Nokea
The child becomes unresponsive. The most likely underlying lesion is
- A. cardiomyopathy
- B. anomalous coronary artery
- C. tetralogy of Fallot
- D. constipation
Correct Answer: C
Rationale: Tetralogy of Fallot can cause hypoxic spells leading to unresponsiveness.
You may also like to solve these questions
Sudden death in an athlete immediately after forceful blunt trauma to the chest is most likely
- A. commotio cordis
- B. myocardial infarction
- C. lacerated coronary artery
- D. ruptured cardiac tendineae
Correct Answer: A
Rationale: Commotio cordis occurs due to sudden arrhythmias triggered by chest trauma during a vulnerable phase of the cardiac cycle.
Which of the following statements is true regarding Glasgow coma scale (GCS) in children?
- A. The scale is validated as a prognostic scoring system in children and young infants
- B. Patients with GCS < or = 8 require aggressive management
- C. All patients with GCS < or = 5 should be intubated and mechanically ventilated
- D. It is useful in children to assess the neurological, circulatory and cardiac status
Correct Answer: B
Rationale: Patients with a GCS of 8 or less require aggressive management, as this indicates severe brain injury and potential airway compromise.
Insulin-like growth factor-l (IGF-I):
- A. Increases during pubertal growth spurt
- B. Is a single polypeptide chain
- C. Is produced in pancreas
- D. Is secreted in a pulsatile manner
Correct Answer: A
Rationale: IGF-I levels rise significantly during the pubertal growth spurt, contributing to rapid growth and development.
Causes of a discrete osteolytic bone lesion in a two-year-old include:
- A. Rickets
- B. Non-accidental injury
- C. Eosinophilic granuloma
- D. Acute lymphoblastic leukaemia
Correct Answer: C
Rationale: Eosinophilic granuloma is a benign bone lesion that can present with osteolytic lesions, typically seen in children as part of Langerhans cell histiocytosis.
A 10-year-old has undergone a cardiac catheterization. At the end of the procedure, the nurse should first assess:
- A. Pain
- B. Pulses
- C. Hemoglobin and hematocrit levels
- D. Catheterization report
Correct Answer: B
Rationale: Checking pulsesâ€â€especially in the canulated extremityâ€â€assures perfusion to that extremity and is the priority postprocedure.