Nokea
Mycoplasma pneumonia:
- A. Is associated with bullous myringitis
- B. Cold haemaglutinin antibodies are a recognised finding
- C. Guillain-Barre syndrome is a recognised sequel
- D. Is associated with erythema marginatum
Correct Answer: B
Rationale: Cold haemagglutinin antibodies are a recognized finding in Mycoplasma pneumonia. Bullous myringitis and Guillain-Barre syndrome are also associated.
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A child has been diagnosed with valvular disease following rheumatic fever (RF). During patient teaching, the nurse discusses the child’s long-term prophylactic therapy with antibiotics for dental procedures, surgery, and childbirth. The parents Indicate they understand when they say:
- A. “She will need to take the antibiotics until she turns 18 years old.â€
- B. “She will need to take the antibiotics for 5 years after the last attack.â€
- C. “She will need to take the antibiotics for 10 years after the last attack.â€
- D. “She will need to take the antibiotics for the rest of her life.â€
Correct Answer: D
Rationale: Lifelong antibiotic prophylaxis is recommended for individuals with valvular disease following rheumatic fever to prevent recurrent infections and further cardiac damage.
False statements include:
- A. Curosurf is a natural surfactant
- B. Antenatal steroids are usually given as two oral doses of dexamethasone
- C. Increasing the rate on the ventilator raises the mean airway pressure
- D. CPAP is a common weaning tool in ventilated pre terms
Correct Answer: B
Rationale: The correct answer is B because antenatal steroids are typically given intramuscularly, not orally. The other options (a, c, d, e) are true statements.
Bronchoconstriction is a recognised side effect of:
- A. Captopril
- B. Salbutamol
- C. Ibuprofen
- D. Paracetamol
Correct Answer: B
Rationale: Salbutamol can cause bronchoconstriction in some cases due to its paradoxical effect, especially if overused or misused.
What associated manifestation might the nurse occasionally find in a child diagnosed with Wilms tumor?
- A. Atrial fibrillation
- B. Hypertension
- C. Endocarditis
- D. Hyperlipidemia
Correct Answer: B
Rationale: Wilms tumor, due to its location in the kidney, can be associated with secondary hypertension.
What are FIVE possible etiologies for a heart rate of 40 bpm with atrial rate of 92 bpm and AV-dissociation in a 4-year-old girl?
- A. Congenital CHB from maternal Lupus
- B. Fetal myocarditis
- C. CCTGA
- D. Medication induced
Correct Answer: A
Rationale: Congenital heart block from maternal conditions like lupus can present with low heart rate and AV dissociation in a young child.