A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?

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Question 1 of 5

A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?

Correct Answer: C

Rationale: Myxopapillary ependymomas are common in the conus medullaris and filum terminale region.

Question 2 of 5

What is the maximum accepted rate of drop of serum sodium per 24 hours in hypernatremia?

Correct Answer: A

Rationale: A rapid drop in sodium levels can lead to cerebral edema. The recommended safe correction rate is ≤8 mmol/L per 24 hours to prevent osmotic demyelination and neurological damage.

Question 3 of 5

During cardiopulmonary resuscitation of an infant, how should chest compressions be performed?

Correct Answer: D

Rationale: Two-finger technique is recommended for single-rescuer CPR in infants to ensure effective chest compression depth.

Question 4 of 5

A 6-year-old girl complains of recurrent attacks of headache over the past 6 months; she has a fear of having brain tumor in spite of normal clinical and radiological findings; she has an underlying depression disorder. Of the following, the MOST likely diagnosis is

Correct Answer: D

Rationale: Hypochondriasis involves excessive worry about having a serious illness despite evidence to the contrary, which fits the described case.

Question 5 of 5

Clinicians' tools needed to recognize early symptoms of mental disorders are called 'Mental Health Action Signs'. All the following are true EXCEPT

Correct Answer: C

Rationale: Feeling very sad or withdrawn for more than 2 months is part of the Mental Health Action Signs, but the phrase 'for more than 2 months' is not accurate as symptoms lasting 2 weeks can already be significant.

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