PEDIATRICS, TWENTY-FIRST EDITION (CURRENT PEDIATRICS
DIAGNOSIS & TREATMENT) 21ST EDITION BY HAY, WILLIAM, LEVIN,
MYRON, DETERDING, ROBIN, ABZUG, MARK| COMPLETE NEWEST
VERSION| CHAPTERS 1-46 WITH VERIFIED ANSWERS| RATED A+
,TABLE OF CONTENTS
CHAPTER 1. ADVANCING THE QUALITY & SAFETY OF CARE ......................................................................... 3
CHAPTER 2. THE NEWBORN INFANT........................................................................................................... 39
CHAPTER 3. CHILD DEVELOPMENT AND BEHAVIOR ................................................................................... 45
CHAPTER 4. ADOLESCENCE ......................................................................................................................... 54
CHAPTER 5. ADOLESCENT SUBSTANCE ABUSE ........................................................................................... 60
CHAPTER 6. EATING DISORDERS ................................................................................................................. 68
CHAPTER 7. CHILD & ADOLESCENT PSYCHIATRIC DISORDERS & PSYCHOSOCIAL ASPECTS OF PEDIATRICS
.................................................................................................................................................................... 72
CHAPTER 8. CHILD ABUSE AND NEGLECT ................................................................................................... 80
CHAPTER 9. AMBULATORY & OFFICE PEDIATRICS ...................................................................................... 90
CHAPTER 10. IMMUNIZATION .................................................................................................................. 100
CHAPTER 11. NORMAL CHILDHOOD NUTRITION AND ITS DISORDERS .................................................... 139
CHAPTER 12. EMERGENCIES AND INJURIES .............................................................................................. 146
CHAPTER 13. POISONING .......................................................................................................................... 149
CHAPTER 14. CRITICAL CARE ..................................................................................................................... 151
CHAPTER 15. SKIN ..................................................................................................................................... 157
CHAPTER 16. EYE ....................................................................................................................................... 164
CHAPTER 17. ORAL MEDICINE & DENTISTRY ............................................................................................ 172
CHAPTER 18. EAR, NOSE, & THROAT ........................................................................................................ 174
CHAPTER 19. RESPIRATORY TRACT & MEDIASTINUM .............................................................................. 181
CHAPTER 20. CARDIOVASCULAR DISEASES............................................................................................... 198
CHAPTER 21. GASTROINTESTINAL TRACT ................................................................................................. 212
CHAPTER 22. LIVER & PANCREAS .............................................................................................................. 229
CHAPTER 23. FLUID, ELECTROLYTE, & ACID-BASE DISORDERS & THERAPY.............................................. 256
CHAPTER 24. KIDNEY AND URINARY TRACT ............................................................................................. 262
CHAPTER 25. NEUROLOGIC AND MUSCULAR DISORDERS........................................................................ 269
CHAPTER 26. ORTHOPEDICS ..................................................................................................................... 291
CHAPTER 27. SPORTS MEDICINE ............................................................................................................... 312
CHAPTER 28. REHABILITATION MEDICINE ................................................................................................ 319
CHAPTER 29. RHEUMATIC DISEASES......................................................................................................... 326
CHAPTER 30. HEMATOLOGIC DISORDERS ................................................................................................ 329
CHAPTER 31. NEOPLASTIC DISEASE .......................................................................................................... 338
,CHAPTER 32. PAIN MANAGEMENT AND PALLIATIVE CARE & END-OF-LIFE CARE .................................... 348
CHAPTER 33. IMMUNODEFICIENCY .......................................................................................................... 354
CHAPTER 34. ENDOCRINE DISORDERS ...................................................................................................... 362
CHAPTER 35. DIABETES MELLITUS ............................................................................................................ 371
CHAPTER 36. INBORN ERRORS OF METABOLISM ..................................................................................... 378
CHAPTER 37. GENETICS AND DYSMORPHOLOGY ..................................................................................... 383
CHAPTER 38. ALLERGIC DISORDERS .......................................................................................................... 392
CHAPTER 39. ANTIMICROBIAL THERAPY .................................................................................................. 395
CHAPTER 40. INFECTIONS: VIRAL AND RICKETTSIAL................................................................................. 399
CHAPTER 41. HUMAN IMMUNODEFICIENCY VIRUS INFECTION............................................................... 406
CHAPTER 42. INFECTIONS: BACTERIAL AND SPIROCHETAL ...................................................................... 413
CHAPTER 43. INFECTIONS: PARASITIC AND MYCOTIC .............................................................................. 418
CHAPTER 44. SEXUALLY TRANSMITTED INFECTIONS ................................................................................ 446
CHAPTER 45. TRAVEL MEDICINE ............................................................................................................... 450
CHAPTER 46. CHEMISTRY & HEMATOLOGY REFERENCE INTERVALS........................................................ 460
CHAPTER 1. ADVANCING THE QUALITY & SAFETY OF CARE
MULTIPLE CHOICE
1. WHEN DESCRIBING THE STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) TO A GROUP
OF FAMILIES, WHAT INFORMATION WOULD THE NURSE INCLUDE?
A. IT PROVIDES HEALTH INSURANCE TO CHILDREN WHOSE FAMILIES ARE NOT ELIGIBLE FOR MEDICAID
BUT CANNOT AFFORD TO PURCHASE HEALTH INSURANCE.
B. MEDICAID ENROLLMENT IS NECESSARY TO RECEIVE A BASIC SET OF COMPREHENSIVE SERVICES FOR
CHILDREN FOR HEALTH PROMOTION AND EARLY TREATMENT.
C. THE PROGRAM PROVIDES MONTHLY PAYMENTS TO INCOME-ELIGIBLE INDIVIDUALS, INCLUDING
CHILDREN WHO ARE BLIND OR DISABLED.
D. STATES USE FEDERAL FUNDS FOR PREVENTIVE, PRIMARY, AND SPECIALTY CARE PROGRAMS FOR
PREGNANT WOMEN, MOTHERS, INFANTS, CHILDREN, AND ADOLESCENTS.
CORRECT ANS>> A. IT PROVIDES HEALTH INSURANCE TO CHILDREN WHOSE FAMILIES ARE NOT ELIGIBLE
FOR MEDICAID BUT CANNOT AFFORD TO PURCHASE HEALTH INSURANCE.
THE STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) IS DESIGNED TO EXPAND HEALTH
INSURANCE TO CHILDREN WHOSE FAMILIES MAKE TOO MUCH MONEY TO QUALIFY FOR MEDICAID, BUT
, WHO CANNOT AFFORD TO PURCHASE HEALTH INSURANCE. THE EARLY AND PERIODIC SCREENING,
DIAGNOSTIC AND TREATMENT PROGRAM (EPSDT) IS A PROGRAM WHOSE GOAL IS TO ENSURE THAT
CHILDREN ENROLLED IN MEDICAID RECEIVE A BASIC SET OF COMPREHENSIVE SERVICES TO PROMOTE
HEALTH AND IDENTIFY AND TREAT HEALTH PROBLEMS AT EARLY STAGES. SUPPLEMENTAL SECURITY
INCOME (SSI) PROVIDES MONTHLY PAYMENTS TO INCOME-ELIGIBLE INDIVIDUALS WHO ARE OLDER
THAN AGE 65, BLIND OR DISABLE. THE MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT
PROVIDES FEDERAL FUNDS TO THE STATES FOR PREVENTIVE, PRIMARY, AND SPECIALTY CARE FOR
PREGNANT WOMEN, MOTHERS, INFANTS, CHILDREN, AND ADOLESCENTS.
2. WHAT IS A CURRENT TREND IN CHILD HEALTH CARE?
A. CHILDREN ARE HOSPITALIZED FOR OBSERVATION MORE THAN PREVIOUSLY.
B. HEALTH PROMOTION RATHER THAN HEALTH RESTORATION IS STRESSED.
C. CHILD HEALTH CARE IS MOVING OUT OF REGIONAL CENTERS.
D. NURSING ROLES ARE DECREASING BECAUSE OF THE INCREASING ROLE OF FAMILIES.
CORRECT ANS>> B. HEALTH PROMOTION RATHER THAN HEALTH RESTORATION IS STRESSED.
IT IS RECOGNIZED THAT KEEPING INDIVIDUALS WELL IS MORE COST EFFECTIVE FOR A SYSTEM THAN
HELPING ILL INDIVIDUALS RETURN TO WELLNESS.
3. IN 2007 THE WORLD FACTBOOK PUBLISHED STATISTICS THAT SHOWED THE UNITED STATES
STILL LAGGED BEHIND OTHER INDUSTRIALIZED NATIONS IN THE INCIDENCE OF INFANT
MORTALITY. WHAT IS ONE REASON THAT THE UNITED STATES HAS A HIGHER INFANT
MORTALITY RATE THAN OTHER COUNTRIES?
A. LOW BIRTH WEIGHT
B. EARLY PRENATAL CARE
C. LOW ADOLESCENT DELIVERY RATES
D. HOME DELIVERIES
CORRECT ANS>> A. LOW BIRTH WEIGHT
MANY FACTORS MAY BE ASSOCIATED WITH HIGH INFANT MORTALITY RATES AND POOR HEALTH. LOW
BIRTH WEIGHT AND LATE OR NONEXISTENT PRENATAL CARE ARE THE MAIN FACTORS IN THE POOR
RANKINGS IN INFANT MORTALITY.
4. THE NURSE IS WORKING WITH THE PARENTS OF AN INFANT AND A TODDLER IN THE CLINICAL
SETTING. WHAT STATEMENT BY THE PARENT WOULD ALERT THE NURSE TO ASSESS THE
CHILDREN FURTHER?
A. "WE ENJOY TAKING WALKS IN THE PARK AND PLAYING OUTSIDE AS MUCH AS POSSIBLE."
B. "WE HAVE BABY GATES INSTALLED AT THE TOP AND BOTTOM OF OUR STAIRS IN OUR HOME."
C. "WE LIVE IN AN OLD HOUSE, AND WE ARE PLANNING TO RENOVATE IT WHEN THE KIDS ARE OLDER."