What is the first-line treatment for a child with a bacterial ear infection?
- A. Intravenous antibiotics
- B. Oral antibiotics
- C. Nasal decongestants
- D. Antihistamines
Correct Answer: B
Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.
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What is a common symptom of a vitamin D deficiency in children?
- A. Frequent infections
- B. Bone pain and tenderness
- C. Excessive thirst
- D. Unexplained bruising
Correct Answer: B
Rationale: Bone pain and tenderness are indeed common symptoms of vitamin D deficiency in children. Vitamin D plays a crucial role in bone health and growth. The deficiency can lead to weakened bones, causing pain and tenderness. Choices A, C, and D are incorrect. Frequent infections are not a typical symptom of vitamin D deficiency in children; excessive thirst is more commonly associated with conditions like diabetes, and unexplained bruising is not directly linked to vitamin D deficiency.
What should be monitored closely in a child receiving chemotherapy?
- A. Blood glucose levels
- B. White blood cell count
- C. Blood pressure
- D. Heart rate
Correct Answer: B
Rationale: The correct answer is B: White blood cell count. During chemotherapy, it is crucial to monitor the white blood cell count closely to detect potential neutropenia (low white blood cell count) and the associated risk of infections. Monitoring blood glucose levels (Choice A) is important for diabetic management and not directly related to chemotherapy. Blood pressure (Choice C) and heart rate (Choice D) are essential vital signs to monitor but are not the primary focus when monitoring a child receiving chemotherapy.
What is critical for preventing complications in an infant with hypothyroidism?
- A. Excessive growth
- B. Cognitive impairment
- C. Damage to the nervous system
- D. Damage to the urinary system
Correct Answer: B
Rationale: The correct answer is B: Cognitive impairment. In infants with hypothyroidism, prompt administration of oral thyroid hormone replacement is crucial to prevent cognitive impairment and other serious complications. Excessive growth (choice A) is not a typical complication of hypothyroidism in infants. While hypothyroidism can affect the nervous system (choice C), cognitive impairment is more specific to untreated cases. Damage to the urinary system (choice D) is not a common complication of hypothyroidism in infants.
What is an important dietary consideration for a child with cystic fibrosis?
- A. High-calorie, high-fat diet
- B. Low-sugar diet
- C. Increased dietary fiber
- D. High-sodium diet
Correct Answer: A
Rationale: For a child with cystic fibrosis, an important dietary consideration is a high-calorie, high-fat diet. This type of diet helps address malabsorption issues commonly seen in individuals with cystic fibrosis and supports adequate growth and development. High-calorie, high-fat foods are recommended to help meet the increased energy needs of these individuals. Choices B, C, and D are not the most appropriate dietary considerations for a child with cystic fibrosis. A low-sugar diet may not provide enough calories for optimal growth, increased dietary fiber may exacerbate issues related to malabsorption, and a high-sodium diet is generally not recommended due to the risk of dehydration and electrolyte imbalances in individuals with cystic fibrosis.
What intervention is recommended for a child with severe dehydration?
- A. Oral rehydration therapy
- B. Intravenous fluid replacement
- C. High-protein diet
- D. Increased physical activity
Correct Answer: B
Rationale: Intravenous fluid replacement is the recommended intervention for a child with severe dehydration because it allows for rapid restoration of fluid and electrolyte balance. In severe cases, oral rehydration therapy (Choice A) may not be tolerated due to the child's condition. A high-protein diet (Choice C) is not the primary intervention and does not address the immediate fluid and electrolyte imbalance. Increased physical activity (Choice D) is contraindicated in severe dehydration as it can exacerbate fluid loss, making intravenous fluid replacement the most suitable choice for prompt correction of the severe dehydration.