ATI RN
Pediatric Endocrine System Questions
Question 1 of 5
Guidelines suggest that diabetic patients should commence screening for celiac disease
Correct Answer: A
Rationale: Celiac screening is recommended at diagnosis (A) for T1DM due to high co-prevalence.
Question 2 of 5
You suspect a metabolic problem in a 30-day-old girl presented with poor feeding, vomiting, lethargy, and convulsion. Previous sibling died with the same condition. Serum ammonia, pH, HCO3, and anion gap are normal. Of the following, the MOST likely diagnosis is
Correct Answer: D
Rationale: Normal ammonia, pH, and anion gap with neonatal symptoms and family history suggest an aminoacidopathy (e.g., nonketotic hyperglycinemia), not porphyria (A), galactosemia (B), organic acidemia (C), or urea cycle defect (D), which alter these parameters.
Question 3 of 5
A 4-month-old boy presented with failure to thrive, rapid breathing, and repeated vomiting. On examination, there is hepatomegaly and abdominal sonography revealed renal calcification. Of the following, the MOST likely urine odor of this infant is
Correct Answer: D
Rationale: Tyrosinemia type 1, with hepatomegaly, failure to thrive, and renal issues, produces a boiled cabbage urine odor from tyrosine metabolites, unlike other disorders (A, B, C, E).
Question 4 of 5
The following are ocular manifestations of albinism EXCEPT
Correct Answer: D
Rationale: Albinism causes red reflex (A), strabismus (B), refractive errors (C), and poor binocular vision (E) due to hypopigmentation and foveal hypoplasia, not hyperplasia (D), which is the opposite.
Question 5 of 5
One of the following is a characteristic feature for both Infantile Sandhoff disease and Tay-Sachs disease
Correct Answer: D
Rationale: Both Sandhoff and Tay-Sachs feature cherry-red spots from ganglioside buildup, unlike organomegaly (A, B), cardiac issues (C), or bony changes (E), which are less consistent.