A Child Is Brought to the Clinic with a Generalized

question 8

Multiple Choice

A child is brought to the clinic with a generalized, annular rash characterized by raised wheals with pale centers. On physical examination, the child's lungs are clear and there is no peripheral edema. A history reveals ingestion of strawberries earlier in the day. What is the initial treatment?

• A) Aqueous epinephrine 1:1000 subcutaneously
• B) Cetirizine once in clinic and then once daily for 2 weeks
• C) Diphenhydramine 0.5 to 1 mg/kg/dose every 4 to 6 hours
• D) Prednisone 1 to 2 mg/kg/day for 1 week with rapid taper

---

Definitions:

Two Independent Groups

In statistical analysis, two groups of subjects that are randomly assigned and do not influence each other.

Paired Samples T-Test

A statistical test used to compare the means of two related groups to ascertain if there is a significant difference between them.

Productivity

The efficiency at which production inputs, such as labor and capital, are turned into outputs, often measured as the ratio of output to input over a specific period.

Intervention

An action or process of intervening, often implemented to bring about a change or influence the outcome in a positive way.