Indications of severe exacerbation of asthma include the following EXCEPT

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Question 1 of 5

Indications of severe exacerbation of asthma include the following EXCEPT

Correct Answer: D

Rationale: Severe asthma exacerbations are characterized by symptoms like breathlessness, use of accessory muscles, and mental status changes. A PEF or FEV1 <70% does not necessarily indicate a severe exacerbation.

Question 2 of 5

Contact lenses are associated with

Correct Answer: D

Rationale: Giant papillary conjunctivitis is common in contact lens wearers due to chronic mechanical irritation and immune response.

Question 3 of 5

Early sign of shock is:

Correct Answer: D

Rationale: Tachycardia is an early compensatory response to shock to maintain cardiac output.

Question 4 of 5

Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fractureusing fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old?

Correct Answer: C

Rationale: In general, it takes approximately 6 to 8 weeks for a fractured femur in a 3-year-old child to heal. Children tend to heal faster than adults due to their higher metabolism and more robust bone growth. The spica cast helps stabilize the fracture and provides the necessary support for proper healing. Regular monitoring through x-ray imaging ensures the healing progress and guides the decision for cast removal.

Question 5 of 5

A preterm infant develops sudden onset respiratory distress with decreased breath sounds and increased transillumination on one side. What is the most likely diagnosis?

Correct Answer: C

Rationale: A pneumothorax presents with acute respiratory distress, asymmetrical breath sounds, and increased transillumination on the affected side. It occurs due to alveolar rupture, often in ventilated preterm infants with underlying lung disease.

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