ATI RN
Endocrine System Pediatrics Questions
Question 1 of 5
A 20-day-old girl presented with prolonged neonatal jaundice, lethargy, and poor feeding treated as sepsis by empirical antibiotics and nothing by mouth. The patient got partial response, when oral feeding resumed, the condition deteriorate again. In this condition, the blood culture MOST likely reveals growth of
Correct Answer: A
Rationale: Galactosemia increases E. coli sepsis risk from galactose-induced immune suppression, exacerbated by feeding resumption, more common than other pathogens (B-E) in this context.
Question 2 of 5
All the following are skeletal manifestations of Morquio disease EXCEPT
Correct Answer: D
Rationale: Morquio disease (MPS IV) causes kyphosis (A), genua valga (B), waddling gait (C), and short trunk/neck (D). Bullet-shaped phalanges (E) are typical of Hurler, not Morquio.
Question 3 of 5
All the following are clinical features of acute intermittent porphyria EXCEPT
Correct Answer: D
Rationale: AIP features neuropathy (A), tachycardia (B), abdominal pain (C), and bladder issues (D). Photosensitivity (E) is absent, typical of cutaneous porphyrias.
Question 4 of 5
The least well-defined long-term sequelae of severe prolonged hypoglycemia is
Correct Answer: B
Rationale: Personality affection (B) is less well-defined as a hypoglycemia sequela compared to cerebral palsy (A), cognitive impairment (C), seizures (D), or autonomic issues (E), which are better documented.
Question 5 of 5
In X-linked adrenoleukodystrophy (ALD), MRI shows characteristic cerebral white matter lesions mainly in
Correct Answer: D
Rationale: ALD’s white matter lesions are characteristically parietooccipital on MRI, reflecting disease progression, distinct from other regions (A, B, C, E).