Infants in whom cephalhematomas develop are at increased risk for
- A. Infection
- B. Jaundice
- C. Seizures
- D. Fractures
Correct Answer: B
Rationale: Jaundice B is a risk due to blood breakdown in cephalhematomas, per document p5, 1.
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Most common cause of Cushing syndrome in children is:
- A. Adrenal tumor
- B. Pituitary adenoma
- C. Exogenous steroids
- D. Ectopic ACTH syndrome
Correct Answer: C
Rationale: Exogenous steroids are the most common cause of Cushing syndrome in children, per AAP (doc p150, Q590).
A child is diagnosed with hypoalbuminemia. Her total serum calcium level is normal. Most likely associated finding that may be missed is:
- A. Hypocalcemia
- B. Hypercalcuria
- C. Hypomagnesemia
- D. Hypercalcemia
Correct Answer: D
Rationale: Hypoalbuminemia lowers bound calcium; a normal total calcium suggests hypercalcemia in ionized form, often missed (UpToDate). A-C, E don’t fit.
Most common endocrine abnormality in patients with cystic fibrosis is:
- A. Hypothyroidism
- B. Diabetes mellitus
- C. Adrenal insufficiency
- D. Hyperthyroidism
Correct Answer: B
Rationale: Cystic fibrosis-related diabetes is the most common endocrine issue, from pancreatic damage, per CFF. A, C-E are less frequent.
What type of diet is recommended for the menopausal woman?
- A. Low-fat, high-fiber, and soy diet
- B. High-carbohydrate, low-fat diet
- C. Low-salt, high-fiber, low-protein diet
- D. Low-fat, low-carbohydrate, high-protein
Correct Answer: A
Rationale: A low-fat, high-fiber, and soy diet (A) helps manage menopausal symptoms via phytoestrogens and heart health. Other options (B, C, D) lack soy’s specific benefits. Document: 'A low-fat, high-fiber, and soy diet… [is used for] managing menopausal symptoms.'
A child with diabetes should be taught to recognize
- A. Shakiness
- B. Sweating
- C. Weakness
- D. All of the above
Correct Answer: D
Rationale: All D are hypoglycemia signs, per document p60, 9.