Rheumatology: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Rheumatology

Sample item

What is the most serious complication of Kawasaki disease?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Coronary artery aneurysm

Kawasaki disease is a medium-vessel vasculitis in young children with prolonged fever, conjunctivitis, rash, red lips and tongue, and cervical lymphadenopathy. Coronary aneurysms can form if untreated. Intravenous immunoglobulin and aspirin, given early, greatly reduce the risk.

Option by option

  • A. Coronary artery aneurysm (correct)

    Correct. Prompt IVIG within 10 days of illness reduces aneurysm formation.

  • B. Post-streptococcal glomerulonephritis

    Glomerulonephritis follows streptococcal infection, not Kawasaki disease.

  • C. Encephalitis

    Encephalitis is not a typical complication.

  • D. Rheumatic valvular disease

    Rheumatic valvular disease follows acute rheumatic fever.

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.

More Pediatrics questions

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is A, Coronary artery aneurysm. Kawasaki disease is a medium-vessel vasculitis in young children with prolonged fever, conjunctivitis, rash, red lips and tongue, and cervical lymphadenopathy.

Why is "Post-streptococcal glomerulonephritis" not the answer?

Glomerulonephritis follows streptococcal infection, not Kawasaki disease.

Why is "Encephalitis" not the answer?

Encephalitis is not a typical complication.

Why is "Rheumatic valvular disease" not the answer?

Rheumatic valvular disease follows acute rheumatic fever.

What concept does this question test?

It tests Rheumatology in Pediatrics. Coronary aneurysms can form if untreated. Intravenous immunoglobulin and aspirin, given early, greatly reduce the risk.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Rheumatology?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.