Child sexual abuse is the involvement of children in sexual activities that violates societal taboos. Most perpetrators are adults or adolescents who are known to the child and who have real or perceived power over the child. Of the following, perpetrators who are LESS often involved in child sexual abuse are
- A. fathers
- B. mothers
- C. teachers
- D. family friends
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
A parent of an infant with gastroesophageal reflux is being taught by a nurse. Which of the following instructions should the nurse include in the teaching?
- A. Offer the infant feedings every 2 hours.
- B. Position the infant upright after feedings.
- C. Feed the infant thickened formula.
- D. Place the infant in a prone position after feedings.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
- A. brain
- B. heart
- C. lung
- D. liver
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
One of the following causes normal anion gap metabolic acidosis:
- A. Diabetic ketoacidosis
- B. Renal tubular acidosis
- C. Lactic acidosis
- D. Salicylate poisoning
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?
- A. first traumatic lumbar puncture (LP)
- B. T-cell leukemia
- C. cranial nerve involvement at the time of diagnosis
- D. presence of lymphoblast in the CSF at any time during treatment
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.