Nokea
What is a key dietary consideration for a child with phenylketonuria (PKU)?
- A. High-fiber diet
- B. Low-phenylalanine diet
- C. Increased dairy intake
- D. High-sodium diet
Correct Answer: B
Rationale: A low-phenylalanine diet is crucial for managing PKU to prevent neurological damage and maintain normal development. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it. Consuming foods low in phenylalanine helps prevent the buildup of toxic byproducts in the body. Choices A, C, and D are incorrect. A high-fiber diet, increased dairy intake, and high-sodium diet are not specific dietary considerations for PKU management. In fact, dairy products are a source of protein and phenylalanine, which should be limited in PKU.
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What is a common sign of hypothyroidism in children?
- A. Weight loss
- B. Increased heart rate
- C. Dry skin and constipation
- D. Elevated blood pressure
Correct Answer: C
Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.
Which of the following is considered a micronutrient?
- A. Protein
- B. Carbohydrate
- C. Vitamin C
- D. Fat
Correct Answer: C
Rationale: Corrected Question: Vitamin C is considered a micronutrient because it is required in small amounts for proper body functioning and is essential for health. Proteins, carbohydrates, and fats are macronutrients, needed in larger quantities for energy and other body functions. Vitamin C, being a micronutrient, plays a crucial role in various bodily functions even though it is needed in smaller quantities compared to macronutrients. Therefore, the correct answer is C. Choice A (Protein), Choice B (Carbohydrate), and Choice D (Fat) are incorrect as they are macronutrients required in larger amounts for energy and other body functions.
What is a key sign of meningitis in an infant?
- A. Increased appetite
- B. Bulging fontanel
- C. Decreased respiratory rate
- D. Elevated blood pressure
Correct Answer: B
Rationale: A bulging fontanel is a key sign of meningitis in infants, indicating increased intracranial pressure due to inflammation of the meninges. This can lead to the fontanel bulging. Choices A, C, and D are incorrect. Increased appetite is not typically associated with meningitis in infants; instead, they may have poor feeding. A decreased respiratory rate is not a common sign of meningitis in infants. Elevated blood pressure is also not a typical finding in infants with meningitis.
What is a primary goal of managing diabetes mellitus in children?
- A. Promote weight maintenance
- B. Prevent episodes of hypoglycemia
- C. Ensure normal growth and development
- D. Optimize blood sugar control
Correct Answer: C
Rationale: The primary goal of managing diabetes mellitus in children is to ensure normal growth and development. This involves maintaining stable blood glucose levels to prevent complications. Option A is incorrect because promoting weight gain is not a primary goal in managing diabetes; rather, the aim is to maintain a healthy weight. Option B is not the primary goal; although it is important to prevent episodes of hypoglycemia, the main focus is on overall management. Option D is incorrect as optimizing blood sugar control is a means to achieve the primary goal, which is ensuring normal growth and development.
What is an important consideration when administering medications to a child with hepatic dysfunction?
- A. Increased dosing intervals
- B. Adjustments in dosage due to altered metabolism
- C. Avoid all medications
- D. Use only topical medications
Correct Answer: B
Rationale: When administering medications to a child with hepatic dysfunction, it is crucial to make adjustments in dosage due to altered metabolism. Hepatic dysfunction can affect the way medications are metabolized in the body, potentially leading to drug toxicity or reduced effectiveness. This is why adjusting the dosage is essential to ensure the medication is both safe and efficient. Choices A, C, and D are incorrect because increasing dosing intervals, avoiding all medications, or using only topical medications do not address the specific issue of altered drug metabolism in hepatic dysfunction.