A child appears with systemic lupus erythematosus (SLE)-like syndrome without characteristic SLE serology. Most likely complement deficiency is:

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PN Pediatric Nursing Online Practice B Questions

Question 1 of 5

A child appears with systemic lupus erythematosus (SLE)-like syndrome without characteristic SLE serology. Most likely complement deficiency is:

Correct Answer: C

Rationale: C1q deficiency causes SLE-like syndromes without typical autoantibodies due to impaired immune complex clearance (NIAMS). Later complement defects (A-D) lead to infections, not SLE-like features.

Question 2 of 5

All of the following professionals participate in genetic counseling except:

Correct Answer: A

Rationale: Hospital administrators handle logistics, not genetic counseling, unlike B-E (ACMG).

Question 3 of 5

The most accurate assessment of gestational age in first trimester is:

Correct Answer: D

Rationale: Crown-rump length is the most accurate first-trimester measure of gestational age (ACOG). A-C, E are less precise early on.

Question 4 of 5

CNS (central nervous system) damage such as microcephaly, intrauterine growth retardation, mental retardation is caused at these radiation dosages:

Correct Answer: B

Rationale: 10,000-15,000 mrad causes CNS damage like microcephaly (ACOG). A is lower risk, C-D are higher, E is incorrect.

Question 5 of 5

A 15-year-old boy with a history of wheezing during exercise was playing soccer. He appears with shortness of breath. He is using albuterol inhaler as needed with no significant improvement. The next step in management is:

Correct Answer: B

Rationale: Inhaled steroids are the next step for uncontrolled exercise-induced asthma, per GINA, to reduce inflammation. A, C-E are less immediate or effective.

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