Which of the following is NOT a recognized diagnostic feature of Kawasaki disease?

Appeared in: INI-CET EXAM -2026

Explanation

The question asks to identify the feature that is NOT part of the diagnostic criteria for Kawasaki disease.
Purulent (pus-discharging) conjunctivitis is not a feature of Kawasaki disease; in fact, its presence would point towards an alternative diagnosis like bacterial conjunctivitis.
The correct diagnostic criterion related to the eyes is bilateral non-exudative (non-purulent) conjunctival injection.
Therefore, 'Purulent conjunctivitis' is the correct answer as it is not a recognized feature.

Option B: This is a core diagnostic feature of Kawasaki disease. It is one of the 'CRASH' criteria (C for Conjunctivitis).
Option C: This is a core diagnostic feature of Kawasaki disease. It is one of the 'CRASH' criteria (A for Adenopathy).
Option D: This is the principal and mandatory criterion for diagnosing classic Kawasaki disease. It is the 'Burn' part of the 'CRASH and Burn' mnemonic.

Clinical Relevance

Nursing practice connection: Knowing Diagnostic criteria for Kawasaki disease helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Early diagnosis and treatment of Kawasaki disease are critical to prevent long-term cardiac complications, most notably coronary artery aneurysms.
The standard treatment involves high-dose intravenous immunoglobulin (IVIG) and aspirin to reduce inflammation and prevent blood clots.
A nurse's role includes meticulous monitoring of fever, assessing for the development of CRASH symptoms, administering IVIG, and educating the family about the disease and follow-up care, including long-term cardiology appointments.

How to Approach the Question

First, identify the keywords in the question stem. Here, the key terms are 'Kawasaki disease' and the negative lead-in 'NOT'.
This type of question requires you to identify the false statement among the options. Three options will be true features of Kawasaki disease, and one will be false.
Recall the diagnostic criteria for Kawasaki disease, often remembered by the mnemonic 'CRASH and Burn'.
Evaluate each option against the known criteria:
Fever > 5 days ('Burn')? Yes, this is a feature.
Cervical lymphadenopathy ('A' for Adenopathy)? Yes, this is a feature.

Concept Tested & Keywords

Qh60jd16YLWC3ltfHgvKyL

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 pp. 1543-1545, 1544-1546

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