Gender identity disorder (GID) is characterized by intense and persistent cross-gender identification and discomfort with one’s own sex. In early school-age children, the manifestation that is LEAST likely considered as GID is

Correct Answer: D

Rationale: Playing with toys designed for the opposite sex does not necessarily indicate GID, as it is a common exploratory behavior in childhood.

Correct Answer: A

Rationale: HPV type 6 is typically associated with low-grade lesions and genital warts, not cervical carcinoma.

Correct Answer: A

Rationale: The presence of white patches on the tonsils is a visual sign that may be revealed by a visual examination in a client with a tonsillar infection caused by group A streptococci. These white patches are known as exudates and can be a characteristic feature of streptococcal tonsillitis. These exudates may range in appearance from small white spots to larger patches that cover the tonsils. Additionally, other signs commonly associated with streptococcal tonsillitis may include swollen and red tonsils, fever, sore throat, and sometimes swollen lymph nodes in the neck. It is important to note that definitive diagnosis often requires laboratory testing such as a rapid strep test or throat culture to confirm the presence of group A streptococci.

Correct Answer: D

Rationale: Fentanyl typically causes hypotension, nausea, and vomiting, but it does not cause acidosis.

Correct Answer: D

Rationale: The correct response is D, "Because these drugs prevent cell division, they are more effective in divided doses."