Nokea
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.
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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.
Tumor lysis syndrome is a common complication during treatment of pediatric malignancies. Which malignancy is more likely to manifest such complication?
- A. acute myelogenous leukemia (AML)
- B. nephroblastoma
- C. neuroblastoma
- D. Burkitt lymphoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which factor will not promote play and playfulness in children?
- A. Novel toys
- B. Familiar peers
- C. Comfortable atmosphere
- D. Directive adults
Correct Answer: D
Rationale: Directive adults can inhibit spontaneous play and creativity, which are essential for fostering playfulness in children. When adults are too directive, children may feel constrained and less likely to engage in imaginative and free play. Encouraging independence and allowing children to explore and create their play scenarios can enhance playfulness and creativity.
What is the maximum accepted rate of drop of serum sodium per 24 hours in hypernatremia?
- A. 8 mmol/L
- B. 12 mmol/L
- C. 16 mmol/L
- D. 20 mmol/L
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse's reply should be based on which of the following?
- A. Child is too young to digest hot dogs.
- B. Child is too young to eat hot dogs safely.
- C. Hot dogs must be sliced into sections to prevent aspiration.
- D. Hot dogs must be cut into small, irregular pieces to prevent aspiration.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.