Test bank for MCQs in Pediatrics Review of Nelson
m m m m m m m m
Textbook of Pediatrics 20 Edition
m m m m m m
, Nelson Pediatrics Review(MCQs) 19 Edition
m m m m
1. Which m of m the m following m statements m regarding m foster m care m is m true?
□A m permanency mplan mmust mbe mmade mfor ma mchild min mfoster mcare mno mlater mthan m12 mmo mfrom mthe mchild's mentry minto mcare
□A mminority mof mchildren min mfoster mcare mhave ma mhistory mof mabuse mor mneglect
□The m mission mof mfoster mcare mis mto msafely mcare mfor mchildren mwhile mproviding mservices mto mfamilies mto mpromote mreunification
□Most (>70%) mof mchildren min mfoster mcare mare mreunited mwith mtheir mfamilies
m
■ A mand mC
description mThe mmission mof mfoster mcare mis mto mprovide mfor mthe mhealth, msafety, mand mwell-being mof mchildren mwhile
massisting mtheir mfamilies mwith mservices mto mpromote mreunification. mChildren mentering mfoster mcare mhave mfrequently
mexperienced mearly mchildhood mtrauma. mMore mthan m70% mhave ma mhistory mof mabuse, mneglect, mor mboth. mOnly mabout m50%
mof mchildren machieve mreunification. mIn mthe mUSA, mthe mAdoption mand mSafe mFamilies mAct m(P.L. m105-89) mpassed min
m1997 mrequires mthat ma mpermanency mplan mbe mmade mfor meach mchild mno mlater mthan m12 mmo mafter mentry mto mfoster mcare
mand mthat ma mpetition mto mterminate mparental mrights mtypically mmust mbe mfiled mwhen ma mchild mhas mbeen min mfoster mcare mfor
mat mleast m15 mof mthe mprevious m22 mmo. m(See mChapter m35, mpage m134, mand me35-1.)
2. A m4 myr mold mgirl mis madmitted mto mthe mhospital mfor mher mthird mevaluation mfor mvaginal mbleeding.
mThe
mother mnoted mbright mred mblood mon mthe mchild's munderwear. mPrevious mexaminations
mrevealed ma mnormal m4 myr mold mgirl, mTanner mstage m1, mwith mnormal mexternal mgenitalia. mPelvic
multrasound mresults mwere mnormal, mas mwas mthe mserum mestradiol mlevel. mThe mhemoglobin
mand mplatelet mcounts mwere mnormal, mas mwere mthe mbleeding mtime mand mcoagulation mstudies.
mFindings mon mpelvic mexamination mconducted munder manesthesia malso mwere mnormal. mThe
mnext mstep min mthe mexamination mis mto:
■ Determine mthe mblood mtype mof mthe mblood mon mthe munderwear
□Interrogate m the m father
□Isolate the parents and child
m m m m
□Determine m von m Willebrand m factor m levels
, □Measure m fibronectin m in mthe mvagina
description mConsideration mof mfactitious mdisorder mby mproxy mshould mbe mtriggered mwhen mthe mreported msymptoms mare
mrepeatedly mnoted mby monly mone mparent, mappropriate mtesting mfails mto mconfirm ma mdiagnosis, mand mseemingly mappropriate
mtreatment mis mineffective. m At mtimes, mthe mchild's msymptoms, mtheir mcourse, mor mthe mresponse mto mtreatment mmay mbe
mincompatible mwith many mrecognized mdisease. m Preverbal mchildren mare musually minvolved. mBleeding mis ma mparticularly
mcommon mpresentation. mThis mmay mbe mcaused mby madding mdyes m to msamples, madding mblood m(e.g., mfrom mthe mmother) mto
mthe mchild's msample, mor mgiving mthe mchild man manticoagulant m(e.g., mwarfarin). m(See mChapter m37, mpage m146.)
3. Munchausen m syndrome m by m proxy m is m characterized m by m all m of m the m following m EXCEPT:
□Mother m who mappears mdevoted mand mwins mover mmembers m of mcare mteam
□Multiple m hospitalizations m and m investigations m without m diagnosis
□Symptoms mon mhistory mbut mnot mwitnessed mby mmedical mteam
■ Symptoms moccurring min mpresence mof mdifferent mcaregivers m(e.g., mwhile mmother mis mout mof mtown)
□Use mof mmedications mor mtoxins
description mSymptoms min myoung mchildren mare mmostly massociated mwith mproximity mof mthe moffending mcaregiver mto mthe
mchild. mThe mmother mmay mpresent mas ma mdevoted mor meven mmodel mparent mwho mforms mclose mrelationships mwith
mmembers mof mthe mhealth mcare mteam. mWhile mappearing mvery minterested min mher mchild's mcondition, mshe mmay mbe
mrelatively mdistant memotionally. m(See mChapter m37, mpage m146.)
4. Which m statement m is m false?
■ Malnutrition mis mthe msecond mleading mcause mof macquired mimmune mdeficiency mworldwide mbehind mHIV minfection
□Zinc m is mimportant min mimmune mfunction m and mlinear mgrowth
□Kwashiorkor and mmarasmus mare mrare min mdeveloped mcountries
m
□The m Western mdiet mis massociated mwith mincreased mnoncommunicable mdisease
description mThe msignificant mglobal mburden mof mmalnutrition mand mundernutrition mis mthe mleading mworldwide mcause mof
macquired mimmunodeficiency mand mthe mmajor munderlying mfactor mfor mmorbidity mand mmortality mglobally mfor mchildren m<5
myr mof mage. mZinc mis ma mmicronutrient mthat msupports mmultiple mmetabolic mfunctions min mthe mbody, mis messential mfor mnormal
mimmune mfunctioning, mand mis mrequired mto msupport mlinear mgrowth; mzinc mdeficiency mis massociated mwith mimpaired mimmune
mfunctioning mand mpoor mlinear mgrowth. mIn mparallel mto mthe mrisk mfor mnutrient mand menergy mdeficiencies, missues mrelating mto
mexcesses mpose mimportant mchallenges mbecause mof mtheir mnegative mhealth meffects, msuch mas mobesity mor mcardiovascular
mdisease mrisk mfactors. mThe mnutrition mtransition munder mway min mthe
, developing mworld mfrom mtraditional mdiets mto mthe mWestern mdiet mhas mbeen massociated mwith mincreases min
mnoncommunicable mdiseases, moften mcoexisting mwith mundernutrition mand mmalnutrition, mobserved msometimes min mthe msame
mcommunities mor meven mthe msame mfamilies. m(See me41-1.)
5. Components m of m energy m expenditure m in m children m include:
□Thermal m effect mof mfood
□Basal m metabolic mrate
□Energy mfor mphysical mactivity
□Energy m to m support m growth
■ All mof mthe mabove
description mThe m3 mcomponents mof menergy mexpenditure min madults mare mthe mbasal mmetabolic mrate, mthe mthermal
meffect mof mfood m(energy mrequired mfor mdigestion mand mabsorption), mand menergy mfor mphysical mactivity. mAdditional
menergy mintake mand mexpenditure mare mrequired mto msupport mgrowth mand mdevelopment mfor mchildren. m(See me41-
4.)
6. Which mof mthe mfollowing mclinical mscenarios mincreases mthe mrisk mof mvitamin mA mdeficiency?
□Vegetarian mdiet
□Chronic m intestinal m disorders
□Zinc m deficiency
■ B mand mC
□All mof mthe mabove
description mVitamin mA mis man messential mmicronutrient mbecause mit mcannot mbe mbiogenerated mde mnovo mby manimals.
mIt mmust mbe mobtained mfrom mplants min mthe mform mof mprovitamin-A mcarotenoids. mIn mthe mUSA, mgrains mand mvegetables
msupply mapproximately m55% mand mdairy mand mmeat mproducts msupply mapproximately m30% mof mvitamin mA mintake
mfrom mfood. mVitamin mA mand mthe mprovitamins-A mare mfat msoluble, mand mtheir mabsorption mdepends mon mthe mpresence mof
madequate mlipid mand mprotein mwithin mthe mmeal. m Chronic mintestinal mdisorders mor mlipid mmalabsorption msyndromes mcan
mresult min mvitamin mA mdeficiency. mIn mdeveloping mcountries, msubclinical mor mclinical mzinc mdeficiency mcan mincrease mthe
mrisk mof mvitamin mA mdeficiency. mThere mis malso msome mevidence mof mmarginal mzinc mintakes min mchildren min mthe mUSA.
m(See mChapter m45, mpage m188.)
m m m m m m m m
Textbook of Pediatrics 20 Edition
m m m m m m
, Nelson Pediatrics Review(MCQs) 19 Edition
m m m m
1. Which m of m the m following m statements m regarding m foster m care m is m true?
□A m permanency mplan mmust mbe mmade mfor ma mchild min mfoster mcare mno mlater mthan m12 mmo mfrom mthe mchild's mentry minto mcare
□A mminority mof mchildren min mfoster mcare mhave ma mhistory mof mabuse mor mneglect
□The m mission mof mfoster mcare mis mto msafely mcare mfor mchildren mwhile mproviding mservices mto mfamilies mto mpromote mreunification
□Most (>70%) mof mchildren min mfoster mcare mare mreunited mwith mtheir mfamilies
m
■ A mand mC
description mThe mmission mof mfoster mcare mis mto mprovide mfor mthe mhealth, msafety, mand mwell-being mof mchildren mwhile
massisting mtheir mfamilies mwith mservices mto mpromote mreunification. mChildren mentering mfoster mcare mhave mfrequently
mexperienced mearly mchildhood mtrauma. mMore mthan m70% mhave ma mhistory mof mabuse, mneglect, mor mboth. mOnly mabout m50%
mof mchildren machieve mreunification. mIn mthe mUSA, mthe mAdoption mand mSafe mFamilies mAct m(P.L. m105-89) mpassed min
m1997 mrequires mthat ma mpermanency mplan mbe mmade mfor meach mchild mno mlater mthan m12 mmo mafter mentry mto mfoster mcare
mand mthat ma mpetition mto mterminate mparental mrights mtypically mmust mbe mfiled mwhen ma mchild mhas mbeen min mfoster mcare mfor
mat mleast m15 mof mthe mprevious m22 mmo. m(See mChapter m35, mpage m134, mand me35-1.)
2. A m4 myr mold mgirl mis madmitted mto mthe mhospital mfor mher mthird mevaluation mfor mvaginal mbleeding.
mThe
mother mnoted mbright mred mblood mon mthe mchild's munderwear. mPrevious mexaminations
mrevealed ma mnormal m4 myr mold mgirl, mTanner mstage m1, mwith mnormal mexternal mgenitalia. mPelvic
multrasound mresults mwere mnormal, mas mwas mthe mserum mestradiol mlevel. mThe mhemoglobin
mand mplatelet mcounts mwere mnormal, mas mwere mthe mbleeding mtime mand mcoagulation mstudies.
mFindings mon mpelvic mexamination mconducted munder manesthesia malso mwere mnormal. mThe
mnext mstep min mthe mexamination mis mto:
■ Determine mthe mblood mtype mof mthe mblood mon mthe munderwear
□Interrogate m the m father
□Isolate the parents and child
m m m m
□Determine m von m Willebrand m factor m levels
, □Measure m fibronectin m in mthe mvagina
description mConsideration mof mfactitious mdisorder mby mproxy mshould mbe mtriggered mwhen mthe mreported msymptoms mare
mrepeatedly mnoted mby monly mone mparent, mappropriate mtesting mfails mto mconfirm ma mdiagnosis, mand mseemingly mappropriate
mtreatment mis mineffective. m At mtimes, mthe mchild's msymptoms, mtheir mcourse, mor mthe mresponse mto mtreatment mmay mbe
mincompatible mwith many mrecognized mdisease. m Preverbal mchildren mare musually minvolved. mBleeding mis ma mparticularly
mcommon mpresentation. mThis mmay mbe mcaused mby madding mdyes m to msamples, madding mblood m(e.g., mfrom mthe mmother) mto
mthe mchild's msample, mor mgiving mthe mchild man manticoagulant m(e.g., mwarfarin). m(See mChapter m37, mpage m146.)
3. Munchausen m syndrome m by m proxy m is m characterized m by m all m of m the m following m EXCEPT:
□Mother m who mappears mdevoted mand mwins mover mmembers m of mcare mteam
□Multiple m hospitalizations m and m investigations m without m diagnosis
□Symptoms mon mhistory mbut mnot mwitnessed mby mmedical mteam
■ Symptoms moccurring min mpresence mof mdifferent mcaregivers m(e.g., mwhile mmother mis mout mof mtown)
□Use mof mmedications mor mtoxins
description mSymptoms min myoung mchildren mare mmostly massociated mwith mproximity mof mthe moffending mcaregiver mto mthe
mchild. mThe mmother mmay mpresent mas ma mdevoted mor meven mmodel mparent mwho mforms mclose mrelationships mwith
mmembers mof mthe mhealth mcare mteam. mWhile mappearing mvery minterested min mher mchild's mcondition, mshe mmay mbe
mrelatively mdistant memotionally. m(See mChapter m37, mpage m146.)
4. Which m statement m is m false?
■ Malnutrition mis mthe msecond mleading mcause mof macquired mimmune mdeficiency mworldwide mbehind mHIV minfection
□Zinc m is mimportant min mimmune mfunction m and mlinear mgrowth
□Kwashiorkor and mmarasmus mare mrare min mdeveloped mcountries
m
□The m Western mdiet mis massociated mwith mincreased mnoncommunicable mdisease
description mThe msignificant mglobal mburden mof mmalnutrition mand mundernutrition mis mthe mleading mworldwide mcause mof
macquired mimmunodeficiency mand mthe mmajor munderlying mfactor mfor mmorbidity mand mmortality mglobally mfor mchildren m<5
myr mof mage. mZinc mis ma mmicronutrient mthat msupports mmultiple mmetabolic mfunctions min mthe mbody, mis messential mfor mnormal
mimmune mfunctioning, mand mis mrequired mto msupport mlinear mgrowth; mzinc mdeficiency mis massociated mwith mimpaired mimmune
mfunctioning mand mpoor mlinear mgrowth. mIn mparallel mto mthe mrisk mfor mnutrient mand menergy mdeficiencies, missues mrelating mto
mexcesses mpose mimportant mchallenges mbecause mof mtheir mnegative mhealth meffects, msuch mas mobesity mor mcardiovascular
mdisease mrisk mfactors. mThe mnutrition mtransition munder mway min mthe
, developing mworld mfrom mtraditional mdiets mto mthe mWestern mdiet mhas mbeen massociated mwith mincreases min
mnoncommunicable mdiseases, moften mcoexisting mwith mundernutrition mand mmalnutrition, mobserved msometimes min mthe msame
mcommunities mor meven mthe msame mfamilies. m(See me41-1.)
5. Components m of m energy m expenditure m in m children m include:
□Thermal m effect mof mfood
□Basal m metabolic mrate
□Energy mfor mphysical mactivity
□Energy m to m support m growth
■ All mof mthe mabove
description mThe m3 mcomponents mof menergy mexpenditure min madults mare mthe mbasal mmetabolic mrate, mthe mthermal
meffect mof mfood m(energy mrequired mfor mdigestion mand mabsorption), mand menergy mfor mphysical mactivity. mAdditional
menergy mintake mand mexpenditure mare mrequired mto msupport mgrowth mand mdevelopment mfor mchildren. m(See me41-
4.)
6. Which mof mthe mfollowing mclinical mscenarios mincreases mthe mrisk mof mvitamin mA mdeficiency?
□Vegetarian mdiet
□Chronic m intestinal m disorders
□Zinc m deficiency
■ B mand mC
□All mof mthe mabove
description mVitamin mA mis man messential mmicronutrient mbecause mit mcannot mbe mbiogenerated mde mnovo mby manimals.
mIt mmust mbe mobtained mfrom mplants min mthe mform mof mprovitamin-A mcarotenoids. mIn mthe mUSA, mgrains mand mvegetables
msupply mapproximately m55% mand mdairy mand mmeat mproducts msupply mapproximately m30% mof mvitamin mA mintake
mfrom mfood. mVitamin mA mand mthe mprovitamins-A mare mfat msoluble, mand mtheir mabsorption mdepends mon mthe mpresence mof
madequate mlipid mand mprotein mwithin mthe mmeal. m Chronic mintestinal mdisorders mor mlipid mmalabsorption msyndromes mcan
mresult min mvitamin mA mdeficiency. mIn mdeveloping mcountries, msubclinical mor mclinical mzinc mdeficiency mcan mincrease mthe
mrisk mof mvitamin mA mdeficiency. mThere mis malso msome mevidence mof mmarginal mzinc mintakes min mchildren min mthe mUSA.
m(See mChapter m45, mpage m188.)
