skip to main content

Kawasaki disease — SCE Rheumatology MCQ

Instant feedback + full explanation. One question, done properly.

HardVasculitisKawasaki diseaseSCE Rheumatology

A child is afebrile after intravenous immunoglobulin and aspirin for Kawasaki disease. The baseline echocardiogram is normal. Which follow-up principle remains appropriate?

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

Reveal the answer and explanation

Correct answer: E — Continue scheduled cardiology review with repeat echocardiography

A normal first echocardiogram does not end surveillance because coronary dilatation or aneurysm can evolve after the acute presentation. Planned paediatric-cardiology review and repeat echocardiography should continue; CT angiography is not the routine substitute in an uncomplicated child.

Reference: NHS: Kawasaki disease (Reviewed February 2026): https://www.nhs.uk/conditions/kawasaki-disease/; NICE NG143: fever in under 5s — Kawasaki disease recommendations (Updated November 2021): https://www.nice.org.uk/guidance/ng143/chapter/recommendations#kawasaki-disease