Nokea
A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?
- A. Tetralogy of Fallot
- B. Respiratory distress syndrome
- C. Transposition of the great arteries
- D. Choanal atresia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Of the following, the WORST prognostic factor in pediatric osteosarcoma is
- A. primary pelvic bone tumor
- B. poor histologic response to treatment
- C. bony metastases at the time of diagnosis
- D. lung metastases at the time of diagnosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most common cause of convulsions in acute hyponatremia
- A. Hypoxemia
- B. Brain edema
- C. Intracranial hemorrhage
- D. Cerebral stroke
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The following drugs are used in resuscitation Except:
- A. Atropine
- B. Bicarbonate
- C. Epinephrine
- D. Digitalis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After being in remission from Hodgkin's disease for 18 months, a client develops a fever of unknown origin. The physician orders a blind liver biopsy to rule out advancing Hodgkin'sdisease and infection. Twenty-four hours after the biopsy, the client has a fever, complains of severe abdominal pain, and seems increasingly confused. The nurse suspects that these finding result from:
- A. Bleeding in the liver caused by the liver biopsy.
- B. Perforation of the colon caused by the liver biopsy.
- C. An allergic reaction to the contrast media used during liver biopsy.
- D. Normal post procedural pain, with a change in the level of consciousness resulting from the preexisting fever.
Correct Answer: A
Rationale: The symptoms of fever, severe abdominal pain, and increasing confusion following a liver biopsy are indicative of a potential complication such as bleeding in the liver caused by the biopsy. Hepatic bleeding can lead to abdominal pain and can cause a change in the level of consciousness. These symptoms should prompt immediate medical attention to address the bleeding and prevent further complications. Perforation of the colon, an allergic reaction to contrast media, or normal post-procedural pain would not typically present with these specific symptoms in this context.
All the following are true associations between psychiatric illness in childhood and their treatment EXCEPT:
- A. ADHD and atomoxetine
- B. Anxiety and antidepressant
- C. Psychosis and typical antipsychotic
- D. Depression and atypical antipsychotic
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.