Exam (elaborations)
TEST BANK FOR NELSON PEDIATRICS REVIEW(MCQS) 19 EDITION
TEST BANK FOR NELSON PEDIATRICS REVIEW(MCQS) 19 EDITION
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
Test bank for MCQs in Pediatrics Review of NelsonTexti i i i i i i i i
bookof Pediatrics 20 Edition
i i i i
, Nelson Pediatrics Review(MCQs) 19 Edition
i i i i
1. Whichiofitheifollowingistatementsiregardingifostericareiisitrue?
□A permanency planmust bemade for a childin foster care nolater than 12 mo fromthe child's entryinto care
i i i i i i i i i i i i i i i i i i
□Aminorityofchildreninfostercarehaveahistory of abuseorneglect i i
□Themissionoffostercareistosafelycareforchildren i whileprovidingservicestofamiliestopromotereunification
□Most(>70%)ofchildrenin fostercarearereunitedwiththeirfamilies
i
■ AiandiC
descriptioniTheimissioniofifostericareiisitoiprovideiforitheihealth,isafety,iandiwell-
beingiofichildreniwhileiassistingitheirifamiliesiwithiservicesitoipromoteireunification.iChildrenienteringifostericareihaveifrequentlyiex
periencediearlyichildhooditrauma.iMoreithani70%ihaveiaihistoryiofiabuse,ineglect,ioriboth.iOnlyiabouti50%iofichildreniachieveireuni
fication.iInithei USA,itheiAdoptioniandiSafeiFamiliesiActi(P.L.i105-
89)ipassediini1997irequiresithatiaipermanencyiplanibeimadeifori eachchildinoilaterithani12imoiafterientryitoifostericareandthatapetit
ionitoiterminateparentalirightsitypicallymustibeifiledi wheniaichildi hasibeeniinifostericareiforiatileasti15iofitheipreviousi22imo.i(Seei
Chapteri35,ipagei134,iandie35-1.)
2. Ai4iyrioldigirliisiadmitteditoitheihospitaliforiherithirdievaluationiforivaginalibleeding.iTheimothe
ri notedi brighti redi bloodi onithei child'si underwear.i Previousi examinationsi revealedi a
normali4iyrioldigirl,iTanneristagei1,iwithinormaliexternaligenitalia.iPelviciultrasoundiresultsi were
normal,iasiwasitheiserumiestradiolilevel.iTheihemoglobiniandiplateleticountsiwerei normal,iasiwereith
eibleedingitimeiandicoagulationistudies.iFindingsionipelviciexaminationiconductediunderianesthesi
aialsoiwereinormal.iTheinextistepiinitheiexaminationiisito:
■ Determineitheiblooditypeiofitheibloodionitheiunderwear
□Interrogate the father
i i
□Isolate the parents and child
i i i i
□DeterminevonWillebrand factorlevels
i i i i
, □Measurefibronectin inthevagina
i i i
descriptioniConsiderationiofifactitiousidisorderibyiproxyishouldibeitriggerediwhenitheireportedisymptomsiareirepeatedlyinotedbyonl
yoneparent,appropriatetestingifailstoconfirmadiagnosis,andseeminglyappropriatetreatmentisiineffective.
Attimes,thechild'ssymptoms,theircourse,iortheresponsetoitreatmentmaybeincompatiblewithianyrecognizeddisease.iPreverba
lchildrenareusuallyinvolved.Bleedingisaparticularlycommonpresentation.Thismaybecausedbyaddingdyes
tois
amples,iaddingibloodi(e.g.,ifromitheimother)itoitheichild'sisample,iorigivingitheichildianianticoagulanti(e.g.,iwarfarin).i (SeeiChapt
eri37,ipagei146.)
3. MunchausenisyndromeibyiproxyiisicharacterizedibyialliofitheifollowingiEXCEPT:
□Mother who appears devoted and wins over members of careteam
i i i i i i i i i i
□Multiple hospitalizations and investigations without diagnosis
i i i i i
□Symptomsonhistorybutnotwitnessedbymedicalteam
■ Symptomsoccurringiinipresenceiofdifferenticaregiversi(e.g.,iwhileimotherisoutiofitown)
□Use of medications or toxins
i i i i
descriptioniSymptomsiiniyoungichildreniareimostlyiassociatediwithiproximityiofitheioffendingicaregiveritoitheichild.iTheimothe
rimayipresentiasiaidevotediorievenimodeliparentiwhoiformsicloseirelationshipsiwithimembersiofitheihealthicareiteam.iWhilei
appearingiveryiinterestediiniherichild'sicondition,isheimayibeirelativelyidistantiemotionally.i(SeeiChapteri37,i pagei146.)
4. Whichistatementiisifalse?
■ Malnutritioniisitheisecondileadingicauseiofiacquirediimmuneideficiencyiworldwidei behindi HIViinfection
□Zinc is important in immune function and linear growth
i i i i i i i i
□Kwashiorkor and marasmus are rare in developed countries
i i i i i i i
□The Western diet is associated with increased noncommunicable disease
i i i i i i i i
descriptionThesignificantglobalburdenofmalnutritionandundernutritionistheleadingworldwidecauseofacquirediimmun
odeficiencyandthemajorunderlyingfactorformorbidityandmortalitygloballyforchildren i<5iyriofage.iZincisaimicronutrientthatsu
pportsmultiplemetabolicfunctionsinthebody,isessentialfornormalimmunefunctioning,andis irequireditosupportlineargrowth;zin
cdeficiencyisassociatedwithimpairedimmunefunctioningandpoorlineargrowth.Iniparalleltoitheriskfornutrientandenergydeficie
ncies,issuesrelatingtoiexcessesposeimportantchallengesbecauseoftheirinegativeihealtheffects,isuchiasiobesityioricardiovasculari
diseaseiriskifactors.iTheinutritionitransitioniunderiwayiinithe
, developingiworldifromitraditionalidietsitoitheiWesternidietihasibeeniassociatediwithiincreasesiininoncommunicableidiseases,iofteni
coexistingiwithiundernutritioniandimalnutrition,iobservedisometimesiinitheisameicommunitiesiorievenitheisameifamilies.i(Seeie41-
1.)
5. Componentsiofienergyiexpenditureiinichildreniinclude:
□Thermal effect offood i i
□Basal metabolic rate
i i
□Energy for physical activity
i i i
□Energyto support growth
i i i
■ Alliofitheiabove
descriptioniThei3icomponentsiofienergyiexpenditureiiniadultsiareitheibasalimetabolicirate,itheithermalieffectiofifoodi(ener
gyirequirediforidigestioniandiabsorption),iandienergyiforiphysicaliactivity.iAdditionalienergyiintakeiandiexpenditureiiareirequiredit
oisupportigrowthiandidevelopmentiforichildren.i(Seeie41-4.)
6. Whichiofitheifollowingiclinicaliscenariosi increasesitheiriskiofivitaminiAideficiency?
□Vegetarian diet i
□Chronic intestinal disorders
i i
□Zinc deficiency
i
■ BiandiC
□Allof theabove
i i i
descriptioniVitaminiAiisianiessentialimicronutrientibecauseiiticannotibeibiogeneratedideinovoibyianimals.iItimustibeiobtainedi
fromiplantsiinitheiformiofiprovitamin-
Aicarotenoids.iInitheiUSA,igrainsiandivegetablesisupplyiapproximatelyi55%iandidairyiandimeatiproductsisupplyiapproximatelyi
30%iofivitaminiAiintakeifromifood.iVitaminiAiandithei provitamins-
Aiarefatsoluble,iandtheirabsorptiondependsionthepresenceofiadequatelipidandproteinwithinthemeal.
ChroniciintestinalidisordersiorilipidimalabsorptionisyndromesicaniresultiinivitaminiAideficiency.iInidevelopingicountries,isubclinicalior
clinicalizincdeficiencycanincreasetheriskiofvitaminiAdeficiency.iThereisialsoisomeevidenceofimarginali zinciintakesiinichildreni
initheiUSA.i(SeeiChapteri45,ipagei188.)
7. WhichistatementiaboutivitaminiAitoxicityiisiNOTitrue?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TESTBANKSOLUTIONMASTER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now