Rheumatology: Kawasaki disease: practice question

A General Medicine 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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General Medicine · Rheumatology: Kawasaki disease

Sample item

A 3-year-old has six days of fever, non-exudative conjunctival injection, red cracked lips, a cervical lymph node, a rash and peeling of the fingertips. Which treatment reduces the risk of coronary aneurysm?

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

The answer and the reasoning

B. Intravenous immunoglobulin with aspirin

Kawasaki disease is a medium-vessel vasculitis of young children with prolonged fever and mucocutaneous features. Intravenous immunoglobulin given within 10 days, with aspirin, markedly reduces coronary artery aneurysms. Echocardiography is needed at diagnosis and follow-up.

Option by option

  • A. Corticosteroids alone

    Steroids alone are not the standard first-line therapy.

  • B. Intravenous immunoglobulin with aspirin (correct)

    Correct. IVIG with aspirin is the standard therapy.

  • C. Oral penicillin

    Penicillin treats streptococcal disease, which does not explain the presentation.

  • D. Intravenous acyclovir

    Acyclovir treats herpes virus infections.

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 General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Intravenous immunoglobulin with aspirin. Kawasaki disease is a medium-vessel vasculitis of young children with prolonged fever and mucocutaneous features.

Why is "Corticosteroids alone" not the answer?

Steroids alone are not the standard first-line therapy.

Why is "Oral penicillin" not the answer?

Penicillin treats streptococcal disease, which does not explain the presentation.

Why is "Intravenous acyclovir" not the answer?

Acyclovir treats herpes virus infections.

What concept does this question test?

It tests Rheumatology: Kawasaki disease in General Medicine. Intravenous immunoglobulin given within 10 days, with aspirin, markedly reduces coronary artery aneurysms. Echocardiography is needed at diagnosis and follow-up.

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: Kawasaki disease?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine 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.