Nokea
Recognised features of constrictive pericarditis are:
- A. Increased fatiguability
- B. Precordial pain
- C. Abdominal distension
- D. Parasternal heave
Correct Answer: C
Rationale: Abdominal distension is a recognized feature of constrictive pericarditis due to impaired venous return and hepatic congestion.
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In the most common type of CAH:
- A. Autosomal dominant transmission occurs
- B. II -Hydroxylase is deficient
- C. Hypertension is seen
- D. 17-OH progesterone is increased
Correct Answer: D
Rationale: 17-OH progesterone is increased: In congenital adrenal hyperplasia (CAH), the most common form is 21-hydroxylase deficiency, leading to increased 17-hydroxyprogesterone levels.
The nurse has provided home care instructions to the parents of a child who is being discharged after cardiac surgery. Which statement by the parents indicates a need for further instructions?
- A. “A balance of rest and exercise is important.â€
- B. “I can apply lotion or powder to the incision if it is itchy.â€
- C. “Activities in which my child could fall need to be avoided for 2-4 weeks.â€
- D. “We should avoid going to places like the mall or grocery stores for at least 2 weeks after surgery.â€
Correct Answer: B
Rationale: Applying lotion or powder to the incision can increase the risk of infection. Parents should be instructed to keep the incision clean and dry.
Measuring serum potassium is essential in a child with confirmed hypertension because hyperkalemia may be seen in
- A. Liddle syndrome
- B. Gordon syndrome
- C. glucocorticoid remediable aldosteronism
- D. apparent mineralocorticoid excess
Correct Answer: D
Rationale: Hyperkalemia is not typically associated with Liddle syndrome, which causes hypokalemia.
One-year-old child:
- A. Holds a raisin with a finger and thumb
- B. Drinks with a straw
- C. Tells six words with meaning
- D. Can move around holding onto furniture (cruising)
Correct Answer: D
Rationale: By one year of age, most children can cruise (move around while holding onto furniture), a key milestone in motor development.
All of the following are features of congenital hypothyroidism except
- A. More common in boys than girls
- B. Neonatal jaundice
- C. Macrocytic anemia
- D. Hearing loss
Correct Answer: A
Rationale: Congenital hypothyroidism is more common in girls than boys.