WBR0011: Difference between revisions
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{{WBRQuestion | {{WBRQuestion | ||
|ExamType=USMLE Step | |ExamType=USMLE Step 2 CK | ||
|MainCategory= | |MainCategory=Pediatrics | ||
|SubCategory= | |SubCategory=Cardiovascular, Pediatrics | ||
|MainCategory=Pediatrics | |||
|SubCategory=Cardiovascular, Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Cardiovascular, Pediatrics | |||
|MainCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Cardiovascular, Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Cardiovascular, Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Cardiovascular, Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Cardiovascular, Pediatrics | |||
|MainCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Cardiovascular, Pediatrics | |||
|Prompt=A 13-year-old boy is brought to the clinic for a fever of 5 days duration accompanied by a diffuse rash. His mother states that the fever has been as high as 103.0°F (39.4°C) and she has kept him out of school because of this. His physical exam is notable for a diffuse morbilliform rash over his trunk and extremities, which also becomes confluent in the groin. Both scleras are infected and his tongue is red and bumpy on appearance. Notable lymphadenopathy is present in the anterior and posterior cervical chains. What is the most concerning possible complication in this patient? | |Prompt=A 13-year-old boy is brought to the clinic for a fever of 5 days duration accompanied by a diffuse rash. His mother states that the fever has been as high as 103.0°F (39.4°C) and she has kept him out of school because of this. His physical exam is notable for a diffuse morbilliform rash over his trunk and extremities, which also becomes confluent in the groin. Both scleras are infected and his tongue is red and bumpy on appearance. Notable lymphadenopathy is present in the anterior and posterior cervical chains. What is the most concerning possible complication in this patient? | ||
|Explanation=A known complication of Kawasaki syndrome is aneurysms usually confined to medium-sized vessels and classically those located in the heart. Careful diagnostic workup must be initiated upon identification of disease with follow-up exams 6-8 weeks after resolution of disease. | |||
|AnswerA=Encephalitis. | |AnswerA=Encephalitis. | ||
|AnswerB=Acute tubular necrosis. | |AnswerB=Acute tubular necrosis. | ||
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|AnswerE=Coronary aneurysms. | |AnswerE=Coronary aneurysms. | ||
|RightAnswer=E | |RightAnswer=E | ||
| | |Approved=No | ||
|Answer=Encephalitis.,Acute tubular necrosis.,Interstitial nephritis.,Loss of pulmonary surfactant and subsequent pulmonary failure. | |Answer=Encephalitis.,Acute tubular necrosis.,Interstitial nephritis.,Loss of pulmonary surfactant and subsequent pulmonary failure. | ||
}} | }} | ||
Revision as of 17:24, 7 February 2013
| Author | PageAuthor:: |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Pediatrics |
| Sub Category | SubCategory::Cardiovascular, SubCategory::Pediatrics |
| Prompt | [[Prompt::A 13-year-old boy is brought to the clinic for a fever of 5 days duration accompanied by a diffuse rash. His mother states that the fever has been as high as 103.0°F (39.4°C) and she has kept him out of school because of this. His physical exam is notable for a diffuse morbilliform rash over his trunk and extremities, which also becomes confluent in the groin. Both scleras are infected and his tongue is red and bumpy on appearance. Notable lymphadenopathy is present in the anterior and posterior cervical chains. What is the most concerning possible complication in this patient?]] |
| Answer A | AnswerA::Encephalitis. |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Acute tubular necrosis. |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Interstitial nephritis. |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Loss of pulmonary surfactant and subsequent pulmonary failure. |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Coronary aneurysms. |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::E |
| Explanation | [[Explanation::A known complication of Kawasaki syndrome is aneurysms usually confined to medium-sized vessels and classically those located in the heart. Careful diagnostic workup must be initiated upon identification of disease with follow-up exams 6-8 weeks after resolution of disease. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |