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TEST BANK For MCQs in Pediatrics Review of Nelson Textbook of Pediatrics 20th Edition, Verified Chapters, Complete Newest Version MCQs in Pediatrics Review of Nelson Textbook of Pediatrics 20th Edition, Verified Chapters, Complete Newest Version MCQs in Pediatrics Review of Nelson Textbook of Pedia...

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Test bank for MCQs in Pediatrics Review of Nelson
Textbook of Pediatrics 20 Edition d

, Nelson Pediatrics Review(MCQs) 19 Edition
d d d d




1. Whichd ofd thed followingd statementsd regardingd fosterd cared isd true?


□A permanency plan must be made for a child in foster care no later than 12 mo from the child's entry into care
d d d d d d d d d d d d d d d d d d d d d d




□A minority of children in foster care have a history of abuse or neglect
d d d d d d d d d d d d d




□The mission of foster care is to safely care for children while providing services to families to promote reunification
d d d d d d d d d d d d d d d d d d




□Most (>70%) of children in foster care are reunited with their families
d d d d d d d d d d d




■ AdanddC


descriptiondThedmissiondofdfosterdcaredisdtodprovidedfordthedhealth,dsafety,danddwell-
beingdofdchildrendwhiledassistingdtheirdfamiliesdwithdservicesdtodpromotedreunification.dChildrendenteringdfosterdcaredhavedfreq
uentlydexperienceddearlydchildhooddtrauma.dMoredthand70%dhavedadhistorydofdabuse,dneglect,dordboth.dOnlydaboutd50%dofdc
hildrendachievedreunification.dIndthedUSA,dthedAdoptiondanddSafedFamiliesdActd(P.L.d105-
89)dpasseddind1997drequiresdthatdadpermanencydplandbedmadedfordeachdchilddnodlaterdthand12dmodafterdentrydtodfosterdcareda
nddthatdadpetitiondtodterminatedparentaldrightsdtypicallydmustdbedfileddwhendadchilddhasdbeendindfosterdcaredfordatdleastd15dofdt
hedpreviousd22dmo.d(SeedChapterd35,dpaged134,dandde35-1.)




2. Ad4dyrdolddgirldisdadmitteddtodthedhospitaldfordherdthirddevaluationdfordvaginaldbleeding.dThe
motherdnoteddbrightdreddblooddondthedchild'sdunderwear.dPreviousdexaminationsdrevealeddadn
ormald4dyrdolddgirl,dTannerdstaged1,dwithdnormaldexternaldgenitalia.dPelvicdultrasounddresultsdwe
rednormal,dasdwasdthedserumdestradioldlevel.dThedhemoglobindanddplateletdcountsdwerednormal,
dasdweredthedbleedingdtimedanddcoagulationdstudies.dFindingsdondpelvicdexaminationdconducted

dunderdanesthesiadalsodwerednormal.dThednextdstepdindthedexaminationdisdto:




■ Determinedthedblooddtypedofdthedblooddondthedunderwear


□Interrogate the father
d d




□Isolate the parents and child
d d d d




□Determine von Willebrand factor levels
d d d d

, □Measure fibronectin in the vagina
d d d d




descriptiondConsiderationdofdfactitiousddisorderdbydproxydshoulddbedtriggereddwhendthedreporteddsymptomsdaredrepeatedl
ydnoteddbydonlydonedparent,dappropriatedtestingdfailsdtodconfirmdaddiagnosis,danddseeminglydappropriatedtreatmentdisdineffective.
d Atdtimes,dthedchild'sdsymptoms,dtheirdcourse,dordthedresponsedtodtreatmentdmaydbedincompatibledwithdanydrecognizedddisease.d

Preverbaldchildrendaredusuallydinvolved.dBleedingdisdadparticularlydcommondpresentation.dThisdmaydbedcauseddbydaddingddyesd t
odsamples,daddingdbloodd(e.g.,dfromdthedmother)dtodthedchild'sdsample,dordgivingdthedchilddandanticoagulantd(e.g.,dwarfarin).d
(SeedChapterd37,dpaged146.)


3. Munchausend syndromed byd proxyd isd characterizedd byd alld ofd thed followingd EXCEPT:


□Mother who appears devoted and wins over members of care team
d d d d d d d d d d




□Multiple hospitalizations and investigations without diagnosis
d d d d d




□Symptoms on history but not witnessed by medical team
d d d d d d d d




■ Symptomsdoccurringdindpresencedofddifferentdcaregiversd(e.g.,dwhiledmotherdisdoutdofdtown)


□Use of medications or toxins
d d d d




descriptiondSymptomsdindyoungdchildrendaredmostlydassociateddwithdproximitydofdthedoffendingdcaregiverdtodthedchild.dThed
motherdmaydpresentdasdaddevoteddordevendmodeldparentdwhodformsdclosedrelationshipsdwithdmembersdofdthedhealthdcare
dteam.dWhiledappearingdverydinteresteddindherdchild'sdcondition,dshedmaydbedrelativelyddistantdemotionally.d(SeedChapterd37,d

paged146.)



4. Whichd statementd isd false?


■ MalnutritiondisdthedseconddleadingdcausedofdacquireddimmuneddeficiencydworldwidedbehinddHIVdinfection


□Zinc is important in immune function and linear growth
d d d d d d d d




□Kwashiorkor and marasmus are rare in developed countries
d d d d d d d




□The Western diet is associated with increased noncommunicable disease
d d d d d d d d




descriptiondThedsignificantdglobaldburdendofdmalnutritiondanddundernutritiondisdthedleadingdworldwidedcausedofdacquireddimm
unodeficiencydanddthedmajordunderlyingdfactordfordmorbiditydanddmortalitydgloballydfordchildrend<5dyrdofdage.dZincdisdadmicron
utrientdthatdsupportsdmultipledmetabolicdfunctionsdindthedbody,disdessentialdfordnormaldimmunedfunctioning,danddisdrequireddtods
upportdlineardgrowth;dzincddeficiencydisdassociateddwithdimpaireddimmunedfunctioningdanddpoordlineardgrowth.dIndparalleldtodth
edriskdfordnutrientdanddenergyddeficiencies,dissuesdrelatingdtodexcessesdposedimportantdchallengesdbecausedofdtheirdnegativedhea
lthdeffects,dsuchdasdobesitydordcardiovascularddiseasedriskdfactors.dThednutritiondtransitiondunderdwaydindthe

, developingdworlddfromdtraditionalddietsdtodthedWesternddietdhasdbeendassociateddwithdincreasesdindnoncommunicableddiseas
es,doftendcoexistingdwithdundernutritiondanddmalnutrition,dobserveddsometimesdindthedsamedcommunitiesdordevendthedsamedfa
milies.d(Seede41-1.)


5. Componentsd ofd energyd expenditured ind childrend include:


□Thermal effect of food
d d d




□Basal metabolic rate
d d




□Energy for physical activity
d d d




□Energy to support growth
d d d




■ Alldofdthedabove

descriptiondThed3dcomponentsdofdenergydexpendituredindadultsdaredthedbasaldmetabolicdrate,dthedthermaldeffectdofdfoo
dd(energydrequireddforddigestiondanddabsorption),danddenergydfordphysicaldactivity.dAdditionaldenergydintakedanddexpenditure
daredrequireddtodsupportdgrowthdandddevelopmentdfordchildren.d(Seede41-4.)




6. WhichdofdthedfollowingdclinicaldscenariosdincreasesdthedriskdofdvitamindAddeficiency?


□Vegetarian diet d




□Chronic intestinal disorders
d d




□Zinc deficiency
d




■ BdanddC


□All of the above
d d d




descriptiondVitamindAdisdandessentialdmicronutrientdbecauseditdcannotdbedbiogeneratedddednovodbydanimals.dItdmustdbe
dobtaineddfromdplantsdindthedformdofdprovitamin-

Adcarotenoids.dIndthedUSA,dgrainsdanddvegetablesdsupplydapproximatelyd55%dandddairydanddmeatdproductsdsupplydappro
ximatelyd30%dofdvitamindAdintakedfromdfood.dVitamindAdanddthedprovitamins-
Adaredfatdsoluble,danddtheirdabsorptionddependsdondthedpresencedofdadequatedlipiddanddproteindwithindthedmeal.d Chronicdintest
inalddisordersdordlipiddmalabsorptiondsyndromesdcandresultdindvitamindAddeficiency.dInddevelopingdcountries,dsubclinicaldordcli
nicaldzincddeficiencydcandincreasedthedriskdofdvitamindAddeficiency.dTheredisdalsodsomedevidencedofdmarginaldzincdintakesdind
childrendindthedUSA.d(SeedChapterd45,dpaged188.)


7. Whichd statementd aboutd vitamind Ad toxicityd isd NOTd true?

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