A 12-year-old introverted boy complaining of gynecomastia, he informs you that he feels embarrassed because of his breast size in front of his beers. You find a 5 cm, round, freely mobile, mildly tender, and firm mass immediately beneath the areola. His sexual maturity rating was stage III. Of the following the MOST appropriate action is to

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Pediatric Infectious Disease NCLEX Questions Questions

Question 1 of 5

A 12-year-old introverted boy complaining of gynecomastia, he informs you that he feels embarrassed because of his breast size in front of his beers. You find a 5 cm, round, freely mobile, mildly tender, and firm mass immediately beneath the areola. His sexual maturity rating was stage III. Of the following the MOST appropriate action is to

Correct Answer: B

Rationale: Pubertal gynecomastia (5 cm, tender, SMR III) is common and self-limiting in boys, resolving within 1-2 years, justifying reassurance (B). Psychiatry (A), drugs (C), surgery (D), or Botox (E) are excessive.

Question 2 of 5

Serious reactions to IVIG include all the following EXCEPT

Correct Answer: D

Rationale: Carditis is not a commonly recognized serious reaction to IVIG therapy.

Question 3 of 5

Which of the following vaccines is contraindicated for a patient with chronic renal disease?

Correct Answer: C

Rationale: Live attenuated influenza vaccine is contraindicated in chronic renal disease due to immunosuppression risks.

Question 4 of 5

Drugs that are known to cause fever include

Correct Answer: B

Rationale: Allopurinol is a known cause of drug-induced fever.

Question 5 of 5

Relative bradycardia (when the pulse rate remains low in the presence of fever) can accompany all the following conditions EXCEPT

Correct Answer: D

Rationale: Drug fever typically does not cause relative bradycardia.

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