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

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Question 1 of 5

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

Correct Answer: D

Rationale: Stage II-B indicates involvement of two or more lymph node regions on the same side of the diaphragm with systemic symptoms like fever or weight loss.

Question 2 of 5

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:

Correct Answer: B

Rationale: Bacterial meningitis presents with high WBCs (neutrophils), low glucose, and high protein in CSF. Gram stain confirms bacterial presence.

Question 3 of 5

Which disease of the following can cause distributive shock?

Correct Answer: C

Rationale: Early septic shock causes distributive shock due to widespread vasodilation and increased capillary permeability, leading to low systemic vascular resistance.

Question 4 of 5

Autism spectrum disorders (ASDs) are seen with equal prevalence among all racial and ethnic groups. Of the following, the disorder that is only prevalent in girls is

Correct Answer: D

Rationale: Rett syndrome primarily affects girls, causing progressive neurological deterioration.

Question 5 of 5

What is the most appropriate referral for a 13-year-old adolescent with fatigue, low blood pressure, and hypokalemia?

Correct Answer: C

Rationale: Given the severity of symptoms like hypokalemia and low blood pressure, immediate referral to the hospital for comprehensive investigations is necessary before considering psychiatric or dietary interventions.

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