Features suggestive of large ventricular septal defect (VSD) in an infant 6 months old may include all of the following Except:

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Features suggestive of large ventricular septal defect (VSD) in an infant 6 months old may include all of the following Except:

Correct Answer: B

Rationale: Infants with large VSDs often experience poor growth due to increased metabolic demand and heart failure.

Question 2 of 5

A normal platelet count with prolonged bleeding time is seen in:

Correct Answer: B

Rationale: Von Willebrand disease affects platelet function rather than count, leading to prolonged bleeding time despite a normal platelet count.

Question 3 of 5

A 6-year-old boy with basal ejection systolic murmur, systolic click, and evidence of right ventricular apex in plain CXR is suspected to have which congenital heart disease?

Correct Answer: A

Rationale: Pulmonary stenosis presents with an ejection systolic murmur, systolic click, and right ventricular hypertrophy on X-ray.

Question 4 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.

Question 5 of 5

The MOST effective therapy for persistent allergic rhinitis is

Correct Answer: D

Rationale: Nasal corticosteroids, such as budesonide, are the most effective treatment for persistent allergic rhinitis, reducing inflammation and nasal symptoms more effectively than antihistamines or leukotriene inhibitors.

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