Biopsy is not usually performed for a child with suspicion of Wilms tumor EXCEPT

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Question 1 of 5

Biopsy is not usually performed for a child with suspicion of Wilms tumor EXCEPT

Correct Answer: D

Rationale: Presence of intratumoral calcifications may warrant biopsy to rule out other diagnoses.

Question 2 of 5

The least common late neurologic sequelae that may be encountered post craniospinal irradiation in a 9-year-old child with medulloblastoma is

Correct Answer: D

Rationale: Second malignancy is a rare late effect compared to cognitive and learning impairments.

Question 3 of 5

A child is brought to your clinic for a routine exam. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely:

Correct Answer: C

Rationale: At 3 years, children typically have the ability to dress with assistance, ride a tricycle, know their age, and speak in short sentences. Copying a square usually occurs later, around 4 years of age.

Question 4 of 5

The major pharmacologic action of albuterol sulfate (Proventil HFA) is:

Correct Answer: D

Rationale: Albuterol acts as a beta-2 agonist, relaxing bronchial smooth muscle to relieve airway constriction.

Question 5 of 5

You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is

Correct Answer: D

Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.

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