PEDIATRIC MCQS

PEDIATRIC MCQS

MCQ#01

An 8-year-old girl with no significant history presents to your clinic for acute urticaria over the past 3 days. When discussing her history, you determine that she had a viral infection approximately 1 week prior to the onset of the urticarial lesions. 

Which of the following is the most appropriate initial medication for the treatment of acute urticaria lasting for more than 3 days?

a. Prednisone

b. Montelukast

c. Diphenhydramine

d. Cetirizine

e. Ranitidine

MCQ#02

A 3-year-old girl is girl is seen in clinic after a new diagnosis of a peanut allergy. Her mother asks you if her other children (the patient’s siblings) are likely to

develop a peanut allergy. 

Which of the following is an appropriate response?

a. Her other children will definitely also develop a peanut allergy

b. Her other children are 2 times more likely than the general population to develop a peanut allergy

c. Her other children are 6 times more likely than the general population to develop a peanut allergy

d. Her other children are 10 times more likely than the general population to develop a peanut allergy

e. Her other children have no increased risk for developing a peanut allergy compared to the general population

MCQ#03

Which of the following tests is the gold standard for diagnosing a suspected IgE-mediated food allergy?

a. Skin prick testing

b. Intradermal skin testing

c. Measurement of serum food-specific IgE antibodies

d. Oral food challenge

e. Patch testing

MCQ#04

A 5-year-old boy ate peanut butter, and within 5 minutes developed shortness of breath, tongue swelling, generalized urticaria, and vomiting. He underwent IgE specific food testing, which came back very elevated for peanut. The parents are very concerned, and want to do everything possible to prevent a future reaction.

Which of the following should be recommended for the patient’s treatment?

a. Careful elimination of peanut from the child’s diet, but no other daily treatment

b. Daily oral antihistamine use

c. Daily injectable epinephrine use

d. Oral glucocorticoids in the event of an acute food allergic reaction

e. Oral immunotherapy for desensitization

MCQ#05

Which of the following most likely represents an immunologically-mediated drug reaction?

a. A 14-year-old with infectious mononucleosis who develops a rash after receiving amoxicillin

b. A 16-year-old girl with acute renal failure while receiving vancomycin

c. A 12-year-old boy with nausea and vomiting while receiving penicillin

d. A premature infant boy with ototoxicity after receiving gentamicin

e. A 15-year-old girl with rash and fever while receiving minocycline

ANSWERS ON 10/9/2019