Nokea
A 5-year-old comes to your office with 4 nontender, 2-cm, blue-red discolored nodules over both cheeks on the face. The day before, she was sledding down the local snow-covered hill. The most likely diagnosis is
- A. panniculitis
- B. facial cellulitis
- C. thrombocytopenia purpura
- D. Henoch-Schanlein purpura
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Although children with Wilms tumor have a favorable prognosis, there are some adverse prognostic factors in children with Wilms tumor EXCEPT
- A. large tumors
- B. anaplastic histology
- C. loss of heterozygosity at chromosome 1p and 16q
- D. young age at diagnosis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Clinicians' tools needed to recognize early symptoms of mental disorders are called 'Mental Health Action Signs'. All the following are true EXCEPT
- A. involvement in many fights
- B. wanting to badly hurt others,not eating throwing up or using laxatives to make yourself lose weight
- C. feeling very sad or withdrawn for more than 2 months
- D. sudden overwhelming fear for no reason
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
- A. Explain the procedure to the patient's family
- B. Observe the patient for bleeding
- C. Administer an analgesic to the patient
- D. Drape the biopsy site
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
During cardiopulmonary resuscitation of an infant, how should chest compressions be performed?
- A. With the heel of one hand and the other hand on top of the first
- B. With the heel of one hand only
- C. With 4 fingers of one hand
- D. With 2 fingers of one hand
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are common cutaneous manifestations of juvenile dermatomyositis (JDM) EXCEPT
- A. heliotrope rash of the eyelids
- B. photosensitivity to ultraviolet light
- C. Gottron papules
- D. facial erythema sparing the nasolabial folds
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.