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Pediatrics · Cardiology: Kawasaki disease
Sample itemA child has fever for six days, bilateral nonpurulent conjunctivitis, red cracked lips, polymorphous rash, cervical lymphadenopathy, and swollen hands. What diagnosis is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Kawasaki disease
Kawasaki disease is a systemic vasculitis causing prolonged fever and mucocutaneous inflammation. Timely treatment reduces the risk of coronary artery aneurysms.
Option by option
A. Kawasaki disease (correct)
Correct. Prolonged fever with the characteristic mucocutaneous features is Kawasaki disease.
B. Juvenile idiopathic arthritis
JIA causes chronic arthritis rather than this acute mucocutaneous syndrome.
C. Scarlet fever
Scarlet fever causes sandpaper rash and pharyngitis.
D. Measles
Measles causes cough, coryza, conjunctivitis, and a descending rash with Koplik spots.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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