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What is a common early sign of type 1 diabetes in children?
- A. Excessive thirst and frequent urination
- B. Severe abdominal pain
- C. Frequent headaches
- D. Sudden weight gain
Correct Answer: A
Rationale: Excessive thirst and frequent urination are common early signs of type 1 diabetes in children. These symptoms occur due to high blood glucose levels, leading to increased thirst and urination. Severe abdominal pain (choice B) is not typically associated with type 1 diabetes. Although frequent headaches (choice C) can occur in some cases, they are not as specific to type 1 diabetes as excessive thirst and frequent urination. Sudden weight gain (choice D) is not a common early sign of type 1 diabetes; in fact, unexplained weight loss is more characteristic of the condition.
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What should be monitored in a child receiving chemotherapy?
- A. Blood glucose levels
- B. Blood cell counts
- C. Weight gain
- D. Skin elasticity
Correct Answer: B
Rationale: The correct answer is monitoring blood cell counts. During chemotherapy, it is crucial to monitor blood cell counts to detect potential side effects such as neutropenia (low white blood cell count) and anemia (low red blood cell count). These conditions can increase the risk of infections and fatigue. Monitoring blood glucose levels (Choice A) is not typically a primary concern in children receiving chemotherapy unless they have pre-existing conditions like diabetes. Weight gain (Choice C) and skin elasticity (Choice D) are not directly related to monitoring the effects of chemotherapy in children. Therefore, the most important parameter to monitor in a child receiving chemotherapy is blood cell counts.
How should a healthcare professional handle a child with a new diagnosis of type 2 diabetes?
- A. Focus on increasing physical activity and dietary management
- B. Initiate insulin therapy immediately
- C. Limit all carbohydrate intake
- D. Recommend frequent fasting
Correct Answer: A
Rationale: In managing type 2 diabetes in a child, focusing on increasing physical activity and dietary management is crucial, especially in the initial treatment phase. This approach helps improve insulin sensitivity and overall glycemic control. Initiating insulin therapy immediately is not the first-line treatment for type 2 diabetes in children. Limiting all carbohydrate intake is not advisable as carbohydrates are essential for providing energy and nutrients. Recommending frequent fasting can be harmful and is not a recommended strategy for managing type 2 diabetes in children.
How should a caregiver manage a child with a new diagnosis of sickle cell anemia?
- A. Ensure the child receives frequent blood transfusions
- B. Promote adequate hydration and pain management
- C. Restrict physical activity
- D. Administer high doses of vitamin C
Correct Answer: B
Rationale: Promoting adequate hydration and pain management is crucial for managing sickle cell anemia to prevent crises and complications. Adequate hydration helps prevent sickling of red blood cells, while effective pain management is essential for addressing the frequent pain episodes associated with the condition. Ensuring the child receives frequent blood transfusions is not the initial management for sickle cell anemia; transfusions are usually reserved for specific complications. Restricting physical activity should be individualized based on the child's condition; some physical activity is beneficial for overall health. Administering high doses of vitamin C is not a standard treatment for sickle cell anemia and does not address the underlying pathology of the disease.
Which of the following is a function of carbohydrates in the body?
- A. They provide insulation and support for organs.
- B. They help regulate body temperature.
- C. They serve as the body's main structural components.
- D. They are the body's primary source of energy.
Correct Answer: D
Rationale: The correct answer is D. Carbohydrates are the body's primary source of energy, fueling daily activities and bodily functions. Choice A is incorrect because insulation and organ support are primarily provided by adipose tissue and structural proteins, not carbohydrates. Choice B is incorrect because the regulation of body temperature is mainly controlled by processes like sweating and shivering, not carbohydrates. Choice C is incorrect because structural components like proteins are responsible for building tissues and organs, not carbohydrates.
What is a common complication of uncontrolled type 1 diabetes in children?
- A. Hyperactivity
- B. Ketoacidosis
- C. Hypertension
- D. Hypoglycemia
Correct Answer: B
Rationale: Ketoacidosis is a prevalent complication of uncontrolled type 1 diabetes in children. It is a serious condition characterized by high levels of ketones in the blood, leading to acidosis. Prompt medical attention is necessary to manage this potentially life-threatening condition.
Choice A, hyperactivity, is not a typical complication of uncontrolled type 1 diabetes. Choice C, hypertension, is not a direct complication of type 1 diabetes in children. Choice D, hypoglycemia, is more commonly associated with low blood sugar levels, which can occur due to excessive insulin administration or inadequate food intake in diabetic individuals, rather than uncontrolled type 1 diabetes.