Feature suggestive of hyponatremic dehydration is:
- A. Serum osmolarity>295 mOsm/L
- B. Net loss of water > sodium
- C. Child is very irritable
- D. Marked loss of skin turgor while tongue is not dry
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which best describes the electrolyte imbalance in chronic renal failure (CRF)?
- A. Decreased serum phosphorus and calcium levels.
- B. Calcium and phosphorus are drawn from the bones due to hypocalcemia.
- C. Calcium remains in the bones due to structural change.
- D. Poor nutrition causes overall electrolyte depletion.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the hallmark symptom of Gout?
- A. Joint Swelling
- B. Tophi
- C. Severe Pain
- D. Redness
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is NOT a potential complication of neonatal jaundice?
- A. kernicterus
- B. deafness
- C. cerebral palsy
- D. cardiomyopathy
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?
- A. focal dorsally exophytic
- B. cervicomedullary diffuse intrinsic
- C. none of the above
- D. diffuse intrinsic
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The physician orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result confirms SLE?
- A. Increased total serum complement levels
- B. An above-normal anti-deoxyribonucleic
- C. Negative antinuclear antibody test acid
- D. Negative lupus erythematosus cell test
Correct Answer: B
Rationale: An above-normal anti-deoxyribonucleic acid (anti-dsDNA) test result confirms systemic lupus erythematosus (SLE). Anti-dsDNA antibodies are highly specific for SLE and are found in about 70% of individuals with the condition. These antibodies target the genetic material within the cell nucleus and are strongly associated with lupus nephritis, a severe complication of SLE. Therefore, an elevated anti-dsDNA test result would be a key indicator of SLE diagnosis.