AEMCA Practice Exam

Why should children avoid taking aspirin?

1. It can cause severe allergic reactions

2. It can lead to Reyes syndrome, which can cause brain inflammation

3. It may interfere with the effectiveness of vaccines

4. It can increase the risk of gastrointestinal bleeding

The correct answer is: It can lead to Reyes syndrome, which can cause brain inflammation

The primary concern with administering aspirin to children is the potential development of Reye’s syndrome, a rare but serious condition that can cause brain and liver damage. This syndrome typically occurs in children and teenagers who have recently had a viral infection, such as the flu or chickenpox, and who are given aspirin. The exact mechanism of how aspirin triggers Reye’s syndrome is not completely understood; however, this risk is significant enough that health authorities recommend avoiding aspirin in children, particularly during viral illnesses. This precaution is crucial to ensure the safety and health of young patients, making it a well-established guideline in pediatric medicine. In contrast to other options, while allergic reactions to aspirin can occur, they are not as widespread or notable a concern as Reye's syndrome. Additionally, aspirin does not generally interfere with the effectiveness of vaccines in children, and while gastrointestinal bleeding is a potential risk with aspirin use, it is more commonly associated with long-term or high-dose use rather than typical pediatric administration. Thus, Reye's syndrome remains the primary reason for caution regarding aspirin in the pediatric population.