Mary ville University NURS 651 Exam 3 Questions from Actual Past Exam and 100% Correct Answers as per Marking Scheme Although relatively rare in the US, Diptheria can occur in under immunized children, In a child with respiratory complaints which s/s point to Diptheria: a. low grade fever, sore throat, nasal discharge, grayish white pseudomembrane in throat, b. Abrupt onset high fever, severe sore throat, nasal discharge, grayish -white pseudomembrane in throat --------- Correct Answer -------- A. low grade fever, think white pseudomembrane in throat. infants younger than 6 months frequently require hospitalization with pertussis to manage: A. fever, cough, dehydration B. coughing, paroxysms, apnea, cyanosis and feeding difficulties --------- Correct Answer -------- B. coughing, paroxysms, apnea, cyanosis and feeding difficulties Which of the following are characteristic symptoms of rubella? A. vesicular crusted lotions and high fever B. low grade fever, lymphadenopathy C. Rough textured maculop aular rash that does not blanch --------- Correct Answer -------
- Rash run rubella starts on face and spreads to trunk and extremities. Potential sequale of rubella. can be: --------- Correct Answer -------- arthritis, encephalitis and thrombocytopenia Rubeola --------- Correct Answer -------- 14 day measles "bad measles" Preventable by vaccination what is the treatment for roseola --------- Correct Answer -------- rest, Tylenol and parental reassurance Fifth's disease is usually seen in ages --------- Correct Answer -------- 5-14 years old Is chickenpox only contagious when vesicles are present? --------- Correct Answer -------
- NO, contagious 2 days prior to outbreak and until all vesicles are crusted over. which of the following is NOT a complication of mumps? meningitis, pneumonia, oophoritis, pancreatitis. --------- Correct Answer -------- pneumonia When can a child with mumps return to daycare? --------- Correct Answer -------- Child can return when all symptoms have resolved or 9 days after onset of symptoms Muscle spasms related to tetanus can be worsened by: --------- Correct Answer -------- external stimuli Erythema migrans is tied closely with which: Lyme disease or pustules --------- Correct Ans wer -------- Lyme disease Erythema migrans is found where on the body in Lyme disease? --------- Correct Answer -------- Near the tick bite Other symptoms include fever malaise, headache, joint pain and bulls eye rash. What congenital MS disorder is asso ciated with adduction of the forefoot? --------- Correct Answer -------- Talipes Equinvarus ( club foot) Most common rheumatic disease in children --------- Correct Answer -------- juvenile idiopathic arthritis Xray findings for disease progression and s phericity of femoral head is most helpful in which disease? --------- Correct Answer -------- Legg -Calve -Perthes disease 4 year old is brought to office with limp and x2 days and low grade fever, what is most likely diagnosis? --------- Correct Answer -------- Transient hip synovitis what is the most appropriate intervention for newborn with DDH? --------- Correct Answer -------- either observation or pavlik harness in more significant cases sometimes spontaneous resolution by 6 weeks Characteristic feat ure of polyarticular JIA is? --------- Correct Answer -------- involvement of 5 or more joints ANA (sero +) --------- Correct Answer -------- presence of an ANA + test is indicative of potential for uveitis in patients with JIA. dislocation of hips in a child older than 6 months may present with --------- Correct Answer -------- +galezzi sign, knee heights different. Dislocatable hip is lower knee. Duchenne muscular dystrophy --------- Correct Answer -------- a condition with symmetrical weakness and wasting of pelvic, shoulder, and proximal limb muscles x-linked recessive typically presents with delayed walking, slower movements, rolling gait, wadd le, large calves. Most children with DMD become wheelchair dependent by age: --------- Correct Answer -------- 7-12 years
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