All the following are features of rapid eye movement (REM) EXCEPT
- A. polysomnography
- B. EEG
- C. fibro-optic nasopharngeal examination
- D. CT scan of head and neck
Correct Answer: D
Rationale: CT scan of head and neck is not a feature of REM sleep; it is an imaging study unrelated to the physiological characteristics of REM sleep.
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A 2 years old girl presents with blue discoloration of nails and lips. On examination she is cyanosed and clubbed, heart auscultation reveals a short systolic murmur at left upper sternal border. The most likely diagnosis is?
- A. VSD
- B. Tetralogy of Fallot
- C. Tricuspid atresia
- D. Trunchus arteriosus
Correct Answer: B
Rationale: Tetralogy of Fallot typically causes cyanosis, clubbing, and a systolic murmur due to right-to-left shunting.
Deteriorating insulation is found in the ceilings of a local school built in 195Parents and teachers are extremely concerned that it may be asbestos, and they call on you, the local pediatrician, to give advice in an open meeting. What advice would you give?
- A. Immediately remove all of the insulation.
- B. Confirm the presence of asbestos by laboratory evaluation, and do nothing further.
- C. Confirm the presence of asbestos by laboratory evaluation. If asbestos is confirmed, call a certified engineer for expert assessment.
- D. Reassure the parents that the hazards of asbestos have been overstated.
Correct Answer: C
Rationale: Asbestos should be confirmed by laboratory testing, and if present, a certified engineer should assess the situation to determine the safest course of action.
Kasabach-Merritt syndrome is characterized by all the following EXCEPT
- A. thrombocytopenia
- B. microangiopathic hemolytic anemia
- C. coagulopathy
- D. association with infantile hemangiomas
Correct Answer: D
Rationale: Kasabach-Merritt syndrome is not typically associated with hemangiomas.
A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan?
- A. Type I diabetes
- B. Respiratory disease
- C. Celiac disease
- D. Type II diabetes
Correct Answer: D
Rationale: Childhood obesity is strongly associated with an increased risk of developing Type II diabetes. When children are obese, their body's ability to utilize insulin properly can become compromised, leading to insulin resistance and eventually the development of Type II diabetes. This chronic condition can have serious long-term health consequences if not properly managed, making it crucial for parents to understand the link between childhood obesity and Type II diabetes in order to prevent or address it early on.
The nurse knows that a client understands a low residue diet when he selects which of the following from the menu?
- A. Rice and lean chicken
- B. Pasta with vegetables
- C. Strawberry pie
- D. Tuna casserole
Correct Answer: A
Rationale: A low residue diet is designed to minimize the amount of undigested food in the stool, therefore reducing the frequency and volume of bowel movements. Foods high in fiber, such as pasta with vegetables and strawberry pie, may not be suitable for a low residue diet as they can increase stool bulk. Tuna casserole may contain ingredients like bread crumbs or high-fiber vegetables that are also not recommended on a low residue diet. Rice and lean chicken are good choices for this diet as they are low in fiber and easy to digest, making them suitable options for a client following a low residue diet.