Tumor lysis syndrome is a common complication during treatment of pediatric malignancies. Which malignancy is more likely to manifest such complication?
- A. acute myelogenous leukemia (AML)
- B. nephroblastoma
- C. neuroblastoma
- D. Burkitt lymphoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which is an appropriate action when an infant becomes apneic?
- A. Shake vigorously
- B. Roll head side to side
- C. Hold by feet upside down with head supported
- D. Gently stimulate trunk by patting or rubbing
Correct Answer: D
Rationale: When an infant becomes apneic (stops breathing), the appropriate action is to gently stimulate the trunk by patting or rubbing. This can help stimulate the infant to resume breathing. It is important to avoid any rough handling or shaking as this can cause harm to the infant. Rolling the head side to side or holding the infant by the feet upside down is not recommended in this situation and could potentially be dangerous. Gently stimulating the trunk is a safe and appropriate response to help the infant start breathing again.
A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?
- A. Tetralogy of Fallot
- B. Respiratory distress syndrome
- C. Transposition of the great arteries
- D. Choanal atresia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?
- A. first traumatic lumbar puncture (LP)
- B. T-cell leukemia
- C. cranial nerve involvement at the time of diagnosis
- D. presence of lymphoblast in the CSF at any time during treatment
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 2-year-old child is found playing with a can of crystalline drain cleaner. There are several crystals in the mouth, which you have the mother wash out. Treatment should be to
- A. have the mother administer lemon juice or orange juice to neutralize the alkaline crystals and come to your office
- B. have the mother administer water or milk and call you back in 2 hours
- C. have the mother administer water or milk and bring the child in for esophagoscopy
- D. simply observe the child because the crystals are so bitter that the child was trying to spit them out when the mother called, and therefore no problems should occur
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Iron chelating agents are used for treatment of:
- A. Leukemia
- B. Lymphoma
- C. Wilms tumor
- D. Chronic hemolytic anemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.