What associated manifestation might the nurse occasionally find in a child diagnosed with Wilms tumor?
- A. Atrial fibrillation
- B. Hypertension
- C. Endocarditis
- D. Hyperlipidemia
Correct Answer: B
Rationale: Wilms tumor, due to its location in the kidney, can be associated with secondary hypertension.
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What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)
- A. Hypertrophied right ventricle
- B. Patent ductus arteriosus
- C. Ventral septal defect
- D. Narrowing of pulmonary artery
Correct Answer: D
Rationale: The four anomalies that comprise tetralogy of Fallot are hypertrophied right ventricle, patent ductus arteriosus, stenosis of pulmonary artery, and dextroposition of the aorta.
List THREE major criteria for the diagnosis of infective endocarditis.
- A. Persistently positive blood cultures
- B. Echo evidence positive for IE
- C. New valvar regurgitation
- D. All of the above
Correct Answer: D
Rationale: The major criteria are critical for diagnosing infective endocarditis based on clinical, laboratory, and echocardiographic findings.
Which of the following is false regarding right ventricle?
- A. It has fine and regular trabeculations
- B. Septal attachment of AV valve is more apical
- C. Moderator band is present
- D. Trabecular septomarginalis is present
Correct Answer: A
Rationale: The right ventricle typically has coarse trabeculations, not fine and regular ones.
A feature of Turner syndrome is:
- A. Short stature
- B. Polydactyly
- C. Congenital heart defects
- D. Mental retardation
Correct Answer: A
Rationale: Short stature is a common feature of Turner syndrome, along with ovarian insufficiency and other physical abnormalities.
Which is a common, serious complication of rheumatic fever?
- A. Seizures
- B. Cardiac arrhythmias
- C. Pulmonary hypertension
- D. Cardiac valve damage
Correct Answer: D
Rationale: Cardiac valve damage is the most significant complication of rheumatic fever. Seizures, cardiac arrhythmias, and pulmonary hypertension are not common complications of rheumatic fever.
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