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

Juvenile systemic sclerosis (JSS) has multisystem involvement and exacerbation. The common manifestation of the early course of JSS is

Correct Answer: A

Rationale: Edema is an early finding in systemic sclerosis.

Question 3 of 5

Clinical picture of a 15-day-old newborn with severe coarctation of aorta will include the following Except:

Correct Answer: B

Rationale: Coarctation of the aorta typically causes weak femoral pulses but does not affect the right brachial pulse significantly, as the narrowing is usually distal to the right subclavian artery.

Question 4 of 5

In metabolic disorders, which of the following is most likely associated with cerebral edema if improperly treated?

Correct Answer: B

Rationale: Rapid correction of hypernatremia can lead to cerebral edema due to osmotic shifts in brain cells.

Question 5 of 5

The earliest studies of autism suggested a relatively poor prognosis, with only a small number of individuals being able to function independently as adults. Of the following, the factor that carry POOR outcome is

Correct Answer: D

Rationale: Average nonverbal cognitive skills suggest limited adaptive functioning, contributing to poorer outcomes.

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