ATI RN
NCLEX Pediatric Musculoskeletal Questions Questions
Question 1 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 2 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.
Question 3 of 5
Toddler fractures occur in young ambulatory children. The age range for this fracture is typically around 1-4 yr. All the following statement are true EXCEPT
Correct Answer: D
Rationale: Toddler fractures are typically treated with immobilization (e.g., casting), not just bed rest and analgesia.
Question 4 of 5
Osteogenesis imperfecta, the most common genetic cause of osteoporosis. Which of their types is mild and non-deforming?
Correct Answer: A
Rationale: Type I osteogenesis imperfecta is the mildest form, with minimal deformity and frequent fractures.
Question 5 of 5
Matching: Bone and joint orthopedic terminology - Angulation of the vertex of bone or joint toward midline
Correct Answer: C
Rationale: Valgum refers to angulation toward the midline (e.g., knock-knees), as opposed to varum (away from midline). Cavus and equinus describe foot positions.