ATI RN
NCLEX Pediatric Musculoskeletal Questions Questions
Question 1 of 5
A 4-year-old child presented with back pain, abdominal pain, irritability, and refusal to walk or sit. The child holds his spine in a straight position with loss of lumbar lordosis. The white blood cell count is normal, but the ESR and CRP are high. Of the following, the MOST likely cause is
Correct Answer: A
Rationale: Diskitis, an infection of the disc space, matches the systemic symptoms and inflammatory markers in a young child.
Question 2 of 5
Which is not true of muscular dystrophies?
Correct Answer: D
Rationale: All are true of muscular dystrophies: primary myopathy, genetic, progressive, with degeneration. Assuming ‘not true' intent, all are correct, so D moved from E.
Question 3 of 5
A 4-year-old child with a history of poor sucking and swallowing as an infant recently experienced excessive sweating and blotchy erythema, especially when excited. Walking is clumsy. There has been new onset of episodes of cyclic vomiting lasting 24-27 hours, with retching and vomiting every 15-20 minutes with profuse sweating, blotchy erythema, apprehension, and irritability. Which is the most likely diagnosis?
Correct Answer: D
Rationale: Familial dysautonomia features autonomic dysfunction (sweating, erythema, vomiting), poor feeding history, and clumsy gait, matching this case.
Question 4 of 5
In evaluation of concerns relating to the limb, the examination should assess the exact torsional profile which include all the following EXCEPT
Correct Answer: C
Rationale: The torsional profile includes foot progression angle, femoral anteversion, and tibial version (thigh-foot angle), but knee-knee distance is not a standard component of torsional assessment.
Question 5 of 5
Differential diagnosis of Legg-Calvé-Perthes disease include all the following EXCEPT
Correct Answer: C
Rationale: Marfan syndrome, a connective tissue disorder, is not typically part of the differential for Legg-Calvé-Perthes, which involves osteonecrosis.