Answer to Question 1
D
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A The child may have had a sore throat previously associated with a group A
beta-hemolytic streptococcal infection a few weeks earlier. A sore throat is not a
manifestation of rheumatic fever.
B Hypertension is not associated with rheumatic fever.
C Desquamation of the fingers and toes is a manifestation of Kawasaki syndrome.
D Arthritis, characterized by tender, warm, erythematous joints, is one of the major
manifestations of acute rheumatic fever in the first 1 to 2 weeks of the illness.
Answer to Question 2
B
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A This is the infant/toddler understanding of death.
B Children in early childhood (2 to 7 years old) view death as reversible and
temporary.
C The school-age child and adolescent understand that death is permanent.
D The adolescent understands death not only as permanent, but also inevitable.
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