The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is
- A. early signs of ADHD
- B. primary restless legs syndrome
- C. sleep terrors
- D. sleep-onset association disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which clinical sign is pathognomonic of rubella?
- A. Severe prodromal stage
- B. Circumoral pallor
- C. Maculopapular rash
- D. Post auricular lymphadenopathy
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Two weeks after a viral syndrome, a 9-year-old girl presents to your clinic with a complaint of several days of drooping of her mouth. In addition to the drooping of the left side of her mouth, you note that she is unable to completely shut her left eye. Her smile is asymmetric, but her examination is otherwise normal. This girl likely has:
- A. Guillain-Barré syndrome
- B. Botulism
- C. Cerebral vascular accident
- D. Brainstem tumor
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the maximum accepted rate of drop of serum sodium per 24 hours in hypernatremia?
- A. 8 mmol/L
- B. 12 mmol/L
- C. 16 mmol/L
- D. 20 mmol/L
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Building a tower by a 22-month-old child requires
- A. visual-motor coordination
- B. uses visual and motor skills in combination
- C. gross and fine motor coordination
- D. symbolic thought
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In the presence of convincing history of a severe systemic reaction, the next diagnostic step for those with initially negative skin test is
- A. in vitro serum assay for venom-specific IgE
- B. repeat skin test after 4-6 weeks
- C. serum tryptase level
- D. plasma histamine
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.