Nokea
A 5-year-old comes to your office with 4 nontender, 2-cm, blue-red discolored nodules over both cheeks on the face. The day before, she was sledding down the local snow-covered hill. The most likely diagnosis is
- A. panniculitis
- B. facial cellulitis
- C. thrombocytopenia purpura
- D. Henoch-Schanlein purpura
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Child sexual abuse is the involvement of children in sexual activities that violates societal taboos. Most perpetrators are adults or adolescents who are known to the child and who have real or perceived power over the child. Of the following, perpetrators who are LESS often involved in child sexual abuse are
- A. fathers
- B. mothers
- C. teachers
- D. family friends
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Osteopenia begins immediately after a spinal cord injury (SCI) occurs and plateaus 6-12 mo later. Pathologic fractures occur as a consequence of loss of bone mineral density. Of the following, the MOST common site of fracture is
- A. distal tibia
- B. supracondylar region of the femur
- C. lumbosacral spine
- D. proximal humerus
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are recognized features of 'well-controlled' asthma in a 7-year-old boy EXCEPT
- A. FEV1/FVC ratio >80%
- B. FEV1 >80% of predicted
- C. daytime symptoms ≤2 days/week
- D. 2-4 exacerbations in the past year
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Immunotherapy provides symptomatic improvement in all of the following EXCEPT
- A. ragweed allergy
- B. local reaction to bee sting
- C. anaphylaxis to a wasp sting
- D. house dust mite allergy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The percentage of allergic rhinitis in asthmatic patients is 78%, while the percentage of asthma in patients with allergic rhinitis is
- A. 18%
- B. 28%
- C. 38%
- D. 48%
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.