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TEST BANK For MCQs in Pediatrics Review of Nelson Textbook of Pediatrics 20th Edition, Verified Chapters, Complete Newest Version MCQs in Pediatrics Review of Nelson Textbook of Pediatrics 20th Edition, Verified Chapters, Complete Newest Version MCQs in Pediatrics Review of Nelson Textbook of Pedia...

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  • October 8, 2024
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  • Nelson Textbook of Pediatrics 20th Edition
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Test bank for MCQs in Pediatrics Review of
Nelson Textbook of Pediatrics 20 Edition g

, Nelson Pediatrics Review(MCQs) 19 Edition
g g g g




1. Whichg ofg theg followingg statementsg regardingg fosterg careg isg 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
g g g g g g g g g g g g g g g g g g g g g g




□A minority of children in foster care have a history of abuse or neglect
g g g g g g g g g g g g g




□The mission of foster care is to safely care for children while providing services to families to promote reunification
g g g g g g g g g g g g g g g g g g




□Most (>70%) of children in foster care are reunited with their families
g g g g g g g g g g g




■ AgandgC


descriptiongThegmissiongofgfostergcaregisgtogprovidegforgtheghealth,gsafety,gandgwell-
beinggofgchildrengwhilegassistinggtheirgfamiliesgwithgservicesgtogpromotegreunification.gChildrengenteringgfostergcareghavegfreq
uentlygexperiencedgearlygchildhoodgtrauma.gMoregthang70%ghavegaghistorygofgabuse,gneglect,gorgboth.gOnlygaboutg50%gofgc
hildrengachievegreunification.gIngthegUSA,gthegAdoptiongandgSafegFamiliesgActg(P.L.g105-
89)gpassedging1997grequiresgthatgagpermanencygplangbegmadegforgeachgchildgnoglatergthang12gmogaftergentrygtogfostergcarega
ndgthatgagpetitiongtogterminategparentalgrightsgtypicallygmustgbegfiledgwhengagchildghasgbeengingfostergcaregforgatgleastg15gofgt
hegpreviousg22gmo.g(SeegChapterg35,gpageg134,gandge35-1.)




2. Ag4gyrgoldggirlgisgadmittedgtogtheghospitalgforghergthirdgevaluationgforgvaginalgbleeding.gThe
mothergnotedgbrightgredgbloodgongthegchild'sgunderwear.gPreviousgexaminationsgrevealedgagno
rmalg4gyrgoldggirl,gTannergstageg1,gwithgnormalgexternalggenitalia.gPelvicgultrasoundgresultsgwere
gnormal,gasgwasgthegserumgestradiolglevel.gTheghemoglobingandgplateletgcountsgweregnormal,gas

gweregthegbleedinggtimegandgcoagulationgstudies.gFindingsgongpelvicgexaminationgconductedgun

derganesthesiagalsogweregnormal.gThegnextgstepgingthegexaminationgisgto:

■ Determinegthegbloodgtypegofgthegbloodgongthegunderwear


□Interrogate the father
g g




□Isolate the parents and child
g g g g




□Determine von Willebrand factor levels
g g g g

, □Measure fibronectin in the vagina
g g g g




descriptiongConsiderationgofgfactitiousgdisordergbygproxygshouldgbegtriggeredgwhengthegreportedgsymptomsgaregrepeatedl
ygnotedgbygonlygonegparent,gappropriategtestinggfailsgtogconfirmgagdiagnosis,gandgseeminglygappropriategtreatmentgisgineffective.
g Atgtimes,gthegchild'sgsymptoms,gtheirgcourse,gorgthegresponsegtogtreatmentgmaygbegincompatiblegwithganygrecognizedgdisease.g

Preverbalgchildrengaregusuallyginvolved.gBleedinggisgagparticularlygcommongpresentation.gThisgmaygbegcausedgbygaddinggdyesg t
ogsamples,gaddinggbloodg(e.g.,gfromgthegmother)gtogthegchild'sgsample,gorggivinggthegchildganganticoagulantg(e.g.,gwarfarin).g
(SeegChapterg37,gpageg146.)


3. Munchausengsyndromeg byg proxyg isg characterizedg byg allg ofg theg followingg EXCEPT:


□Mother who appears devoted and wins over members of care team
g g g g g g g g g g




□Multiple hospitalizations and investigations without diagnosis
g g g g g




□Symptoms on history but not witnessed by medical team
g g g g g g g g




■ Symptomsgoccurringgingpresencegofgdifferentgcaregiversg(e.g.,gwhilegmothergisgoutgofgtown)


□Use of medications or toxins
g g g g




descriptiongSymptomsgingyounggchildrengaregmostlygassociatedgwithgproximitygofgthegoffendinggcaregivergtogthegchild.gTheg
mothergmaygpresentgasgagdevotedgorgevengmodelgparentgwhogformsgclosegrelationshipsgwithgmembersgofgtheghealthgcare
gteam.gWhilegappearinggveryginterestedginghergchild'sgcondition,gshegmaygbegrelativelygdistantgemotionally.g(SeegChapterg37,g

pageg146.)



4. Whichg statementg isg false?


■ MalnutritiongisgthegsecondgleadinggcausegofgacquiredgimmunegdeficiencygworldwidegbehindgHIVginfection


□Zinc is important in immune function and linear growth
g g g g g g g g




□Kwashiorkor and marasmus are rare in developed countries
g g g g g g g




□The Western diet is associated with increased noncommunicable disease
g g g g g g g g




descriptiongThegsignificantgglobalgburdengofgmalnutritiongandgundernutritiongisgthegleadinggworldwidegcausegofgacquiredgimm
unodeficiencygandgthegmajorgunderlyinggfactorgforgmorbiditygandgmortalityggloballygforgchildreng<5gyrgofgage.gZincgisgagmicron
utrientgthatgsupportsgmultiplegmetabolicgfunctionsgingthegbody,gisgessentialgforgnormalgimmunegfunctioning,gandgisgrequiredgtogs
upportglinearggrowth;gzincgdeficiencygisgassociatedgwithgimpairedgimmunegfunctioninggandgpoorglinearggrowth.gIngparallelgtogth
egriskgforgnutrientgandgenergygdeficiencies,gissuesgrelatinggtogexcessesgposegimportantgchallengesgbecausegofgtheirgnegativeghea
lthgeffects,gsuchgasgobesitygorgcardiovasculargdiseasegriskgfactors.gThegnutritiongtransitiongundergwaygingthe

, developinggworldgfromgtraditionalgdietsgtogthegWesterngdietghasgbeengassociatedgwithgincreasesgingnoncommunicablegdiseas
es,goftengcoexistinggwithgundernutritiongandgmalnutrition,gobservedgsometimesgingthegsamegcommunitiesgorgevengthegsamegfa
milies.g(Seege41-1.)


5. Componentsg ofg energyg expenditureg ing childreng include:


□Thermal effect of food
g g g




□Basal metabolic rate
g g




□Energy for physical activity
g g g




□Energy to support growth
g g g




■ Allgofgthegabove

descriptiongTheg3gcomponentsgofgenergygexpendituregingadultsgaregthegbasalgmetabolicgrate,gthegthermalgeffectgofgfood
g(energygrequiredgforgdigestiongandgabsorption),gandgenergygforgphysicalgactivity.gAdditionalgenergygintakegandgexpenditureg

aregrequiredgtogsupportggrowthgandgdevelopmentgforgchildren.g(Seege41-4.)



6. WhichgofgthegfollowinggclinicalgscenariosgincreasesgthegriskgofgvitamingAgdeficiency?


□Vegetarian diet g




□Chronic intestinal disorders
g g




□Zinc deficiency
g




■ BgandgC


□All of the above
g g g




descriptiongVitamingAgisgangessentialgmicronutrientgbecausegitgcannotgbegbiogeneratedgdegnovogbyganimals.gItgmustgbe
gobtainedgfromgplantsgingthegformgofgprovitamin-

Agcarotenoids.gIngthegUSA,ggrainsgandgvegetablesgsupplygapproximatelyg55%gandgdairygandgmeatgproductsgsupplygappro
ximatelyg30%gofgvitamingAgintakegfromgfood.gVitamingAgandgthegprovitamins-
Agaregfatgsoluble,gandgtheirgabsorptiongdependsgongthegpresencegofgadequateglipidgandgproteingwithingthegmeal.g Chronicgintest
inalgdisordersgorglipidgmalabsorptiongsyndromesgcangresultgingvitamingAgdeficiency.gIngdevelopinggcountries,gsubclinicalgorgcli
nicalgzincgdeficiencygcangincreasegthegriskgofgvitamingAgdeficiency.gTheregisgalsogsomegevidencegofgmarginalgzincgintakesging
childrengingthegUSA.g(SeegChapterg45,gpageg188.)


7. Whichg statementg aboutg vitaming Ag toxicityg isg NOTg true?

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