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Kawasaki disease management — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Kawasaki disease managementUSMLE Step 3

A 4-year-old boy is diagnosed with Kawasaki disease on day 7 of fever. He is hemodynamically stable. Baseline echocardiography has been ordered. Which of the following is the most appropriate at this time?

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

Reveal the answer and explanation

Correct answer: B — Administer intravenous immunoglobulin and aspirin

Timely IVIG reduces coronary artery aneurysm risk in Kawasaki disease; aspirin is used as adjunctive therapy.

Reference: American Academy of Pediatrics clinical practice guidance and Bright Futures preventive care