Nokea
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.
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An 80-year-old patient with a history of renal insufficiency was recently started on cimetidine. Which assessment finding indicates that the patient may be experiencing an adverse effect of the medication?
- A. Pain with urination
- B. New onset disorientation to time and place
- C. HR changes from a baseline of 70-80bpm to 110-120bpm
- D. #ERROR!
Correct Answer: B
Rationale: The correct answer is B: New onset disorientation to time and place. Cimetidine can cause adverse effects on the CNS system, especially in elderly patients with renal or hepatic impairment. This may manifest as confusion, hallucinations, lethargy, restlessness, or seizures. Pain with urination (choice A) is not typically associated with cimetidine use, and HR changes (choice C) are more likely related to other factors. Choice D is not a valid option.
Stage 1 hypertension in children is defined as:
- A. Average SBP or DBP levels <90th percentile
- B. Average SBP or DBP levels > 99th percentile
- C. BP > 120/80
- D. Average SBP or DBP levels 95-99th percentile
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Iron chelating agents are used for treatment of:
- A. Leukemia
- B. Lymphoma
- C. Wilms tumor
- D. Chronic hemolytic anemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with acute renal failure (ARF) asks why peritoneal dialysis was chosen instead of hemodialysis. Which is the best response?
- A. Hemodialysis is not used in pediatrics.
- B. Peritoneal dialysis has no complications.
- C. Peritoneal dialysis removes fluid at a slower, more controlled rate, which minimizes complications.
- D. Peritoneal dialysis is more efficient than hemodialysis.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Children exposed to second-hand tobacco smoke have increased frequency of
- A. middle ear effusions
- B. bacterial respiratory illnesses
- C. otitis externa
- D. sinusitis
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.