🏥 USMLE Exam Prep

A 3-year-old child presents with 6 days of fever, bilateral non-exudative conjunctivitis, an erythematous rash on the trunk, cervical lymphadenopathy, and cracked lips. Physical exam reveals swollen hands and feet. What is the most appropriate initial therapy for this condition?

A Oral prednisone.
B Intravenous immunoglobulin (IVIG) and aspirin.
C High-dose penicillin.
D Observation and supportive care.

✓ Correct Answer: Option B

The constellation of symptoms suggests Kawasaki disease. The standard of care to prevent coronary artery aneurysms is intravenous immunoglobulin (IVIG) and high-dose aspirin. Prednisone is generally avoided as it can increase the risk of aneurysms.

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