Nokea
Vitamin B1 deficiency causes
- A. Beriberi
- B. Mumps
- C. Pellagra
- D. Scurvy
Correct Answer: A
Rationale: Beriberi A results from B1 deficiency, per document p14, 8.
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A 4-year-old boy presents with fever, limp, and hip pain. Hip x-ray is normal, but ESR is elevated. Most likely diagnosis is:
- A. Septic arthritis
- B. Transient synovitis
- C. Osteomyelitis
- D. Slipped capital femoral epiphysis
Correct Answer: B
Rationale: Transient synovitis is common in preschoolers with limp and fever, often post-viral, with normal x-ray, per AAP. A, C-E have different presentations or imaging.
A physician should be informed if a 7-year-old with a fractured femur in a cast shows
- A. Cast damp and warm after 24 hours
- B. Increased urinary output
- C. Inability to move toes
- D. Pedal pulse of 90 bpm
Correct Answer: C
Rationale: Inability to move toes C suggests circulation issues, per document p11, .
The most common site for temperature in a 2-year-old is
- A. Axillary
- B. Oral
- C. Rectal
- D. Temporal
Correct Answer: A
Rationale: Axillary A is safest for toddlers, per document p34, 4.
The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestations would she expect to observe?
- A. Nausea and vomiting
- B. Polyuria and polydipsia
- C. Oliguria and uremia
- D. Glycosuria and hematuria
Correct Answer: B
Rationale: Diabetes insipidus causes polyuria and polydipsia (B) due to lack of antidiuretic hormone. Nausea (A), oliguria (C), and glycosuria (D) are unrelated. Document: 'Excessive urination accompanied by insatiable thirst is the primary clinical manifestation.'
In fetal circulation, the pressure is greatest in the
- A. Left ventricle
- B. Right atrium
- C. Pulmonary artery
- D. Aorta
Correct Answer: B
Rationale: Right atrium B has the highest pressure in fetal circulation due to venous return, per document 3.