Clinical picture of a 15dayold newborn with severe

Question 1 of 5

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

A. Feeding difficulties B. Weak brachial pulsation on right arm C. Weak or absent brachial pulsation on left arm D. Weak or absent femoral pulsation on both lower limbs

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 2 of 5

A 10-year-old child has intermittent symptoms of mild asthma... Which treatment option is most appropriate?

A. Environmental control and patient education only; no medication is needed B. Oral theophylline C. Cromolyn D. Inhaled Î²â‚‚-agonist as needed for symptoms

Correct Answer: D

Rationale: Inhaled Î²â‚‚-agonists are recommended for intermittent asthma symptoms as needed for relief.

Question 3 of 5

A neonate with an omphalocele is at increased risk for which associated condition?

A. Neural tube defects B. Congenital heart defects C. Cystic fibrosis D. Necrotizing enterocolitis

Correct Answer: B

Rationale: Omphalocele is a midline abdominal wall defect often associated with congenital heart defects and chromosomal abnormalities such as trisomy 13, 18, and 21. It requires surgical repair and careful monitoring.

Question 4 of 5

What is the most appropriate diagnosis for a 7-year-old boy with recurrent motor movements?

A. Tourette's Disorder B. Provisional Tic Disorder C. Persistent Tic Disorder D. Sydenham Chorea

Correct Answer: C

Rationale: Persistent Tic Disorder involves motor or vocal tics that last for more than a year. Tourette's Disorder requires both motor and vocal tics, while Provisional Tic Disorder lasts less than a year. Sydenham Chorea is typically associated with rheumatic fever.

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

A. early onset B. higher IQ C. better language skills D. good communication

Correct Answer: D

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