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Kawasaki disease — MCCQE Part 1 MCQ

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ModerateRashKawasaki diseaseMCCQE Part 1

A 3-year-old has fever for 6 days, bilateral non-purulent conjunctivitis, cracked lips, strawberry tongue, cervical lymphadenopathy and swollen hands. Which of the following is the most appropriate treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Intravenous immunoglobulin and acetylsalicylic acid with echocardiography

Fever for at least 5 days plus mucocutaneous findings suggests Kawasaki disease, where IVIG reduces coronary artery aneurysm risk. Echocardiography is needed to assess coronary involvement. Scarlet fever can mimic some findings but does not explain the full constellation including conjunctivitis and extremity changes.

Reference: Canadian Paediatric Society Kawasaki disease guidance