Nokea
After intubation and resuscitation, the patient in Question 8 remains limp but appears aware and looks around, although the baby does not cry when the toes are pinched This most likely diagnosis is
- A. Congenital botulism
- B. Narcotic overdose
- C. Transection of the spinal cord
- D. Congenital myasthenia gravis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Two weeks after a viral syndrome, a 9-year-old girl presents to your clinic with a complaint of several days of drooping of her mouth. In addition to the drooping of the left side of her mouth, you note that she is unable to completely shut her left eye. Her smile is asymmetric, but her examination is otherwise normal. This girl likely has:
- A. Guillain-Barré syndrome
- B. Botulism
- C. Cerebral vascular accident
- D. Brainstem tumor
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Clinical examination of a child with large unilateral pneumothorax can show:
- A. Decreased breath sound intensity
- B. Increased tactile vocal fremitus
- C. Crepitations
- D. Bronchial breathing
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:
- A. the parent's approval is unnecessary in an emergency.
- B. the patient can only receive blood that has been donated by family members.
- C. the patient can receive volume expanders.
- D. none of the above.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
Atelectasis due to foreign body inhalation is characterized by each of the following EXCEPT:
- A. Mediastinum is pulled towards the affected side
- B. Intercostal spaces on the affected side may be narrowed
- C. Percussion note is usually normal
- D. Breath sounds are reduced
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.