Question 41 (part 2) · LEK · Fever
Indicate the true statements concerning fevers in children in a primary healtcare setting.
1) fever resistant to treatment with antipyretics and antibiotics is typical for Kawasaki disease;
2) in newborns it is permissible to measure the temperature by placing an electronic thermometer under the armpit
3) temporal thermometers should not be used when making clinical decisions
4) cooling a child with high fever is not recommended because it is not very effective
5) in a child with fever and rash not blanching under pressure, e.g. in the glass test, should suggest meningococcal septicemia.
The correct answer is:
2) in newborns it is permissible to measure the temperature by placing an electronic thermometer under the armpit
3) temporal thermometers should not be used when making clinical decisions
4) cooling a child with high fever is not recommended because it is not very effective
5) in a child with fever and rash not blanching under pressure, e.g. in the glass test, should suggest meningococcal septicemia.
The correct answer is:
- A. 1,4,5.
- B. 1,2,5.
- C. 3,4,5.
- D. 1,3,4.
- E. all of the above.
Hint
Recall NICE-style guidance on the feverish child: measurement methods by age, physical cooling and red-flag signs.
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