Children with type 2 DM often seek medical care because of

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Pediatric Endocrine Nursing Questions Questions

Question 1 of 5

Children with type 2 DM often seek medical care because of

Correct Answer: C

Rationale: Polyuria (C) is a common presenting symptom in type 2 DM due to hyperglycemia.

Question 2 of 5

HbA₁C values may be spuriously elevated in

Correct Answer: C

Rationale: Iron deficiency anemia (C) increases HbA₁C by altering RBC turnover.

Question 3 of 5

The MOST commonly used and the only FDA-approved oral agent for the treatment of T2 DM in children and adolescents is

Correct Answer: C

Rationale: Metformin (C) is the only FDA-approved oral agent for pediatric T2DM.

Question 4 of 5

Inborn errors of metabolism (IEM) are hereditary biochemical disorders caused by single-gene mutations that encode specific proteins. The following are the common characteristics of IEM EXCEPT

Correct Answer: B

Rationale: Most IEMs are autosomal recessive (A), require early diagnosis (C), present after birth (D), and vary in severity (E). However, later symptom onset often indicates milder disease, not greater severity, making B the exception.

Question 5 of 5

A 5-year-old mentally retarded girl presented with repeated convulsions and abnormal EEG finding. On examination, she had a light skin, small head, and exaggerated reflexes. Of the following, the MOST appropriate method to confirm the diagnosis is

Correct Answer: D

Rationale: Plasma phenylalanine concentration confirms PKU in this classic presentation (mental retardation, seizures, light skin, microcephaly), offering definitive diagnosis over screening (A, C) or secondary tests (D). Flow cytometry (B) is unrelated.

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