What is the characteristic of a ketogenic diet suggested for children with seizures?
- A. High-carbohydrate diet
- B. High-protein diet
- C. High-fat diet
- D. Low-fat diet
Correct Answer: C
Rationale: A high-fat diet induces ketosis, which can reduce seizure frequency.
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Any of the following syndromes is the involuntary movement EXCEPT:
- A. chorea
- B. tic
- C. tremor
- D. paresis
Correct Answer: D
Rationale: Paresis is the correct answer because it refers to weakness or partial paralysis, which is not an involuntary movement. In contrast, chorea, tics, and tremor are all types of hyperkinetic movements that occur without voluntary control and are associated with various neurological disorders.
When caring for a patient in the severe stage of AD, what diversion or distraction activities would be appropriate?
- A. Watching TV
- B. Playing games
- C. Books to read
- D. Mobiles or dangling ribbons
Correct Answer: D
Rationale: In severe AD, simpler sensory stimulation like mobiles or dangling ribbons may be more appropriate.
During the rehabilitative phase following his cerebrovascular accident Mr. K. is taught measures to relieve or prevent constipation. Which of these statements indicates that Mr. K. needs further health teaching?
- A. I eat whole-wheat bread with my meals.
- B. I eat fruit three times a day.
- C. I don't drink fluids after 4 P.M.
- D. I don't like to take enemas.
Correct Answer: C
Rationale: Restricted fluid intake contributes to constipation.
Which other extraarticular manifestation of RA is most likely to be seen in the patient with rheumatoid nodules?
- A. Lyme disease
- B. Felty syndrome
- C. Sjögren's
- D. Spondyloarthropathies
Correct Answer: B
Rationale: Felty syndrome involves splenomegaly and neutropenia.
A 44-year-old female presents with weakness. Her weakness becomes apparent when she picks up her youngest daughter, or when placing her nonperishable foods in the top shelf of her kitchen. She also reports difficulty when getting up from a chair. These symptoms began a few months ago, and have since worsened. On physical exam, there is an erythematous eruption on her eyelids, and erythematous papules on the dorsal aspect of her hands. Neurological examination is significant for symmetric muscle weakness of her shoulders and hips. Which of the following is most likely the diagnosis?
- A. Glucocorticoid-induced myopathy
- B. Myasthenia gravis
- C. Dermatomyositis
- D. Polymyositis
Correct Answer: C
Rationale: The patient's presentation of proximal muscle weakness, along with the characteristic skin findings (heliotrope rash on the eyelids and Gottron's papules on the hands), is classic for dermatomyositis. This is an inflammatory myopathy associated with autoimmune processes and often involves both muscle and skin. Glucocorticoid-induced myopathy and myasthenia gravis do not present with skin changes, while polymyositis and systemic lupus erythematosus do not typically cause the specific skin lesions seen in this patient.