Nokea
Which of the following is a key feature of the diagnosis of ASD according to the DSM V?
- A. Unusual responses to sensory input
- B. Social isolation
- C. Repetitive behaviors
- D. Delayed motor development
Correct Answer: A
Rationale: In the DSM V, one of the key diagnostic criteria for Autism Spectrum Disorder (ASD) is unusual responses to sensory input. These atypical responses can include hypersensitivity or hyposensitivity to sensory stimuli, such as sound, touch, taste, or smell. These sensory processing differences are important in the diagnosis of ASD because they can significantly impact an individual's daily functioning and behavior.
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You are evaluating a 6-year-old male child with Langerhans cell histiocytosis (LCH); the parents state that the most common site of bone involvement is
- A. skull
- B. vertebra
- C. mandible
- D. pelvis
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 30-month-old apparently well child presented with stomping, hitting, head banging, and falling down for few minutes every few days.
- A. brain MRI
- B. serum ferritin
- C. skeletal survey
- D. EEG
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Postanesthetic respiratory illness in premature infants should be avoided in infants younger than what postconceptual age?
- A. 44 weeks
- B. 46 weeks
- C. 48 weeks
- D. 50 weeks
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The child who continues to search for a hidden subject has achieved the developmental age of
- A. 7 mo
- B. 9 mo
- C. 11 mo
- D. 13 mo
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient in the emergency department reports taking sildenafil (Viagra) and nitroglycerin 1 hr before sexual activity. Which finding should the nurse immediately report to the physician?
- A. WBC of 3200 units/L
- B. RR of 26 breaths/min
- C. Temp of 38°C
- D. BP of 70/50
Correct Answer: D
Rationale: The correct answer is D: BP of 70/50. When sildenafil (Viagra) is taken with nitroglycerin, it can cause severe hypotension that is unresponsive to treatment. The combination of these medications can lead to a dangerous drop in blood pressure. It is crucial to immediately report hypotension in this scenario. It is recommended to allow at least 24 hours to elapse between the last dose of sildenafil and nitroglycerin to prevent such adverse effects. The other vital signs and lab values may be abnormal but do not have the immediate life-threatening implications that severe hypotension does in this context.