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Pediatrics · Gastroenterology
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
C. Lethargy with weak peripheral pulses
Lethargy, weak pulses, prolonged capillary refill, and reduced urine output suggest circulatory compromise from severe dehydration requiring urgent treatment.
Option by option
A. Tears when crying with good drinking
Tears and good drinking suggest milder dehydration.
B. Normal capillary refill
Normal refill does not support severe shock.
C. Lethargy with weak peripheral pulses (correct)
Correct: poor perfusion and altered consciousness indicate severe dehydration.
D. Moist mouth and normal activity
Moist mucosa and normal activity are reassuring.
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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