Gowers sign is fully expressed by the age of

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Musculoskeletal Pediatrics Questions

Question 1 of 5

Gowers sign is fully expressed by the age of

Correct Answer: B

Rationale: Gowers sign, a classic indicator of proximal muscle weakness seen in Duchenne muscular dystrophy, typically becomes fully evident by age 5 as the child struggles to rise from the floor.

Question 2 of 5

The least significant finding in Miller-Fisher syndrome (MFS) is

Correct Answer: C

Rationale: Lower limb weakness is not a core feature of MFS, which focuses on ophthalmoplegia, ataxia, and areflexia.

Question 3 of 5

Myasthenia gravis is a chronic autoimmune disease of neuromuscular blockade. Of the following, the MOST characteristic feature is

Correct Answer: A

Rationale: Fatigue, particularly worsening with activity and improving with rest, is the most characteristic feature of myasthenia gravis.

Question 4 of 5

Osteoporosis that occurs in childhood is related to

Correct Answer: C

Rationale: The text lists multiple causes, but steroid therapy (C) is a well-known cause of osteoporosis in children due to its impact on bone metabolism.

Question 5 of 5

Maintenance fluids are composed of a solution of water, glucose, sodium, potassium, and chloride. How much of the normal caloric needs of the patient is provided by glucose in maintenance fluids?

Correct Answer: D

Rationale: Standard maintenance fluids (e.g., 5% dextrose) provide about 20% of caloric needs via glucose, a common medical practice.

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