Nokea
Duchenne muscular dystrophy (DMD):
- A. Affects dystrophin gene
- B. Features usually present before five years of age
- C. Frontal baldness occurs
- D. Is part of the differential diagnosis in a floppy infant
Correct Answer: B
Rationale: Features usually present before five years of age
You may also like to solve these questions
The following diseases have diagnostic EEG findings:
- A. Petit mal epilepsy
- B. Infantile spasms
- C. Acute measles encephalopathy
- D. Herpes encephalitis
Correct Answer: B
Rationale: Infantile spasms, also known as West syndrome, have a characteristic EEG pattern called hypsarrhythmia, which is diagnostic.
Commonly used anti-epileptic drugs in children include:
- A. Sodium valproate
- B. Lamotrigine
- C. Topiramate
- D. Phenytoin
Correct Answer: A
Rationale: The correct answer is A because sodium valproate is a commonly used anti-epileptic drug in children. The other options (b-e) are also used but are not the most common first-line treatment.
About juvenile chronic arthritis:
- A. Rheumatoid factor is an important diagnostic test to perform in suspected cases
- B. Pauciarticular type is the commonest type
- C. Cervical spine involvement is uncommon
- D. Methotrexate is the first line drug in therapy
Correct Answer: B
Rationale: Pauciarticular juvenile idiopathic arthritis (JIA) is the most common subtype, typically affecting fewer than five joints in the first six months of disease.
The clinic nurse is reviewing strategies for blood glucose monitoring with a client who is newly diagnosed with diabetes mellitus. When helping the client select a blood glucose meter, which client assessments should the nurse complete?
- A. Manual dexterity and visual acuity
- B. Capillary refill time and radial pulse volume
- C. Deep tendon reflexes and skin color
- D. Skin elasticity and hand grip strength
Correct Answer: A
Rationale: Manual dexterity and visual acuity are important for the client to properly use the glucose meter.
A child has been seen by the school nurse for dizziness since the start of the school term. It happens when standing in line for recess and homeroom. The child now reports that she would rather sit and watch her friends play hopscotch because she cannot count out loud and jump at the same time. When the nurse asks her if her chest ever hurts, she says yes. Based on this history, the nurse suspects that she has:
- A. Ventricular septal defect (VSD)
- B. Aortic stenosis (AS)
- C. Mitral valve prolapse
- D. Tricuspid atresia
Correct Answer: B
Rationale: AS can progress and result in exercise intolerance, which may improve with rest.