1. Henoch-Schonlein Purpura.

***) Regarding Henoch-Schonlein purpura, all are true except:

Is a vasculitis of small blood vessels

Is the most common cause of non-thrombocytopenic purpura

Typically follow upper respiratory tract infection.

Most cases occur between 2-8 years of age

Platelets function is abnormal

Answer: 5* Platelets function is normal, but counts less than normal.

2. Kawasaki Disease.

???) Concerning Kawasaki disease, all the following are true except:

Patients are more than 7 years old

Fever is present in all cases for over 5 days and does not respond to antibiotics

Coronary artery aneurysms develop during the second week of illness

Rash: truncal, polymorphous, non-vesicular

Bilateral conjunctival injection, injected pharynx, strawberry tongue

Answer: 1* Patients are more than 7 years old

???) Regarding Kawasaki, all statements are true except:

Age of onset is less than 5 years

High grade fever more than 5 days is essential criteria

Is the commonest cause of acquired cardiac disease in developing countries

20% of untreated patients develop coronary artery abnormalities

Has differential diagnosis with scarlet fever

Answer: 3* Is the commonest cause of acquired cardiac disease in developing countries

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***) Gamma-globulin may be used in the management of children with all of the following conditions, except:

Premature baby with sepsis

Child with X-linked agammaglobulinemia

Child with recurrent infection due to IgA deficiency

Measles prophylaxis in a susceptible child

Hepatitis A prophylaxis in a susceptible child

Answer: 3* Child with recurrent infection due to IgA deficiency