria ee ee ee ee
E. Leukopenia - ANSWER - 5 E. ee ee ee ee ee
Note: The prominent immunologic impairment in Wiskott Aldrich Syndrome is
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against polysaccharides of encapsulated organisms
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Source: Nelson's Textbook of Pediatrics 19th edition p734
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A 12 year old seeks consult for 1 day history of sneezing, clear rhinorrhea and nasal itching
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not associated with fever or any other systemic symptoms. PE reveals boggy, pale nasal
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edema with a clear discharge. The most likely diagnosis is?
ee ee ee ee ee ee ee ee ee ee
A. Foreign body ee
B. Vasomotor rhinitis ee
C. Allergic rhinitis ee
D. Neutrophilic rhinitis ee
E. Rhinitis medicamentosa - ANSWER - 6 C. ee ee ee ee ee ee
Allergic rhinitis is often seasonal and associated with allergic conjunctivitis.
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Eosinophils predominate in the nasal secretions. It is classified as:
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Seasonal (cyclical) or perennial (all year)
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Intermittent (symptoms occur <4 days per week or <4 consecutive weeks) or e e e e e e e e e e e e e e e e e e e e e e
persistent (symptoms occur >4 days per week or >4 consecutive weeks)
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Mild-moderate (no impairment) or severe (with impairment of daily living/sleep) Source: ee ee ee ee ee ee ee ee ee ee
Nelson's Textbook of Pediatrics 19th edition p775
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The Kasai procedure is indicated for which of the following?
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A. Neonatal hepatitis ee
B. Biliary atresia ee
C. Metabolic liver disease ee ee
D. Fulminant hepatic failure ee ee
E. None of the above - ANSWER - 7 B.
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Despite initial success of the Kasai operation, patients with biliary atresia eventually get liver
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transplantation.
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Source: Nelson's Textbook of Pediatrics 19th edition 1387
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Test Bank For Pediatrics 19th Edition By Nelson 2025.
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ee ee ee ee ee ee ee ee
Test Bank For Pediatrics 19th Edition By Nelson 2024.
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, Test Bank For Pediatrics 19th Edition By Nelson 2025.
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Which phase of Kawasaki disease is associated with coronary aneurysms?
ee ee ee ee ee ee ee ee ee
A. Acute febrile phase ee ee
B. Subacute phase ee
C. Convalescent phase ee
D. Phase of complications ee ee
E. All of the above - ANSWER - 1 B.
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Kawasaki disease presents with characteristically high, unremitting fever and 4 out of the 5
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principal features:
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Bilateral nonexudative bulbar conjunctival injection with limbal sparing;
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Erythema of the oral and pharyngeal mucosa with strawberry tongue and dry, cracked lips;
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Edema and erythema of the hands and feet;
ee ee ee ee ee ee ee ee
Rash of various forms (scarlatiniform, maculopapular, erythema multiforme);
ee ee ee ee ee ee ee
Nonsuppurative cervical lymphadenopathy (usually unilateral, with node size >1.5cm). Acute
ee ee ee ee ee ee ee ee ee ee
febrile phase - fever and the acute signs of illness and usually lasts 1-2wks
ee ee ee ee ee ee ee ee ee ee ee ee ee ee
Subacute febrile phase - desquamation, thrombocytosis, coronary aneurysms and highest
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risk of sudden death usually lasts 2 wks
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Convalescent phase - All clinical signs have disappeared until ESR normalizes typically 6- ee ee ee ee ee ee ee ee ee ee ee ee
e 8wks after onset on illness
e ee ee ee ee
Source: Nelson's Textbook of Pediatrics 19th edition p864
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A four year old presents with low-grade fever, intermittent crampy abdominal pain with
ee ee ee ee ee ee ee ee ee ee ee ee
emesis and swollen knees of 3 days duration. A purpuric rash distributed below the knees of
ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
both lower extremities is noted on physical examination. This patient most likely has:
ee ee ee ee ee ee ee ee ee ee ee ee ee
A. Meningococcemia
B. Idiopathic thrombocytopenic purpura ee ee
C. Henoch-Scholein purpura ee
D. SLE E. Juvenile Rheumatoid arthritis - ANSWER - 2 C.
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HSP is a common vasculitis among children and presents with the classic findings of
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abdominal pain with or without rectal bleeding, vasculitis rash, arthritis and nephritis. The
ee ee ee ee ee ee ee ee ee ee ee ee ee
platelet count is normal. Gastrointestinal involvement may progress to intussusception.
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Source: Nelson's Textbook of Pediatrics 19th edition p868
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A 3 year old female presents with 1 week history of daily (quotidian) fever associated with
ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
arthritis of both ankles and her right knee. Her mother notes that she has decreased activity
ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
Test Bank For Pediatrics 19th Edition By Nelson 2025.ee ee ee ee ee ee ee ee
, Test Bank For Pediatrics 19th Edition By Nelson 2025.
ee ee ee ee ee ee ee ee
and also notes rashes that come and go in different parts of her body but not on the face. On
ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
physical examination, salmon colored patches were noted on the trunk and extremities.
ee ee ee ee ee ee ee ee ee ee ee ee
Palpation revealed splenomegaly. What is the diagnosis?
ee ee ee ee ee ee ee
A. Henoch Schoenlein Purpura ee ee
B. Systemic Lupus Erythematosus ee ee
C. Juvenile Rheumatoid arthritis ee ee
D. Juvenile Dermatomyositis ee
E. Dengue fever - ANSWER - 3 C. ee ee ee ee ee ee
Don't forget to study rheumatic diseases of childhood even if it's not your favorite topic.
ee ee ee ee ee ee ee ee ee ee ee ee ee ee
Familiarize yourself with the relatively common ones like JRA, SLE and dermatomyositis,
ee ee ee ee ee ee ee ee ee ee e e ee
HSP and scleroderma. Pay attention to the characteristics of the rash and other
e e e e e e e e e e e e e e ee e e e e e e e e e e
features. (Don't fall for the trap of rash + arthritis = SLE.. It's not always SLE!)
e e ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
JRA - Salmon colored patch, evanescent, spares the face SLE
ee ee ee ee ee ee ee ee ee
- Malar rash, photosensitive
ee ee ee ee
Dermatomyositis - heliotrope (periorbital) rash, gottron papules (rash on the knuckles) ee ee ee ee ee ee ee ee ee ee
HSP - purpura in dependent portions
ee ee ee ee ee ee
For JRA, know the differences between subtypes (oligoarticular vs polyarticular vs systemic
ee ee ee ee ee ee ee ee ee ee ee
onset)
ee
This case in particular is a case of systemic onset Juvenile Rheumatoid arthritis (also called
ee ee ee ee ee ee ee ee ee ee ee ee ee ee
Still's Disease)
ee ee
Source: Nelson's Textbook of Pediatrics 19th edition p830
ee ee ee ee ee ee ee
A 4 yr old boy presents with his third episode of painful cervical lymphadenitis. Each was
ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
treated with incision and drainage and grew S. aureus. He also experiences recurrent skin
ee ee ee ee ee ee ee ee ee ee ee ee ee ee
infections. A year ago, he was hospitalized for osteomyelitis. The most important laboratory
ee ee ee ee ee ee ee ee ee ee ee ee ee
test is:
ee ee
A. PCR for ADA deficiency ee ee ee
B. Nitroblue tetrazolium test ee ee
C. MAC-I assay ee
D. Neutrophil count ee
E. Genetic chromosomal analysis - ANSWER - 4 B. This is a case of chronic granulomatous
ee ee ee ee ee ee ee ee ee ee ee ee ee ee
disease (CGD) wherein patients are susceptible to catalase positive organisms like S. aureus.
ee ee ee ee ee ee ee ee ee ee ee ee ee
The nitroblue tetrazolium tests the neutrophils ability to generate superoxide anion and thus
ee ee ee ee ee ee ee ee ee ee ee ee ee
kill ingested bacteria.
ee ee ee
Source: Nelson's Textbook of Pediatrics 19th edition p746
ee ee ee ee ee ee ee
Test Bank For Pediatrics 19th Edition By Nelson 2025.
ee ee ee ee ee ee ee ee
, Test Bank For Pediatrics 19th Edition By Nelson 2025.
ee ee ee ee ee ee ee ee
Which among the following is not a prominent feature of Wiskott-Aldrich syndrome?
ee ee ee ee ee ee ee ee ee ee ee
A. X-linked recessive inheritance ee ee
B. Atopic dermatitis ee
C. Thrombocytopenia
D. Recurrent infections with encapsulated bacteria ee ee ee ee
E. Leukopenia - ANSWER - 5 E. ee ee ee ee ee
Note: The prominent immunologic impairment in Wiskott Aldrich Syndrome is
e e e e e e e e e e e e e e e e e e
against polysaccharides of encapsulated organisms
e e ee ee ee ee
Source: Nelson's Textbook of Pediatrics 19th edition p734
ee ee ee ee ee ee ee
A 12 year old seeks consult for 1 day history of sneezing, clear rhinorrhea and nasal itching
ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee
not associated with fever or any other systemic symptoms. PE reveals boggy, pale nasal
ee ee ee ee ee ee ee ee ee ee ee ee ee ee
edema with a clear discharge. The most likely diagnosis is?
ee ee ee ee ee ee ee ee ee ee
A. Foreign body ee
B. Vasomotor rhinitis ee
C. Allergic rhinitis ee
D. Neutrophilic rhinitis ee
E. Rhinitis medicamentosa - ANSWER - 6 C. ee ee ee ee ee ee
Allergic rhinitis is often seasonal and associated with allergic conjunctivitis.
e e e e e e e e e e e e e e e e e e
Eosinophils predominate in the nasal secretions. It is classified as:
e e ee ee ee ee ee ee ee ee ee
Seasonal (cyclical) or perennial (all year)
ee ee ee ee ee
Intermittent (symptoms occur <4 days per week or <4 consecutive weeks) or e e e e e e e e e e e e e e e e e e e e e e
persistent (symptoms occur >4 days per week or >4 consecutive weeks)
e e ee ee ee ee ee ee ee ee ee ee
Mild-moderate (no impairment) or severe (with impairment of daily living/sleep) Source: ee ee ee ee ee ee ee ee ee ee
Nelson's Textbook of Pediatrics 19th edition p775
ee ee ee ee ee ee ee
The Kasai procedure is indicated for which of the following?
ee ee ee ee ee ee ee ee ee
A. Neonatal hepatitis ee
B. Biliary atresia ee
C. Metabolic liver disease ee ee
D. Fulminant hepatic failure ee ee
E. None of the above - ANSWER - 7 B.
ee ee ee ee ee ee ee ee
Despite initial success of the Kasai operation, patients with biliary atresia eventually get liver
ee ee ee ee ee ee ee ee ee ee ee ee ee
transplantation.
ee
Source: Nelson's Textbook of Pediatrics 19th edition 1387
ee ee ee ee ee ee ee
Test Bank For Pediatrics 19th Edition By Nelson 2025.
ee ee ee ee ee ee ee ee
