Nokea
The basic principle of healthy sleep hygiene which is NOT included is
- A. set routine
- B. avoid stimulating activities as playing computer games
- C. makes sure child spends time outside every day
- D. gives a heavy meal within an hour of bedtime
Correct Answer: D
Rationale: Heavy meals close to bedtime disrupt sleep.
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A 12-year-old male adolescent, recently diagnosed with Hodgkin lymphoma, shows left cervical and supraclavicular lymph node involvement and drenching night sweats. Based on Ann Arbor Classification, the patient is classified as
- A. stage IA
- B. stage IB
- C. stage IIA
- D. stage IIB
Correct Answer: D
Rationale: Involvement of two lymph node regions above the diaphragm with systemic symptoms corresponds to stage IIB.
Biopsy is not usually performed for a child with suspicion of Wilms tumor EXCEPT
- A. age of 2-3 year
- B. signs of inflammation or infection
- C. significant lymph node enlargement radiologically
- D. intratumoral calcification radiologically
Correct Answer: D
Rationale: Presence of intratumoral calcifications may warrant biopsy to rule out other diagnoses.
A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration. Which laboratory values should the nurse report to the physician? (Select all that apply.)
- A. pH: 7.35
- B. PCO : 49
- C. HCO -: 30
- D. PaO : 96
Correct Answer: B
Rationale: pH: 7.35 - This pH value is within the normal range for a newborn and does not indicate acidosis or alkalosis.
You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is
- A. touching his genitals in public
- B. showing his genitals to others
- C. undressing in public
- D. imitating intercourse or other adult sexual behaviors
Correct Answer: D
Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.
A 3-day-old neonate has a large, soft, painless mass involving the head and neck region that mostly transilluminate; CT scan reveals a cystic mass involving the neck and intrathoracic mediastinum. The BEST modality for treatment of this neonate is
- A. surgical resection
- B. injection sclerosing agent
- C. laser therapy
- D. systemic interferon therapy
Correct Answer: A
Rationale: Surgical resection is the definitive treatment for cystic hygroma.