A 6-year-old boy with basal ejection systolic murmur, systolic click, and evidence of right ventricular apex in plain CXR is suspected to have which congenital heart disease?

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A 6-year-old boy with basal ejection systolic murmur, systolic click, and evidence of right ventricular apex in plain CXR is suspected to have which congenital heart disease?

Correct Answer: A

Rationale: Pulmonary stenosis presents with an ejection systolic murmur, systolic click, and right ventricular hypertrophy on X-ray.

Question 2 of 5

The best 'rescue' medication in the treatment of acute asthma symptoms is

Correct Answer: B

Rationale: Inhaled short-acting beta-agonists (SABAs) are the preferred rescue medication for acute asthma symptoms, as they provide rapid relief by relaxing airway muscles.

Question 3 of 5

Which of the following is NOT a common feature of systemic lupus erythematosus?

Correct Answer: D

Rationale: Hyperglycemia is not a typical feature of systemic lupus erythematosus; it is more commonly associated with diabetes.

Question 4 of 5

A -week-old infant is brought to the emergency room in coma with retinal hemorrhages and severe pallor He was born at home and was first seen by a physician at days of age and placed on amoxicillin for otitis media His diet is breast milk Diagnostic tests should include all of the following EXCEPT

Correct Answer: D

Rationale: Lumbar puncture is contraindicated in cases of severe coagulopathy or intracranial hemorrhage, as it could worsen the condition

Question 5 of 5

Acrodynia, or pink disease, is a rare idiosyncratic hypersensitivity reaction to mercury that occurs predominantly in children exposed to mercurous powders. The symptom complex includes the following EXCEPT

Correct Answer: A

Rationale: Generalized spasticity is not a common feature of acrodynia; the other symptoms are typical of mercury toxicity.

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