A child can be diagnosed as having Kawasaki disease if he has:
- A. Fever > 3 days' duration, > 38°C
- B. Purulent conjunctivitis
- C. Thrombocytosis
- D. Polymorphous rash
Correct Answer: A
Rationale: Kawasaki disease is characterized by a fever lasting more than 3 days, which is a primary diagnostic criterion.
You may also like to solve these questions
The following are characters of venous hum EXCEPT
- A. continuous murmur heard in infraclavicular region
- B. grades louder with mane compression
- C. l-lll/Vl in supine position
- D. with jugular vein changes in patient position
Correct Answer: B
Rationale: Venous hums are continuous murmurs that change with position and compression but do not grade louder with mane compression.
The following are potent vasoconstrictors:
- A. Renin
- B. Angiotensin I
- C. Nitric oxide
- D. PGI2
Correct Answer: A
Rationale: Renin: Renin is a precursor enzyme in the RAAS that helps in converting angiotensinogen into angiotensin I, a potent vasoconstrictor.
A nurse cares for a client who is prescribed magnetic resonance imaging (MRI) of the heart. The client’s health history includes a previous myocardial infarction and pacemaker implantation. Which action should the nurse take?
- A. Schedule an electrocardiogram just before the MRI.
- B. Notify the healthcare provider before scheduling the MRI.
- C. Call the physician and request a laboratory draw for cardiac enzymes.
- D. Instruct the client to increase fluid intake the day before the MRI.
Correct Answer: B
Rationale: Clients with pacemakers are generally not candidates for MRI due to the risk of device malfunction or tissue damage. The healthcare provider must be notified to determine the best course of action.
In infantile eczema:
- A. The rash is characteristically present at birth
- B. The papules are itchy
- C. Cold weather relieves the symptoms
- D. A family history of related disorders is elicited in 70% of cases
Correct Answer: B
Rationale: Infantile eczema is itchy and often associated with a family history of atopy. The rash is not present at birth, and cold weather can exacerbate symptoms.
Concerning bulimia nervosa:
- A. Review of teeth may aid diagnosis
- B. Patients may get hypokalaemia
- C. Patients are likely to neglect their appearance
- D. There is an association with calluses on the dorsum of hands
Correct Answer: B
Rationale: Hypokalaemia is a common complication of bulimia nervosa due to purging behaviors. Dental erosion and calluses on the hands are also associated with bulimia.