TEST BANK
MCQS IN PEDIATRICS REVIEW OF NELSON TEXTBOOK OF PEDIATRICS
20TH EDITION ALL CHAPTERS COVERED QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
mailto:https://www.stuvia.com/user/supergrades002
,Nelson Pediatrics Review(MCQs) 20th Edition
1. Which of the following statements regarding foster care is 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
□A minority of children in foster care have a history of abuse or neglect
□The mission of foster care is to safely care for children while providing services to families to promote
reunification
□Most (>70%) of children in foster care are reunited with their families
■ A and C
description The mission of foster care is to provide for the health, safety, and well-being of
children while assisting their families with services to promote reunification. Children entering foster
care have frequently experienced early childhood trauma. More than 70% have a history of abuse,
neglect, or both. Only about 50% of children achieve reunification. In the USA, the Adoption and
Safe Families Act (P.L. 105-89) passed in 1997 requires that a permanency plan be made for
each child no later than 12 mo after entry to foster care and that a petition to terminate parental
rights typically must be filed when a child has been in foster care for at least 15 of the previous 22
mo. (See Chapter 35, page 134, and e35-1.)
2. A 4 yr old girl is admitted to the hospital for her third evaluation for vaginal bleeding. The
mother noted bright red blood on the child's underwear. Previous examinations
revealed a normal 4 yr old girl, Tanner stage 1, with normal external genitalia. Pelvic
ultrasound results were normal, as was the serum estradiol level. The hemoglobin and
platelet counts were normal, as were the bleeding time and coagulation studies.
mailto:https://www.stuvia.com/user/supergrades002
, Findings on pelvic examination conducted under anesthesia also were normal. The next
step in the examination is to:
■ Determine the blood type of the blood on the underwear
□Interrogate the father
□Isolate the parents and child
□Determine von Willebrand factor levels
□Measure fibronectin in the vagina
description Consideration of factitious disorder by proxy should be triggered when the reported
symptoms are repeatedly noted by only one parent, appropriate testing fails to confirm a diagnosis,
and seemingly appropriate treatment is ineffective. At times, the child's symptoms, their course, or the
response to treatment may be incompatible with any recognized disease. Preverbal children are
usually involved. Bleeding is a particularly common presentation. This may be caused by adding dyes
to samples, adding blood (e.g., from the mother) to the child's sample, or giving the child an
anticoagulant (e.g., warfarin). (See Chapter 37, page 146.)
3. Munchausen syndrome by proxy is characterized by all of the following EXCEPT:
□Mother who appears devoted and wins over members of care team
□Multiple hospitalizations and investigations without diagnosis
□Symptoms on history but not witnessed by medical team
■ Symptoms occurring in presence of different caregivers (e.g., while mother is out of town)
□Use of medications or toxins
description Symptoms in young children are mostly associated with proximity of the offending
caregiver to the child. The mother may present as a devoted or even model parent who forms
close relationships with members of the health care team. While appearing very interested in her
mailto:https://www.stuvia.com/user/supergrades002
, child's condition, she may be relatively distant emotionally. (See Chapter 37, page 146.)
4. Which statement is false?
■ Malnutrition is the second leading cause of acquired immune deficiency worldwide behind HIV infection
□Zinc is important in immune function and linear growth
□Kwashiorkor and marasmus are rare in developed countries
□The Western diet is associated with increased noncommunicable disease
description The significant global burden of malnutrition and undernutrition is the leading worldwide
cause of acquired immunodeficiency and the major underlying factor for morbidity and mortality
globally for children <5 yr of age. Zinc is a micronutrient that supports multiple metabolic functions in
the body, is essential for normal immune functioning, and is required to support linear growth; zinc
deficiency is associated with impaired immune functioning and poor linear growth. In parallel to the
risk for nutrient and energy deficiencies, issues relating to excesses pose important challenges because
of their negative health effects, such as obesity or cardiovascular disease risk factors. The
nutrition transition under way in the
developing world from traditional diets to the Western diet has been associated with increases in
noncommunicable diseases, often coexisting with undernutrition and malnutrition, observed
sometimes in the same communities or even the same families. (See e41-1.)
5. Components of energy expenditure in children include:
□Thermal effect of food
□Basal metabolic rate
□Energy for physical activity
□Energy to support growth
mailto:https://www.stuvia.com/user/supergrades002
MCQS IN PEDIATRICS REVIEW OF NELSON TEXTBOOK OF PEDIATRICS
20TH EDITION ALL CHAPTERS COVERED QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
mailto:https://www.stuvia.com/user/supergrades002
,Nelson Pediatrics Review(MCQs) 20th Edition
1. Which of the following statements regarding foster care is 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
□A minority of children in foster care have a history of abuse or neglect
□The mission of foster care is to safely care for children while providing services to families to promote
reunification
□Most (>70%) of children in foster care are reunited with their families
■ A and C
description The mission of foster care is to provide for the health, safety, and well-being of
children while assisting their families with services to promote reunification. Children entering foster
care have frequently experienced early childhood trauma. More than 70% have a history of abuse,
neglect, or both. Only about 50% of children achieve reunification. In the USA, the Adoption and
Safe Families Act (P.L. 105-89) passed in 1997 requires that a permanency plan be made for
each child no later than 12 mo after entry to foster care and that a petition to terminate parental
rights typically must be filed when a child has been in foster care for at least 15 of the previous 22
mo. (See Chapter 35, page 134, and e35-1.)
2. A 4 yr old girl is admitted to the hospital for her third evaluation for vaginal bleeding. The
mother noted bright red blood on the child's underwear. Previous examinations
revealed a normal 4 yr old girl, Tanner stage 1, with normal external genitalia. Pelvic
ultrasound results were normal, as was the serum estradiol level. The hemoglobin and
platelet counts were normal, as were the bleeding time and coagulation studies.
mailto:https://www.stuvia.com/user/supergrades002
, Findings on pelvic examination conducted under anesthesia also were normal. The next
step in the examination is to:
■ Determine the blood type of the blood on the underwear
□Interrogate the father
□Isolate the parents and child
□Determine von Willebrand factor levels
□Measure fibronectin in the vagina
description Consideration of factitious disorder by proxy should be triggered when the reported
symptoms are repeatedly noted by only one parent, appropriate testing fails to confirm a diagnosis,
and seemingly appropriate treatment is ineffective. At times, the child's symptoms, their course, or the
response to treatment may be incompatible with any recognized disease. Preverbal children are
usually involved. Bleeding is a particularly common presentation. This may be caused by adding dyes
to samples, adding blood (e.g., from the mother) to the child's sample, or giving the child an
anticoagulant (e.g., warfarin). (See Chapter 37, page 146.)
3. Munchausen syndrome by proxy is characterized by all of the following EXCEPT:
□Mother who appears devoted and wins over members of care team
□Multiple hospitalizations and investigations without diagnosis
□Symptoms on history but not witnessed by medical team
■ Symptoms occurring in presence of different caregivers (e.g., while mother is out of town)
□Use of medications or toxins
description Symptoms in young children are mostly associated with proximity of the offending
caregiver to the child. The mother may present as a devoted or even model parent who forms
close relationships with members of the health care team. While appearing very interested in her
mailto:https://www.stuvia.com/user/supergrades002
, child's condition, she may be relatively distant emotionally. (See Chapter 37, page 146.)
4. Which statement is false?
■ Malnutrition is the second leading cause of acquired immune deficiency worldwide behind HIV infection
□Zinc is important in immune function and linear growth
□Kwashiorkor and marasmus are rare in developed countries
□The Western diet is associated with increased noncommunicable disease
description The significant global burden of malnutrition and undernutrition is the leading worldwide
cause of acquired immunodeficiency and the major underlying factor for morbidity and mortality
globally for children <5 yr of age. Zinc is a micronutrient that supports multiple metabolic functions in
the body, is essential for normal immune functioning, and is required to support linear growth; zinc
deficiency is associated with impaired immune functioning and poor linear growth. In parallel to the
risk for nutrient and energy deficiencies, issues relating to excesses pose important challenges because
of their negative health effects, such as obesity or cardiovascular disease risk factors. The
nutrition transition under way in the
developing world from traditional diets to the Western diet has been associated with increases in
noncommunicable diseases, often coexisting with undernutrition and malnutrition, observed
sometimes in the same communities or even the same families. (See e41-1.)
5. Components of energy expenditure in children include:
□Thermal effect of food
□Basal metabolic rate
□Energy for physical activity
□Energy to support growth
mailto:https://www.stuvia.com/user/supergrades002
