A -year-old boy has unexplained recurrent attacks of severe abdominal pain over the past years, not resolving during holidays; physical examination and lab investigations are unremarkable. Of the following, the risk factor that is LEAST likely associated with this disorder is

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A -year-old boy has unexplained recurrent attacks of severe abdominal pain over the past years, not resolving during holidays; physical examination and lab investigations are unremarkable. Of the following, the risk factor that is LEAST likely associated with this disorder is

Correct Answer: D

Rationale: School attendance is less likely to be a direct cause of somatoform disorders compared to emotional or familial issues. Emotional distress, marital conflict, and abuse are more directly linked to psychological stressors.

Question 2 of 5

A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:

Correct Answer: B

Rationale: The Glasgow Coma Scale evaluates consciousness. Eye-opening to pain (2), verbal confusion (4), and withdrawal from pain (4) sum up to a total score of 10.

Question 3 of 5

Alkali therapy for the treatment of metabolic acidosis in RDS may result in all the following EXCEPT

Correct Answer: D

Rationale: Alkali therapy can cause hypernatremia and skin slough but not hyperkalemia. The other options are potential side effects.

Question 4 of 5

Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) can be caused by all the following EXCEPT

Correct Answer: C

Rationale: Allopurinol is not a major cause of DRESS syndrome, whereas anticonvulsants and sulfonamides are common triggers.

Question 5 of 5

Intrauterine transplacental infection is of significance to the fetus and/or newborn

Correct Answer: A

Rationale: Hepatitis B virus (HBV) primarily affects the liver and is not typically associated with significant intrauterine or transplacental effects compared to rubella, toxoplasmosis, and Parvovirus B19.

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