Pediatrics Board Exam Started: Jul 13, 2026 22:57 Page 27 of 69 Attempt #2981 Overall: 0 / 344 questions answered Question 131 / 344 Not answered At a primary-care follow-up visit: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1379) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Antibiotic D. Second-generation H1 antihistamine E. Warfarin Show Answer & Explanation Correct Answer: D Explanation: [Pediatrics] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 132 / 344 Not answered In a ward handover scenario: A 2-year-old has barking cough and stridor only when agitated, oxygen saturation 98%. What is the best treatment? A. Immediate intubation for all croup B. Antibiotics only C. No treatment ever D. Warfarin E. Single dose dexamethasone Show Answer & Explanation Correct Answer: E Explanation: [Pediatrics] Mild croup benefits from corticosteroid; nebulized epinephrine is for moderate/severe distress or stridor at rest. Reference: Canadian Paediatric Society Croup Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 133 / 344 Not answered In a ward handover scenario: A 6-month-old has fever without source and is not fully immunized. What should guide management? A. Age, appearance, vaccination status, urinalysis, and sepsis risk assessment B. Reassurance only without vitals C. CT brain for all fever D. Antihistamine only E. Delay care until rash appears Show Answer & Explanation Correct Answer: A Explanation: [Pediatrics] Fever in infants requires risk stratification by age, appearance, immunization, and targeted testing such as urine evaluation. Reference: AAP Febrile Infant Guideline; NICE Fever in Under 5s. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 134 / 344 Not answered In a ward handover scenario: A 5-year-old has polyuria, weight loss, vomiting, glucose 26 mmol/L, ketones, and acidosis. What is the diagnosis? A. Nephrotic syndrome B. Diabetic ketoacidosis C. Asthma D. Celiac disease E. Appendicitis only Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Hyperglycemia, ketosis, and acidosis in a child diagnose DKA. Reference: ISPAD Clinical Practice Consensus Guidelines. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 135 / 344 Not answered In a ward handover scenario: A 3-year-old has perianal itching at night. What is the usual treatment? A. IV ceftriaxone for all B. Topical steroid alone C. Mebendazole for child and household hygiene measures D. No household advice E. Insulin Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Enterobiasis causes nocturnal perianal itch; mebendazole/albendazole plus hygiene and household management reduces reinfection. Reference: CDC Pinworm Clinical Overview. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 27 of 69 Next → »