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Kawasaki disease — USMLE Step 3 MCQ

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HardPediatrics (well-child, chronic management)Kawasaki diseaseUSMLE Step 3

A 3-year-old girl has fever for 6 days, bilateral nonpurulent conjunctivitis, cracked lips, strawberry tongue, swollen hands, and a polymorphous rash. She has a unilateral cervical lymph node. Urinalysis shows sterile pyuria. Which of the following is the most appropriate at this time?

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Reveal the answer and explanation

Correct answer: E — Administer intravenous immune globulin and aspirin

Kawasaki disease should be treated promptly with IVIG and aspirin to reduce coronary artery aneurysm risk.

Reference: AHA Kawasaki Disease Scientific Statement