Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
WhichmphasemofmKawasakimdiseasemismassociatedmwithmcoronarymaneurysms?
A. Acutemfebrilemphase
B. Subacutemphase
C. Convalescentmphase
D. Phasemofmcomplications
E. Allmofmthemabovem-mANSWERm-m1mB.
Kawasakimdiseasempresentsmwithmcharacteristicallymhigh,munremittingmfevermandm4moutmofmthem5
mprincipalmfeatures:
Bilateralmnonexudativembulbarmconjunctivalminjectionmwithmlimbalmsparing;
Erythemamofmthemoralmandmpharyngealmmucosamwithmstrawberrymtonguemandmdry,mcrackedmli
ps;mEdemamandmerythemamofmthemhandsmandmfeet;
Rashmofmvariousmformsm(scarlatiniform,mmaculopapular,merythemammultiforme);mNonsuppur
ativemcervicalmlymphadenopathym(usuallymunilateral,mwithmnodemsizem>1.5cm).mAcutemfebrile
mphase m -mfever mandmthe macute msigns mofmillness mandmusuallymlasts m1-2wks
Subacutemfebrilemphasem-
mdesquamation,mthrombocytosis,mcoronarymaneurysms mandmhighestmriskmofmsuddenm death mu
suallymlastsm2mwks
Convalescentmphasem-
mAllmclinicalm signs mhave mdisappeared muntilmESRmnormalizes m typicallym6-
m 8wksm after monsetm onmillness
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp864
Amfourmyear moldmpresentsmwithmlow-
grademfever,mintermittentmcrampymabdominalmpainmwithmemesismandmswollenmkneesmofm3mda
ysmduration.mAmpurpuricmrashmdistributedmbelowmthemkneesmofmbothmlower mextremitiesmismno
tedmonmphysicalmexamination.mThismpatientmmostmlikelymhas:
A. Meningococcemia
B. Idiopathicmthrombocytopenicmpurpura
C. Henoch-Scholeinmpurpura
D. SLEmE.mJuvenilemRheumatoidmarthritism-mANSWERm-m2mC.
HSPmismamcommonmvasculitismamongmchildrenmandmpresentsmwithmthemclassicmfindingsmofmab
dominalmpainmwithmormwithoutmrectalmbleeding,mvasculitismrash,marthritismandmnephritis.mTh
emplateletmcountmismnormal.mGastrointestinalminvolvementmmaymprogressmtomintussusceptio
n.
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp868
Am3myearmoldmfemalempresentsmwithm1mweekmhistorymofmdailym(quotidian)mfevermassociatedm
,withmarthritismofmbothmanklesmandmhermrightmknee.mHermmothermnotesmthatmshemhasmdecreas
edmactivity
Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
andmalso mnotesmrashesmthatmcomemandmgo minmdifferentmpartsmofmhermbodymbutmnotmonmthemfac
e.mOnmphysicalmexamination,msalmonmcoloredmpatchesmweremnotedmonmthemtrunkmandmextre
mities.mPalpationmrevealedmsplenomegaly.mWhatmismthemdiagnosis?
A. HenochmSchoenleinmPurpura
B. SystemicmLupusmErythematosus
C. JuvenilemRheumatoidmarthritis
D. JuvenilemDermatomyositis
E. Denguemfever m-mANSWERm-m3mC.
Don'tmforgetmto mstudymrheumaticmdiseasesmofmchildhoodmevenmifmit'smnotmyourmfavoritemtopic.
mFamiliarize myourself mwithmthe mrelativelymcommonmones mlike mJRA,mSLEm andmdermatomyositi
s,m HSPm andm scleroderma.m Paym attentionm to m themcharacteristicsm ofm them rashm andm otherm fea
tures.m(Don'tmfallmformthemtrapmofmrashm+marthritism=mSLE..mIt'smnotmalwaysmSLE!)
JRAm-
mSalmonmcolored mpatch,mevanescent,mspares mthemface mSLEm-
mMalar mrash,mphotosensitive
Dermatomyositism-
mheliotrope m (periorbital)mrash,mgottron m papules m(rash monmthe mknuckles)mHSPm-
mpurpura minmdependentmportions
FormJRA,mknowmthemdifferencesmbetweenmsubtypesm(oligoarticular mvsmpolyarticular mvsmsystemic
monset)
Thismcaseminmparticular mismamcasemofmsystemicmonsetmJuvenilemRheumatoidmarthritism(also mcalled
mStill'smDisease)
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp830
Am4myrmoldmboympresentsmwithmhismthirdmepisodemofmpainfulmcervicalmlymphadenitis.mEachmw
asmtreatedmwithmincisionmandmdrainagemandmgrewmS.maureus.mHemalso mexperiencesmrecurrent
mskinminfections.mAmyearmago,mhem wasmhospitalized mfor mosteomyelitis.mThe mmostmimportantml
aboratorymtestmis:
A. PCRmformADAmdeficiency
B. Nitrobluemtetrazoliummtest
C. MAC-Imassay
D. Neutrophilmcount
E. Geneticmchromosomalmanalysism-mANSWERm-
m4mB.mThismismamcasem ofmchronicmgranulomatousmdisease m(CGD)mwhereinm patients mare msuscep
tiblemto mcatalasempositivemorganismsmlikemS.maureus.mThemnitrobluemtetrazoliummtestsmthemne
utrophilsmabilitymto mgeneratemsuperoxidemanionmandmthusmkillmingestedmbacteria.
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp746
Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
m m m m m m m m
Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
WhichmphasemofmKawasakimdiseasemismassociatedmwithmcoronarymaneurysms?
A. Acutemfebrilemphase
B. Subacutemphase
C. Convalescentmphase
D. Phasemofmcomplications
E. Allmofmthemabovem-mANSWERm-m1mB.
Kawasakimdiseasempresentsmwithmcharacteristicallymhigh,munremittingmfevermandm4moutmofmthem5
mprincipalmfeatures:
Bilateralmnonexudativembulbarmconjunctivalminjectionmwithmlimbalmsparing;
Erythemamofmthemoralmandmpharyngealmmucosamwithmstrawberrymtonguemandmdry,mcrackedmli
ps;mEdemamandmerythemamofmthemhandsmandmfeet;
Rashmofmvariousmformsm(scarlatiniform,mmaculopapular,merythemammultiforme);mNonsuppur
ativemcervicalmlymphadenopathym(usuallymunilateral,mwithmnodemsizem>1.5cm).mAcutemfebrile
mphase m -mfever mandmthe macute msigns mofmillness mandmusuallymlasts m1-2wks
Subacutemfebrilemphasem-
mdesquamation,mthrombocytosis,mcoronarymaneurysms mandmhighestmriskmofmsuddenm death mu
suallymlastsm2mwks
Convalescentmphasem-
mAllmclinicalm signs mhave mdisappeared muntilmESRmnormalizes m typicallym6-
m 8wksm after monsetm onmillness
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp864
Amfourmyear moldmpresentsmwithmlow-
grademfever,mintermittentmcrampymabdominalmpainmwithmemesismandmswollenmkneesmofm3mda
ysmduration.mAmpurpuricmrashmdistributedmbelowmthemkneesmofmbothmlower mextremitiesmismno
tedmonmphysicalmexamination.mThismpatientmmostmlikelymhas:
A. Meningococcemia
B. Idiopathicmthrombocytopenicmpurpura
C. Henoch-Scholeinmpurpura
D. SLEmE.mJuvenilemRheumatoidmarthritism-mANSWERm-m2mC.
HSPmismamcommonmvasculitismamongmchildrenmandmpresentsmwithmthemclassicmfindingsmofmab
dominalmpainmwithmormwithoutmrectalmbleeding,mvasculitismrash,marthritismandmnephritis.mTh
emplateletmcountmismnormal.mGastrointestinalminvolvementmmaymprogressmtomintussusceptio
n.
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp868
Am3myearmoldmfemalempresentsmwithm1mweekmhistorymofmdailym(quotidian)mfevermassociatedm
,withmarthritismofmbothmanklesmandmhermrightmknee.mHermmothermnotesmthatmshemhasmdecreas
edmactivity
Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
, Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
andmalso mnotesmrashesmthatmcomemandmgo minmdifferentmpartsmofmhermbodymbutmnotmonmthemfac
e.mOnmphysicalmexamination,msalmonmcoloredmpatchesmweremnotedmonmthemtrunkmandmextre
mities.mPalpationmrevealedmsplenomegaly.mWhatmismthemdiagnosis?
A. HenochmSchoenleinmPurpura
B. SystemicmLupusmErythematosus
C. JuvenilemRheumatoidmarthritis
D. JuvenilemDermatomyositis
E. Denguemfever m-mANSWERm-m3mC.
Don'tmforgetmto mstudymrheumaticmdiseasesmofmchildhoodmevenmifmit'smnotmyourmfavoritemtopic.
mFamiliarize myourself mwithmthe mrelativelymcommonmones mlike mJRA,mSLEm andmdermatomyositi
s,m HSPm andm scleroderma.m Paym attentionm to m themcharacteristicsm ofm them rashm andm otherm fea
tures.m(Don'tmfallmformthemtrapmofmrashm+marthritism=mSLE..mIt'smnotmalwaysmSLE!)
JRAm-
mSalmonmcolored mpatch,mevanescent,mspares mthemface mSLEm-
mMalar mrash,mphotosensitive
Dermatomyositism-
mheliotrope m (periorbital)mrash,mgottron m papules m(rash monmthe mknuckles)mHSPm-
mpurpura minmdependentmportions
FormJRA,mknowmthemdifferencesmbetweenmsubtypesm(oligoarticular mvsmpolyarticular mvsmsystemic
monset)
Thismcaseminmparticular mismamcasemofmsystemicmonsetmJuvenilemRheumatoidmarthritism(also mcalled
mStill'smDisease)
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp830
Am4myrmoldmboympresentsmwithmhismthirdmepisodemofmpainfulmcervicalmlymphadenitis.mEachmw
asmtreatedmwithmincisionmandmdrainagemandmgrewmS.maureus.mHemalso mexperiencesmrecurrent
mskinminfections.mAmyearmago,mhem wasmhospitalized mfor mosteomyelitis.mThe mmostmimportantml
aboratorymtestmis:
A. PCRmformADAmdeficiency
B. Nitrobluemtetrazoliummtest
C. MAC-Imassay
D. Neutrophilmcount
E. Geneticmchromosomalmanalysism-mANSWERm-
m4mB.mThismismamcasem ofmchronicmgranulomatousmdisease m(CGD)mwhereinm patients mare msuscep
tiblemto mcatalasempositivemorganismsmlikemS.maureus.mThemnitrobluemtetrazoliummtestsmthemne
utrophilsmabilitymto mgeneratemsuperoxidemanionmandmthusmkillmingestedmbacteria.
Source:mNelson'smTextbookmofmPediatricsm19thmeditionmp746
Test Bank For Pediatrics 19th Edition By Nelson 2024.
m m m m m m m m
