Nokea
Building a tower by a 22-month-old child requires
- A. visual-motor coordination
- B. uses visual and motor skills in combination
- C. gross and fine motor coordination
- D. symbolic thought
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The healthcare provider should question an order for glucocorticoids in the treatment of a patient with what condition?
- A. Systemic fungal infection
- B. Diabetes Mellitus
- C. Myasthenia Gravis
- D. Glaucoma
Correct Answer: A
Rationale: Glucocorticoids are contraindicated in the treatment of a patient with systemic fungal infection or in patients receiving live vaccines due to their immunosuppressive effects. Glucocorticoids can exacerbate fungal infections by suppressing the immune response. While caution is advised in patients with diabetes mellitus, myasthenia gravis, and glaucoma, the presence of a systemic fungal infection warrants questioning the use of glucocorticoids to prevent worsening of the fungal infection.
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.
Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:
- A. Large PDA
- B. Severe mitral incompetence
- C. Aortic rheumatic carditis with mitral valvulitis
- D. Large atrial septal defect
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In pediatric basic life support, the rescuer resuscitates the collapsed child
- A. Oxygen should be given early
- B. He should be a medical person
- C. Activate basic life support chain
- D. Begin with DC shock
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After severe birth asphyxia, infants may have motor automatisms characterized by
- A. absence of oral-buccal-lingual movements
- B. time-synchronized electroencephalographic discharges
- C. significant cortical epileptic activity
- D. a poor prognosis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.