Nokea
The birthweight usually quadruples by the age of
- A. 1.5 yr
- B. 2 yr
- C. 2.5 yr
- D. 3 yr
Correct Answer: B
Rationale: Birthweight typically quadruples by 2 years of age.
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It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:
- A. Iron deficiency anemia
- B. Sickle cell disease
- C. Aplastic anemia
- D. Thalassemia
Correct Answer: C
Rationale: Aplastic anemia is a serious condition characterized by the bone marrow's failure to produce enough blood cells - red blood cells, white blood cells, and platelets. This condition may be inherited or acquired later in life, including during childhood. It results in a deficiency of all types of blood cells, leading to symptoms like fatigue, weakness, frequent infections, and easy bruising or bleeding. Iron deficiency anemia, sickle cell disease, thalassemia, hemophilia, and idiopathic thrombocytopenic purpura are different blood disorders with distinct causes and symptoms, which do not match the description provided in the question.
You are discussing with medical students the role of chemotherapy in malignant germ cell tumors (GCTs); you state that GCTs are sensitive to some types of chemotherapy. Of the following, the MOST effective chemotherapeutic agent in GCTs is
- A. vincristine
- B. cyclophosphamide
- C. cisplatin
- D. methotrexate
Correct Answer: C
Rationale: Cisplatin is a cornerstone in the treatment of germ cell tumors.
You are examining a 12-year-old female adolescent with a small nevus in the thigh; the mother is concerned regarding the future development of melanoma. All the following findings raise suspicion of melanoma EXCEPT
- A. enlarging nevus
- B. changing colors
- C. irregular margins
- D. easily bleeds
Correct Answer: E
Rationale: Spitz nevus is a benign mimic of melanoma and does not raise suspicion.
Which is an accurate description of a Kasai procedure?
- A. A palliative procedure in which the bile duct is attached to a loop of bowel to assist with bile drainage.
- B. A curative procedure that connects the bile duct to the bowel.
- C. A curative procedure where the bile duct is banded.
- D. A palliative procedure where the bile duct is banded.
Correct Answer: A
Rationale: The Kasai procedure is a palliative surgery for biliary atresia that helps restore bile flow and delays the need for liver transplantation.
Which of the following instructions should be included in the discharge teaching plan for a client after thyroidectomy for Grave's disease?
- A. keep an accurate record of intake and output.
- B. use nasal desmopressin acetate (DDAVP).
- C. be sure to get regular follow-up care.
- D. Be sure to exercise to improve cardiovascular fitness.
Correct Answer: C
Rationale: Regular follow-up care is crucial after a thyroidectomy for Grave's disease to monitor the patient's thyroid hormone levels, assess for signs of complications such as hypothyroidism or hypoparathyroidism, and ensure appropriate management of any related conditions. Routine follow-up visits with healthcare providers allow for ongoing assessment and adjustment of medications, as well as addressing any concerns the patient may have post-surgery. By emphasizing the importance of regular follow-up care, the healthcare team can provide necessary support and guidance to the patient throughout their recovery process.