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

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

, Nelson Pediatrics Review(MCQs) 19 Edition




1. Which11 of11 the1 1 following11 statements1 1 regarding11 foster1 1 care11 is1 1 true?


□A11permanency11plan11must11be11made11for11a11child11in11foster11care11no11later11than111211mo11from11the11child's11entry11i
nto11care


□A11minority11of11children11in11foster11care11have11a11history11of11abuse11or11neglect

□The11mission11of11foster11care11is11to11safely11care11for11children11while11providing11services11to11families11to11promote11reunif
ication


□Most11(>70%)11of11children11in11foster11care11are11reunited11with11their11families

■ A11and11C


description11The11mission11of11foster11care11is11to11provide11for11the11health,11safety,11and11well-
being11of11children11while11assisting11their11families11with11services11to11promote11reunification.11Children11entering11foste
r11care11have11frequently11experienced11early11childhood11trauma.11More11than1170%11have11a11history11of11abuse,11neglec
t,11or11both.11Only11about1150%11of11children11achieve11reunification.11In11the11USA,11the11Adoption11and11Safe11Famil
ies11Act11(P.L.11105-
89)11passed11in11199711requires11that11a11permanency11plan11be11made11for11each11child11no11later11than111211mo11after1
1entry11to11foster11care11and11that11a11petition11to11terminate11parental11rights11typically11must11be11filed11when11a11child11h

as11been11in11foster11care11for11at11least111511of11the11previous112211mo.11(See11Chapter1135,11page11134,11and11e35-
1.)




2. A11411yr11old11girl11is11admitted11to11the11hospital11for11her11third11evaluation11for11vaginal11bleedin
g.11The
mother11noted11bright11red11blood11on11the11child's11underwear.11Previous11examinations11rev
ealed11a11normal11411yr11old11girl,11Tanner11stage111,11with11normal11external11genitalia.11Pelvic11u
ltrasound11results11were11normal,11as11was11the11serum11estradiol11level.11The11hemoglobin11an
d11platelet11counts11were11normal,11as11were11the11bleeding11time11and11coagulation11studies.11
Findings11on11pelvic11examination11conducted11under11anesthesia11also11were11normal.11The11
next11step11in11the11examination11is11to:

■ Determine11the11blood11type11of11the11blood11on11the11underwear


□Interrogate11 the1 1 father

,□Isolate11the11parents11and11child

□Determine1 1 von1 1 Willebrand1 1 factor1 1 levels

, □Measure1 1 fibronectin1 1 in11the11vagina

description11Consideration11of11factitious11disorder11by11proxy11should11be11triggered11when11the11reported11symptoms
11are11repeatedly11noted11by11only11one11parent,11appropriate11testing11fails11to11confirm11a11diagnosis,11and11seemingly11ap
propriate11treatment11is11ineffective.1 1 At11times,11the11child's11symptoms,11their11course,11or11the11response11to11treatment11
may11be11incompatible11with11any11recognized11disease.1 1 Preverbal11children11are11usually11involved.11Bleeding11is11a11par
ticularly11common11presentation.11This11may11be11caused11by11adding11dyes1 1 to11samples,11adding11blood11(e.g.,11from11th
e11mother)11to11the11child's11sample,11or11giving11the11child11an11anticoagulant11(e.g.,11warfarin).11(See11Chapter1137,11
page11146.)


3. Munchausen11 syndrome11 by11 proxy11 is11 characterized11 by11 all11 of11 the11 following11 EXCEPT:


□Mother11who11appears11devoted11and11wins11over11members11 of11care11team

□Multiple11 hospitalizations1 1 and11 investigations1 1 without1 1 diagnosis

□Symptoms11on11history11but11not11witnessed11by11medical11team

■ Symptoms11occurring11in11presence11of11different11caregivers11(e.g.,11while11mother11is11out11of11town)


□Use11of11medications11or11toxins

description11Symptoms11in11young11children11are11mostly11associated11with11proximity11of11the11offending11caregiver11to1
1the11child.11The11mother11may11present11as11a11devoted11or11even11model11parent11who11forms11close11relationships11
with11members11of11the11health11care11team.11While11appearing11very11interested11in11her11child's11condition,11she11may1
1be11relatively11distant11emotionally.11(See11Chapter1137,11page11146.)




4. Which1 1 statement1 1 is11 false?


■ Malnutrition11is11the11second11leading11cause11of11acquired11immune11deficiency11worldwide11behind11HIV11infection


□Zinc11is11important11in11immune11function11and11linear11growth

□Kwashiorkor11and11marasmus11are11rare11in11developed11countries

□The11Western11diet11is11associated11with11increased11noncommunicable11disease
description11The11significant11global11burden11of11malnutrition11and11undernutrition11is11the11leading11worldwide11cause11of
11acquired11immunodeficiency11and11the11major11underlying11factor11for11morbidity11and11mortality11globally11for11children1
1<511yr11of11age.11Zinc11is11a11micronutrient11that11supports11multiple11metabolic11functions11in11the11body,11is11essential11fo
r11normal11immune11functioning,11and11is11required11to11support11linear11growth;11zinc11deficiency11is11associated11with11im
paired11immune11functioning11and11poor11linear11growth.11In11parallel11to11the11risk11for11nutrient11and11energy11deficiencies
,11issues11relating11to11excesses11pose11important11challenges11because11of11their11negative11health11effects,11such11as11obes