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Pediatrics · Dehydration
Sample itemWhich finding suggests severe dehydration in a child?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Lethargy with poor peripheral perfusion
Lethargy, prolonged capillary refill, weak pulses, cool extremities, and reduced urine output suggest severe dehydration or shock and require urgent assessment and resuscitation.
Option by option
A. Mild hunger before lunch
Hunger alone is nonspecific.
B. Lethargy with poor peripheral perfusion (correct)
Correct: lethargy and poor perfusion are danger signs.
C. Single loose stool only
One loose stool does not establish dehydration severity.
D. Normal playful behavior
A playful child is less likely to have severe dehydration.
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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