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What is the most likely diagnosis for a patient with coarse facial features, macroglossia, hepatosplenomegaly, and joint contractures?
- A. Down syndrome
- B. Gaucher disease
- C. Congenital hypothyroidism
- D. Mucopolysaccharidosis
Correct Answer: D
Rationale: Mucopolysaccharidoses cause these lysosomal storage symptoms.
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Which of the following is TRUE of candidal infection?
- A. Diaper dermatitis is the most common infection caused by candida
- B. With improved survival of very LBW infants, candidemia has become less frequent in NICUs
- C. Fluconazole is the drug of choice for the treatment of systemic candidiasis
- D. Most cases of candidemia in immunocompromised patients are due to non-candida albicans spp.
Correct Answer: A
Rationale: Candida commonly causes diaper dermatitis due to moist skin conditions.
A nurse is assessing a child who may have a latex allergy. The nurse asks the child about allergic reactions to certain foods. Which food if identified by the child as causing an allergic reaction would help support the suspected latex allergy?
- A. Milk
- B. Lettuce
- C. Peaches, plums, carrots, or tomatoes
- D. Eggs
Correct Answer: C
Rationale: Foods with a known cross-sensitivity to latex include peaches, plums, carrots, and tomatoes, among others. Milk and lettuce are not associated with latex cross-sensitivity.
A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions?
- A. Has your daughter been drinking 6 glasses of water a day?
- B. Does anyone smoke in the same house as your daughter?
- C. Does your daughter get water in her ears when you bathe her?
- D. Has your daughter had a lot of earwax in her ears over the last month?
Correct Answer: B
Rationale: Allergies to common irritants such as smoke can cause congestion and chronic otitis media.
The main element of immunization program is one of the following?
- A. Information, education and communication
- B. Assessment and evaluation of the program
- C. Research studies
- D. Target setting
Correct Answer: A
Rationale: IEC is critical to ensure community participation and vaccine uptake.
Of the following, the most likely diagnosis for a tall slender girl with joint laxity, dislocated lenses and mitral valve prolapse is:
- A. Acromegaly
- B. Ehlers Danlos
- C. Marfan syndrome
- D. Myotonic Dystrophy
Correct Answer: C
Rationale: Marfan syndrome is characterized by tall stature, joint laxity, dislocated lenses, and mitral valve prolapse.