Nokea
The child who draws a man with 2-4 parts, imitates construction of 2 lines longer, and helps with dressing has an age around
- A. 24 mo
- B. 30 mo
- C. 48 mo
- D. 54 mo
Correct Answer: B
Rationale: These milestones are typically achieved around 30 months.
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The normal range of hemoglobin in the blood of an adult:
- A. 7-11 mg
- B. 14-20 mg
- C. 12-18 mg
- D. 20-26 mg
Correct Answer: C
Rationale: The normal range of hemoglobin in the blood of an adult is typically between 12-18 grams per deciliter (g/dL). Hemoglobin is a protein found in red blood cells that is responsible for carrying oxygen from the lungs to the tissues in the body. Having an adequate level of hemoglobin is essential for proper oxygen delivery throughout the body. Values outside of the normal range may indicate anemia (low hemoglobin levels) or other underlying health conditions. It's important to consult a healthcare provider for interpretation of specific hemoglobin test results.
Which is the name of the suture separating the parietal bones at the top center of a newborn's head?
- A. Frontal
- B. Coronal
- C. Sagittal
- D. Occipital
Correct Answer: C
Rationale: The suture separating the parietal bones at the top center of a newborn's head is called the sagittal suture. This suture runs along the top of the skull from front to back, connecting the two parietal bones. It is one of the major cranial sutures that allows for the flexibility and growth of the skull during infancy and childhood.
Which laboratory test value is elevated in clients who smoke and can't be used as a general indicator of cancer?
- A. Acid phosphatase level
- B. Alkaline phosphatase level
- C. Serum calcitonin level
- D. Carcinoembryonic antigen level
Correct Answer: B
Rationale: Alkaline phosphatase level is elevated in clients who smoke due to various reasons unrelated to cancer. Smoking leads to increased alkaline phosphatase production in the liver, and elevated levels can be attributed to liver damage caused by smoking. However, a high alkaline phosphatase level alone cannot be used as a general indicator of cancer because it is not specific to cancer and can be influenced by several other factors. Therefore, it is not a reliable marker for the presence of cancer in individuals who smoke or in the general population.
A 1-year-old child develops right eye ptosis, miosis, and loss of sweating; you suspect neuroblastoma. The MOST valuable investigation to confirm the diagnosis is
- A. CT scan of the neck and chest
- B. CT scan of the abdomen
- C. CT scan of the brain
- D. magnetic resonance imaging (MRI) of the brain
Correct Answer: A
Rationale: CT scan of the neck and chest can help identify a primary neuroblastoma mass in the adrenal gland or sympathetic chain.
The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?
- A. teratoma
- B. germinoma
- C. endodermal sinus tumor
- D. embryonal carcinoma
Correct Answer: D
Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.