Rheumatology: Henoch-Schonlein purpura: 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: Henoch-Schonlein purpura

Sample item

A child has palpable purpura on the buttocks and legs, colicky abdominal pain, arthralgia, and hematuria. What diagnosis is most likely?

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

The answer and the reasoning

B. IgA vasculitis

IgA vasculitis causes palpable purpura with joint, gastrointestinal, and renal involvement. Urinalysis and blood pressure monitoring are important because nephritis may develop.

Option by option

  • A. Meningococcemia only

    Meningococcemia causes acute toxic illness and purpura, not the usual recurrent purpura-arthralgia syndrome.

  • B. IgA vasculitis (correct)

    Correct. The classic purpura, abdominal, joint, and renal pattern is IgA vasculitis.

  • C. Immune thrombocytopenia

    ITP causes thrombocytopenic purpura without the typical abdominal and renal vasculitis features.

  • D. Kawasaki disease

    Kawasaki disease has prolonged fever and mucocutaneous findings.

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 B, IgA vasculitis. IgA vasculitis causes palpable purpura with joint, gastrointestinal, and renal involvement.

Why is "Meningococcemia only" not the answer?

Meningococcemia causes acute toxic illness and purpura, not the usual recurrent purpura-arthralgia syndrome.

Why is "Immune thrombocytopenia" not the answer?

ITP causes thrombocytopenic purpura without the typical abdominal and renal vasculitis features.

Why is "Kawasaki disease" not the answer?

Kawasaki disease has prolonged fever and mucocutaneous findings.

What concept does this question test?

It tests Rheumatology: Henoch-Schonlein purpura in Pediatrics. Urinalysis and blood pressure monitoring are important because nephritis may develop.

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: Henoch-Schonlein purpura?

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.