Pediatrics Baby Fell off Bed Questions

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Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?

  • A. Pulmonary congestion
  • B. Congenital heart defect
  • C. Heart failure
  • D. Systemic venous congestion
Correct Answer: C

Rationale: Heart failure is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures. This results in the inefficient delivery of oxygen and nutrients to the body's tissues, leading to symptoms such as fatigue, shortness of breath, and fluid retention. Pulmonary congestion, systemic venous congestion, and congenital heart defects can be associated with heart failure but are not the primary definition of the condition.

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The MOST appropriate answer to why infants cry in response to another infant's cry is

  • A. an early sign of empathy development
  • B. a sign of good hearing reflex
  • C. a startle reflex
  • D. an early sign of fear development
Correct Answer: A

Rationale: Empathy begins developing early, though rudimentary.

The difficulty in putting words together, limited vocabulary, or inability to use language in a socially appropriate way is defined as a disorder of

  • A. fluency
  • B. reception
  • C. expression
  • D. resonance
Correct Answer: C

Rationale: Expression disorders involve difficulties in putting words together or using language appropriately.

The physical abuse of children affects children of all ages. Serious injuries, such as head or abdominal trauma, are more likely to be inflicted by

  • A. mothers
  • B. fathers
  • C. old brothers
  • D. grand mothers
Correct Answer: B

Rationale: Fathers and male caregivers are statistically more likely to inflict serious physical abuse, including head and abdominal trauma, due to greater physical strength and aggression.

You are meeting with parents of a 12-year-old girl who recently diagnosed with papillary thyroid carcinoma (PTC). The statement that should be included in your discussion is

  • A. PTC has a grim overall prognosis
  • B. FTC do not require radioactive iodine therapy
  • C. supraphysiologic levothyroxine therapy is required during long-term follow-up
  • D. calcitonin/carcinogenic antigen monitoring is required during the course of treatment
Correct Answer: C

Rationale: Levothyroxine suppression therapy is standard in differentiated thyroid cancer.

A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is

  • A. radiotherapy
  • B. concomitant chemotherapy-radiotherapy
  • C. another surgery
  • D. observation
Correct Answer: B

Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.

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