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How should a healthcare professional handle a child with a new diagnosis of type 2 diabetes?
- A. Focus on increasing physical activity and dietary management
- B. Initiate insulin therapy immediately
- C. Limit all carbohydrate intake
- D. Recommend frequent fasting
Correct Answer: A
Rationale: In managing type 2 diabetes in a child, focusing on increasing physical activity and dietary management is crucial, especially in the initial treatment phase. This approach helps improve insulin sensitivity and overall glycemic control. Initiating insulin therapy immediately is not the first-line treatment for type 2 diabetes in children. Limiting all carbohydrate intake is not advisable as carbohydrates are essential for providing energy and nutrients. Recommending frequent fasting can be harmful and is not a recommended strategy for managing type 2 diabetes in children.
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How should a healthcare provider respond to a parent concerned about their child's recurrent ear infections?
- A. Suggest regular use of over-the-counter ear drops
- B. Recommend a thorough evaluation by an ENT specialist
- C. Advise on increased antibiotic use
- D. Encourage avoiding all physical activities
Correct Answer: B
Rationale: When a parent expresses concerns about their child's recurrent ear infections, the best course of action is to recommend a thorough evaluation by an Ear, Nose, and Throat (ENT) specialist. This specialist can conduct a comprehensive assessment to identify the underlying cause of the ear infections and provide appropriate treatment options. Choice A is incorrect because suggesting over-the-counter ear drops without a proper evaluation may not address the root cause of the issue. Choice C is also incorrect as increasing antibiotic use without understanding the specific cause can lead to antibiotic resistance and may not be necessary. Choice D is incorrect as avoiding physical activities is unrelated to addressing recurrent ear infections and is not a recommended approach.
How should a caregiver manage a child with a new diagnosis of sickle cell anemia?
- A. Ensure the child receives frequent blood transfusions
- B. Promote adequate hydration and pain management
- C. Restrict physical activity
- D. Administer high doses of vitamin C
Correct Answer: B
Rationale: Promoting adequate hydration and pain management is crucial for managing sickle cell anemia to prevent crises and complications. Adequate hydration helps prevent sickling of red blood cells, while effective pain management is essential for addressing the frequent pain episodes associated with the condition. Ensuring the child receives frequent blood transfusions is not the initial management for sickle cell anemia; transfusions are usually reserved for specific complications. Restricting physical activity should be individualized based on the child's condition; some physical activity is beneficial for overall health. Administering high doses of vitamin C is not a standard treatment for sickle cell anemia and does not address the underlying pathology of the disease.
An essential nutrient is one that ___
- A. must be made in large quantities by the body
- B. can only be synthesized by the body
- C. cannot be made in sufficient quantities by the body
- D. is used to synthesize other compounds in the body
Correct Answer: C
Rationale: An essential nutrient is a substance that cannot be made in sufficient quantities by the body itself, so it must be obtained from the diet. Choice A is incorrect because essential nutrients are required in specific amounts, not necessarily large quantities. Choice B is incorrect as essential nutrients cannot be synthesized by the body at all. Choice D is incorrect because although essential nutrients may be used in the synthesis of other compounds, that is not the defining characteristic of an essential nutrient.
Which measure best describes the amounts of nutrients that should be consumed by the population?
- A. The Dietary Reference Intakes, as they provide a set of nutrient intake values for healthy people in the United States and Canada
- B. The Tolerable Upper Intake levels, as they indicate the maximum daily amount of a nutrient considered safe for most healthy people
- C. The Estimated Average Requirements, as they reflect the average daily amount of a nutrient needed to maintain a specific function in half of the healthy individuals of a population
- D. The Recommended Dietary Allowances, as they represent the average daily amount of a nutrient considered adequate to meet the known nutrient needs of practically all healthy individuals
Correct Answer: D
Rationale: The Recommended Dietary Allowances (RDAs) are the best measure to describe the amounts of nutrients that should be consumed by the population. RDAs represent the average daily intake level that meets the nutrient requirements of nearly all (97-98%) healthy individuals in a particular life stage and gender group. Choice A, the Dietary Reference Intakes, provide a set of nutrient intake values but do not specifically address the average daily amount of a nutrient considered adequate for practically all individuals. Choice B, the Tolerable Upper Intake levels, focus on the maximum daily amount of a nutrient deemed safe for most healthy people, not the average daily amount needed. Choice C, the Estimated Average Requirements, reflect the average daily amount of a nutrient needed by half of the healthy individuals, which is not as comprehensive as the RDAs that cater to nearly all healthy people.
How should a healthcare professional respond to a parent concerned about their child's weight gain?
- A. Provide guidance on healthy eating and physical activity
- B. Suggest restrictive dieting
- C. Recommend increased caloric intake
- D. Avoid discussing the issue
Correct Answer: A
Rationale: When a parent expresses concern about their child's weight gain, the most appropriate response is to provide guidance on healthy eating and physical activity. This approach promotes healthy weight management and overall well-being. Suggesting restrictive dieting (Choice B) can be harmful, especially for children, as it may lead to unhealthy relationships with food and potential nutritional deficiencies. Recommending increased caloric intake (Choice C) without proper assessment and guidance can exacerbate the issue. Avoiding discussing the issue (Choice D) neglects a critical opportunity to address the parent's concerns and support the child's health.