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Which of the following is a sign of a febrile convulsion?

  1. Fever under 38 degrees

  2. Increased appetite

  3. May be a rash

  4. Clear skin

The correct answer is: May be a rash

A febrile convulsion is typically associated with a rapid rise in body temperature due to fever, particularly in young children. The presence of a rash can often be indicative of an underlying infection or illness that might be causing the fever, which in turn can lead to a convulsion. Therefore, the option stating that there may be a rash aligns with the context of febrile convulsions, where the fever is a central factor. The other choices, such as a fever under 38 degrees, increased appetite, and clear skin, do not reflect the typical clinical picture associated with febrile convulsions. For instance, a fever under 38 degrees would not be considered significant enough to typically trigger a febrile convulsion. Increased appetite is usually unrelated to the state of having a fever and convulsions, and clear skin does not indicate any potential underlying infection that might be causing the fever. Thus, the sign of a rash is the most relevant in this context.