A parent of a 4-year-old with suspected Wilms tumor is brought to the clinic. Which is most important during the physical examination?

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Question 1 of 5

A parent of a 4-year-old with suspected Wilms tumor is brought to the clinic. Which is most important during the physical examination?

Correct Answer: A

Rationale: Abdominal palpation in a child with suspected Wilms tumor should be avoided because manipulation may lead to tumor seeding.

Question 2 of 5

Which best describes the action of chemotherapeutic agents used in treating cancer in children?

Correct Answer: D

Rationale: Chemotherapeutic agents work by interrupting the cell cycle, leading to the death of rapidly dividing cells, including cancer cells.

Question 3 of 5

Which are the reasons to perform a lumbar puncture on a child with leukemia? (Select one that does not apply..)

Correct Answer: B

Rationale: A lumbar puncture is done to assess for central nervous system (CNS) involvement and to administer intrathecal chemotherapy. (Ruling out meningitis and staging are not the primary reasons in this context.)

Question 4 of 5

Which measure should be implemented for a child with von Willebrand disease who has a nosebleed?

Correct Answer: A

Rationale: Applying firm pressure to the nose is the first-line intervention to control a nosebleed in von Willebrand disease.

Question 5 of 5

Which laboratory test is most likely abnormal in a child with hemophilia?

Correct Answer: D

Rationale: Hemophilia is associated with a prolonged PTT due to impaired clotting factor function.

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