A 5-year-old boy has systemic juvenile idiopathic arthritis (sJIA) with systemic manifestations including fever, hepatosplenomegaly, and pericarditis. Of the following, the BEST initial treatment for this boy is
- A. NSAIDs
- B. systemic glucocorticoids
- C. TNF-a inhibitors
- D. IL-1 antagonists
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. craniofacial abnormalities
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which feature is NOT characteristic of autistic spectrum disorder?
- A. Defective social communication
- B. Fixated interests
- C. Highly restricted routines
- D. Stereotyped absence of motor use
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Early sign of shock is:
- A. Hypotension
- B. Disturbed consciousness level
- C. Cheyne-Stokes breathing
- D. Tachycardia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Regarding school refusal, which statement is FALSE?
- A. it is a complex disorder
- B. selective mutism is overlapping
- C. younger children usually have separation anxiety disorder
- D. older children usually suffer from obsessive disorders
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are recognizable teratogens EXCEPT
- A. ethanol
- B. antiepileptic medications
- C. toxoplasmosis
- D. hypothermia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.