Nokea
Which assessment data would cause suspicion that a 3-year-old child has Hirschsprung disease?
- A. Clay-colored stools and dark urine
- B. History of early passage of meconium in the newborn period
- C. History of chronic, progressive constipation and failure to gain weight
- D. Continual bouts of foul-smelling diarrhea
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 5-year-old boy has systemic juvenile idiopathic arthritis (sJIA) with systemic manifestations including fever, hepatosplenomegaly, and pericarditis. Of the following, the BEST initial treatment for this boy is
- A. NSAIDs
- B. systemic glucocorticoids
- C. TNF-a inhibitors
- D. IL-1 antagonists
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the maximum accepted rate of drop of serum sodium per 24 hours in hypernatremia?
- A. 8 mmol/L
- B. 12 mmol/L
- C. 16 mmol/L
- D. 20 mmol/L
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The pediatric nurse, who cares for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation on noting:
- A. a heart rate of 50 beats/min.
- B. a temperature of 102°F (38.9°C).
- C. reports of leg pain.
- D. fluid overload or pulmonary edema.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which histological feature differentiates Crohn's disease from ulcerative colitis?
- A. Crypt abscesses
- B. Granulomata
- C. Lymphocytic infiltrate
- D. Paneth cells
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
One of the principal pathologic features in fatal anaphylaxis is
- A. acute bronchial obstruction
- B. hypotension
- C. behavioral change
- D. abdominal pain
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.