Practice Questions Flashcards

1
Q

What is the primary cause of Growth Hormone Deficiency (GHD)?

A

Decreased pituitary activity

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2
Q

Which of the following is a common clinical sign of Hypothyroidism in infants?

A

Thick tongue

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3
Q

At what age is precocious puberty defined for boys and girls?

A

Boys: <9 years, Girls: <8 years

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4
Q

What is the most common treatment for Diabetes Mellitus Type 1?

A

Insulin therapy

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5
Q

Which of the following is NOT a treatment for Addison’s Disease?

A

Insulin injections

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6
Q

Which type of anemia is characterized by a Mean Corpuscular Volume (MCV) less than 80 fL?

A

Microcytic anemia

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7
Q

What is the most common type of Hemophilia?

A

Hemophilia A

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8
Q

Which of the following is a complication associated with sickle cell disease (SCD)?

A

Stroke

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9
Q

What is the most common treatment for vaso-occlusive crisis in sickle cell disease?

A

IV fluids and pain control

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10
Q

In Hemophilia, which laboratory test would likely be prolonged?

A

PTT

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11
Q

Which type of childhood cancer is most commonly associated with leukemia?

A

Acute Lymphoblastic Leukemia (ALL)

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12
Q

What is a common symptom of a brain tumor in children?

A

Morning headaches

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13
Q

Which of the following is a hallmark sign of Wilms Tumor?

A

Painless abdominal mass

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14
Q

Which is the primary treatment for osteosarcoma?

A

Limb-salvage surgery or amputation

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15
Q

Which condition in childhood cancer presents with fever, neutropenia, and a high risk of infection?

A

Febrile neutropenia

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16
Q

Which of the following is a common nursing consideration for children with tumor lysis syndrome (TLS)?

A

Monitor for hyperkalemia and hypocalcemia

17
Q

What is a common symptom of diabetes insipidus (DI) after brain tumor surgery?

A

Excessive urination

18
Q

When administering insulin to a child with Type 1 diabetes, where is the most effective site for subcutaneous injection?

19
Q

What should be avoided when taking iron supplements for Iron Deficiency Anemia (IDA)?

A

Dairy products

20
Q

What is a common complication in children with leukemia associated with low platelet counts?

A

Prolonged bleeding

21
Q

What is the primary difference between isotonic, hypotonic, and hypertonic dehydration?

A

Isotonic Dehydration: Equal loss of water and sodium, resulting in normal sodium levels (135-145 mmol/L).
Hypotonic Dehydration: More sodium is lost than water, causing low sodium levels (<135 mmol/L) and fluid shifts from ECF to ICF.
Hypertonic Dehydration: More water is lost than sodium, resulting in high sodium levels (>145 mmol/L) and fluid shifts from ICF to ECF.

22
Q

A 6-year-old child weighs 18 kg. How much maintenance IV fluid should they receive per hour according to the 4-2-1 rule?

A

First 10 kg → 10 × 4 = 40 mL/hr
Next 8 kg → 8 × 2 = 16 mL/hr
Total = 40 + 16 = 56 mL/hr

23
Q

A 2-year-old child has a fever and is showing signs of tachycardia, dry mucous membranes, and irritability. What is the likely severity of dehydration?

A

Moderate dehydration (6-9% body weight loss)

24
Q

When should complementary foods be introduced to an infant according to the AAP recommendation?

A

Around 6 months of age

25
Q

What is the primary cause of Early Childhood Caries (ECC) in children?

A

Frequent consumption of sugary liquids and poor oral hygiene

26
Q

A 10-month-old infant is being weaned off the bottle. At what age should bottle weaning ideally be completed?

A

By 1 year of age

27
Q

What is the primary intervention during a seizure in a child?

A

Maintain airway, do not place anything in the mouth, and protect the child from injury

28
Q

What is the typical treatment for bacterial meningitis in children?

A

Antibiotics and supportive care

29
Q

What are Kernig’s and Brudzinski’s signs, and what do they indicate?

A

Kernig’s Sign: Pain when extending the knee with the hip flexed (indicative of meningitis).
Brudzinski’s Sign: Flexion of the knees and hips when the neck is flexed (also indicative of meningitis)

30
Q

What is the main mode of transmission for scabies?

A

Skin-to-skin contact

31
Q

Which burn classification involves damage to the entire dermis and requires grafting?

A

Third-degree burn (full-thickness burn)

32
Q

A child presents with red, itchy, and scaly patches on the scalp. What is the most likely diagnosis, and how is it treated?

A

Tinea capitis (scalp ringworm); treated with antifungal medications (topical or oral)

33
Q

What is a common sign of Slipped Capital Femoral Epiphysis (SCFE) in children?

A

Hip, thigh, or knee pain with limited internal rotation of the hip

34
Q

A child presents with uneven shoulders, a rib hump, and trunk asymmetry. What is the likely diagnosis, and what is the recommended management for mild cases?

A

Scoliosis; for mild cases (10-20° curvature), strengthening and stretching exercises are recommended

35
Q

Which of the following is a contraindication for vaccination: A child with a mild cold or a child with a history of anaphylactic reaction to a vaccine?

A

A history of anaphylactic reaction to a vaccine is a true contraindication

36
Q

What type of immunity is provided by breast milk during the first few months of life?

A

Natural passive immunity (maternal antibodies)

37
Q

What is the most important consideration when administering Total Parenteral Nutrition (TPN) to a child?

A

Monitor glucose levels, electrolytes, and ensure compatibility with other medications

38
Q

A child with a suspected non-accidental fracture (NAF) presents with posterior rib fractures. What is the most likely cause of these fractures?

A

Non-accidental trauma (e.g., child abuse)