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Which of the following findings would most strongly indicate that a febrile infant is severely ill?

Which of the following secondary skin changes is NOT associated with atopic dermatitis?

The following statements are true about acute rheumatic fever except:

Laboratory findings that would be consistent with a diagnosis of Kawasaki Syndrome would be: 

Which of the following would be included in patient education regarding Lyme disease?

A clinical finding that is often seen in patients with the diagnosis of Kawasaki Syndrome but does not occur until phase II of the illness is:

The nurse practitioner is treating a child with a neutropenia of 900 cells/mm. The most important anticipatory guidance this nurse practitioner can provide the parents with includes:

A 4-year-old presents with rapidly spreading redness, swelling, and tenderness on the face following a small cut near the nose. The child appears ill and has a fever of 102°F. Which of the following is the most appropriate next step in management?

Carlos is a 27 month old, Hispanic male, who is brought in for a well child check by his mother.  Prenatal history reveals a normal pregnancy, as well as delivery. The patient was born at 39.5 weeks gestation and weighed 7 pounds 2 oz with no postnatal complications.  Mother and baby were discharged at 40 hours of age.  Carlos mother reports that he has been healthy except for three episodes of URI and two episodes of otitis media in his first year of life.  Carlos is described as a picky eater and the history reveals that he drinks up to 48 ounces of whole milk each day from a bottle and some fruit juice from a cup.  He has had normal growth and development and a review of systems is unremarkable.  Physical exam reveals an alert, active toddler who is well nourished.  His growth parameters are in the 60th and 75th percentiles, respectively, for height and weight.  Physical findings are unremarkable except for pallor of his skin and conjunctiva.  In the diet history, which of the following MOST needs further evaluation? 

A patient reports to your clinic with intense fatigue and fever.  Suspecting infectious mononucelosis, you begin a physical exam.  Which of the following signs is NOT consistent with the common presentation of this condition?