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A 6-year-old girl complains of recurrent attacks of headache over the past 6 months; she has a fear of having brain tumor in spite of normal clinical and radiological findings; she has an underlying depression disorder. Of the following, the MOST likely diagnosis is
- A. undifferentiated somatoform disorder
- B. conversion disorder
- C. pain disorder
- D. hypochondriasis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Osteopenia begins immediately after a spinal cord injury (SCI) occurs and plateaus 6-12 mo later. Pathologic fractures occur as a consequence of loss of bone mineral density. Of the following, the MOST common site of fracture is
- A. distal tibia
- B. supracondylar region of the femur
- C. lumbosacral spine
- D. proximal humerus
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a parent of a toddler with a new prescription for liquid ferrous sulfate, which of the following instructions should the nurse include?
- A. Mix the medication with milk.
- B. Give the medication with orange juice.
- C. Give the medication with meals.
- D. Administer the medication with an antacid.
Correct Answer: B
Rationale: The correct answer is to give the medication with orange juice. Orange juice helps increase the absorption of iron from ferrous sulfate. This acidic environment aids in the absorption of iron, making it a suitable choice for administration. Mixing the medication with milk or an antacid may decrease iron absorption, and giving it with meals may not optimize its absorption as effectively as with orange juice.
A healthcare provider at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. Which of the following findings should the provider recognize as a manifestation of pertussis?
- A. Inflamed throat with exudate
- B. Purulent eye drainage
- C. Dry, hacking cough
- D. Koplik spots on buccal mucosa
Correct Answer: C
Rationale: The correct answer is C: 'Dry, hacking cough.' A dry, hacking cough is a classic manifestation of pertussis. Pertussis typically presents with symptoms of an upper respiratory tract infection, starting with a persistent, severe, and uncontrollable cough that can worsen at night. This cough is often followed by a high-pitched 'whoop' sound as the patient tries to catch their breath, hence the term 'whooping cough.' In contrast, options A, B, and D are not typically associated with pertussis. Inflamed throat with exudate may suggest a bacterial throat infection like streptococcal pharyngitis, purulent eye drainage is more indicative of a bacterial conjunctivitis, and Koplik spots on the buccal mucosa are specific to measles. Therefore, recognizing the dry, hacking cough as a manifestation of pertussis is crucial for early identification and appropriate management of the disease.
Early sign of shock is:
- A. Hypotension
- B. Disturbed consciousness level
- C. Cheyne-Stokes breathing
- D. Tachycardia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are meeting a couple who are going to adopt a 1-year-old girl; they are asking you about medical investigations that are needed for the child before adoption. Of the following, the LEAST likely required investigation for the adoption of this girl is
- A. neonatal screening tests
- B. immunization history
- C. screening tests for sexually transmitted diseases
- D. cognitive tests
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.