Answer to Question 1
A
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A Correct. The most characteristic finding of KD are changes in the hands and feet that are tensely edematous and very erythematous with desquamation beginning by day 10 . This starts just under the finger and toenails and progresses to involve the palms and soles, with skin peeling in sheets.
B Incorrect. Hives that come and go and do not follow the usual pattern--for example, half the lip or one eyebrow--are not characteristic findings of KD.
C Incorrect. Projectile vomiting when the child is not held upright during feedings is not a characteristic finding of KD, but of pyloric stenosis (a gastrointestinal alteration)
D Incorrect. The tendency to squat quite frequently and for the lips to turn blue is characteristic of Tetralogy of Fallot, a congenital cardiac anomaly.
Answer to Question 2
C
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A Incorrect. The three organ systems primarily affected by acute rheumatic fever are not the heart, gastrointestinal, and joints.
B Incorrect. The three organ systems primarily affected by acute rheumatic fever are not the central nervous system, endocrine, and heart.
C Correct. The three organ systems primarily affected by acute rheumatic fever are the heart, central nervous system, and joints.
D Incorrect. The three organ systems primarily affected by acute rheumatic fever are not the integumentary, genitourinary, and heart.
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