Nokea
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.
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Children with high-risk neuroblastoma have poor survival. Current treatment consists of all the following EXCEPT
- A. surgery
- B. intensive chemotherapy
- C. radiation
- D. allogenic bone marrow transplantation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A delayed onset of respiratory symptoms after exposure is characteristic of
- A. chlorine
- B. phosgene
- C. cyanide
- D. anthrax
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The following are true EXCEPT
- A. Hypoglycemia develops in about 25-50%
- B. Increased weight of the placenta and all infant organs
- C. Heart failure occurs in 5-10% of infants of diabetic mothers
- D. The incidence of congenital anomalies is increased threefold in infants of diabetic mothers
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.
The following are manifestations of hypocalcemia in the neonate EXCEPT
- A. Jitteriness
- B. Seizures
- C. Carpopedal spasm
- D. High-pitched cry
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.