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cTAK Blackboard Questions
Step
1
of
2
50%
Question 1
Which of the following clinical features is most commonly observed during the early (pre-vasculitic) phase of childhood-onset Takayasu arteritis?
*
A. Severe hypertension
B. Congestive heart failure
C. Prolonged fever, fatigue, weight loss
D. Limb claudication or absent peripheral pulses
Your Answer is Incorrect
Your Answer is Incorrect
Your Answer is Incorrect
Your Answer is Correct
Answer with Detailed explanation
C. Prolonged fever, fatigue, weight loss
Rationale: The pre-vasculitic phase of Takayasu arteritis often presents with non-specific systemic symptoms such as prolonged low-grade fever, fatigue, weight loss, and arthralgia before vascular signs appear.
Reference:
Ozen S, Pistorio A, Iusan SM, et al. EULAR/PRINTO/PRES criteria for Takayasu arteritis classification in children. Ann Rheum Dis. 2010;69(5):798-806. doi:10.1136/ard.2009.116657
Question 2
Which of the following is not included in the EULAR/PRINTO/PRES 2008 classification criteria for childhood Takayasu arteritis?
*
A. Disease onset before the age of 40
B. Decreased or absent peripheral pulse unilaterally
C Angiographic abnormalities of the aorta and its main branches
D. Positive HLA-B51 test
Your Answer is Incorrect
Your Answer is Incorrect
Your Answer is Incorrect
Your Answer is Correct
Answer with Detailed explanation
D. Positive HLA-B51 test
Rationale: HLA-B51 is associated with Behçet’s disease and not a component of the diagnostic criteria for Takayasu arteritis. The EULAR/PRINTO/PRES criteria require angiographic evidence of large vessel abnormalities along with at least one clinical criterion (e.g., limb claudication, blood pressure discrepancy, bruits, hypertension).
Reference:
Ozen S, Pistorio A, Iusan SM, et al. EULAR/PRINTO/PRES criteria for Takayasu arteritis classification in children. Ann Rheum Dis. 2010;69(5):798-806. doi:10.1136/ard.2009.116657
Δ
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