A 5-year-old girl was brought to the ED with altered mental status. Kernig and Brudzinski signs were present. CSF shows: WBCs 1500/ul (80% neutrophils), Sugar 20 mg/dl, Protein 400 mg/dl, Positive Gram stain. You would interpret the CSF as:

Nurselytic

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Question 1 of 9

A 5-year-old girl was brought to the ED with altered mental status. Kernig and Brudzinski signs were present. CSF shows: WBCs 1500/ul (80% neutrophils), Sugar 20 mg/dl, Protein 400 mg/dl, Positive Gram stain. You would interpret the CSF as:

A. Normal B. Bacterial Meningitis C. Viral encephalitis D. TB Meningitis

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

One of the following statements is TRUE regarding skin tests in identifying food allergies in patients with atopic dermatitis

A. Negative skin and blood test results for allergen-specific IgE have a low predictive value for excluding suspected allergens B. Positive results of skin or blood tests using foods often correlate with clinical symptoms and no need to be confirmed with controlled food challenges C. Extensive elimination diets are commonly required D. the majority of patients react to more than 3 foods

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

What is the role of hydroxychloroquine in the treatment of rheumatic diseases?

A. Suppress immune response B. Reduce inflammation C. Improve skin lesions D. All of the above

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

A nine-year-old boy with Hodgkin's lymphoma and a large right cervical and axillary lymph node falls into which staging classification:

A. Stage 1-A B. Stage 1-B C. Stage II-A D. Stage II-B

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

A 14-year-old presents with acute onset of urticaria that has gradually worsened over the past 10 days... Which diagnostic option is recommended?

A. Systematic elimination diets to determine a possible ingestant cause B. Allergy skin testing C. Serum IgE and RAST D. None of the above

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

In pediatric basic life support, the rescuer resuscitates the collapsed child by:

A. Activating basic life support B. Giving DC shock C. At the hospital D. Oxygen should be given early

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

A chest radiograph should be performed with the first episode of asthma. Repeat chest radiographs are not needed unless there is

A. tachycardia B. poor air movement C. high-grade fever D. pulsus paradoxus

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

All the following are common features of postinfectious arthritis or reactive arthritis EXCEPT

A. there is a transient joint swelling or pain B. it lasts less than 6 wk C. it may be a common sequelae of streptococcus group A infection D. spondyloarthritis is a common causative agent infection

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

A neonate born to a diabetic mother is at increased risk for which complication?

A. Hypoglycemia B. Hypercalcemia C. Polyuria D. Hypertension

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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