Environmental health Flashcards

1
Q

You suspect that 9-year-old Mandy has chronic lead poisoning. Establish a sign that would increase your suspicion.

Weight loss

Hypotonia

Slurred speech

Astringency

A

Slurred speech

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2
Q

Establish a condition that factors into food insecurity.

Indecisiveness when ordering takeout

Worrying about which restaurant to go to

Throwing out food when there is too much

Eating less than what is desired

A

Eating less than what is desired

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3
Q

14-year-old Jimmy comes in for his annual physical. His mother complains that he has been very tired, is always cold, and is not doing well in school. In conversation with the mother, you learn that both she and Jimmy’s father were furloughed from their jobs, and money has been tight for a few months. Upon examination, you establish that Jimmy is in the lower percentiles for height and weight. He also appears to have dry, cracked skin. Establish a sign that helps you in the determination of a diagnosis.

He has a productive cough.

His face is very thin and gaunt.

He has a ruddy complexion.

He is hyper-reflexive.

A

His face is very thin and gaunt.

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4
Q

Propose a symptom of lead toxicity in children.

Irritability

Cyanosis

Fever

Salivation

A

Irritability

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5
Q

Establish a common symptom of allergies in children.

Tingling in the ears

Fatigue

Muscle weakness

Weight loss

A

Tingling in the ears

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6
Q

Predict how a child could be exposed to mercury.

As a metal

In carbonic acid

As an inorganic compound

By ingesting raw beef

A

As a metal

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7
Q

Identify a symptom of iron overload.

Coma

Constipation

Hyperglycemia

Renal failure

A

Hyperglycemia

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8
Q

Recommend a treatment plan for a child with lead poisoning.

Cognitive behavioral therapy

Cathartics

Decontamination

Carbohydrate-restricted diet

A

Cathartics

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9
Q

Recommend how to treat and manage allergies in children.

Obtain a chest X-ray

Remove all potential allergens from the home

Wait for the natural resolution of the symptoms

Treat empirically with steroids

A

Remove all potential allergens from the home

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10
Q

You suspect that 9-year-old Mandy has chronic lead poisoning. Establish a sign that would increase your suspicion.

Insomnia

Astringency

Hypotonia

Weight loss

A

Insomnia

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11
Q

Propose a symptom of mercury poisoning in children.

Transient rashes

Metallic taste

Weight loss

Anemia

A

Transient rashes

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12
Q

Conclude which heavy metal causes nausea, vomiting, and diarrhea.

Tin

Mercury

Arsenic

Beryllium

A

Arsenic

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13
Q

Predict where an organic compound of mercury can be found.

In paint chips

On window sills

In cement

In batteries

A

In batteries

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14
Q

Propose a symptom of lead toxicity in children.

Irritability

Fever

Cyanosis

Salivation

A

Irritability

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15
Q

Propose how the clinician can establish a diagnosis of mercury poisoning.

Computerized tomography (CT) scan

Self-report

Chest X-ray

Complete physical examination

A

Complete physical examination

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16
Q

Establish a common symptom of allergies in children.

Facial swelling

Fatigue

Muscle weakness

Weight loss

A

Facial swelling

17
Q

5-year-old Janie has allergies just like her dad. Predict why she presents with different symptoms.

Little girls present differently than little boys.

Janie’s bronchi are narrower than her dad’s.

A child has less control of symptoms than do adults.

Her nasolacrimal glands are not fully developed.

A

Janie’s bronchi are narrower than her dad’s.