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Pediatrics · Infections: varicella complications
Sample itemWhich drug should be avoided in a child with chickenpox because of the risk of Reye syndrome?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Aspirin
Aspirin during varicella or influenza is linked to Reye syndrome, which causes encephalopathy and fatty liver with hyperammonaemia. Antipyretic of choice is paracetamol. Acyclovir is given to immunocompromised children and those at risk of severe disease.
Option by option
A. Aspirin (correct)
Correct. Aspirin is linked to Reye syndrome.
B. Paracetamol
Paracetamol is the safe antipyretic.
C. Acyclovir
Acyclovir is a treatment, not a trigger.
D. Calamine lotion
Calamine is a safe soothing lotion.
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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