Oligoarthritis predominantly affects the joints of the lower extremities rather than upper extremity joints. Which of the following joints is never a presenting sign of oligoarthritis?

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Pediatric Nursing Exam Flashcards Questions

Question 1 of 9

Oligoarthritis predominantly affects the joints of the lower extremities rather than upper extremity joints. Which of the following joints is never a presenting sign of oligoarthritis?

Correct Answer: D

Rationale: Interphalangeal joints are rarely affected in oligoarticular JIA.

Question 2 of 9

Matching: Anesthesia drugs

Correct Answer: B

Rationale: Succinylcholine is associated with malignant hyperthermia, a life-threatening reaction with symptoms such as muscle rigidity and high fever.

Question 3 of 9

The exposure to which of the following early in childhood protects against the development of atopy

Correct Answer: D

Rationale: Early exposure to dogs has been linked to a reduced risk of atopy, possibly due to microbial diversity exposure that modulates immune responses. Other exposures listed do not provide protection.

Question 4 of 9

All the following are features of childhood SLE EXCEPT

Correct Answer: C

Rationale: Childhood SLE typically presents after 5 years of age.

Question 5 of 9

Oligoarthritis predominantly affects the joints of the lower extremities rather than upper extremity joints. Which of the following joints is never a presenting sign of oligoarthritis?

Correct Answer: D

Rationale: Interphalangeal joints are rarely affected in oligoarticular JIA.

Question 6 of 9

Which of the following is an index of poor outcome in fulminant hepatitis

Correct Answer: B

Rationale: A prolonged prothrombin time unresponsive to vitamin K suggests severe hepatic synthetic dysfunction and is a poor prognostic indicator in fulminant hepatitis.

Question 7 of 9

A 6-year-old boy with hereditary spherocytosis developed transient aplastic crisis following a recent viral infection. The most probable incriminated viral infection is:

Correct Answer: D

Rationale: Parvovirus B19 infects erythroid progenitor cells, temporarily halting erythropoiesis. In hereditary spherocytosis, this leads to severe anemia, as the lifespan of spherocytes is already reduced.

Question 8 of 9

Matching: Anesthesia drugs

Correct Answer: B

Rationale: Succinylcholine is associated with malignant hyperthermia, a life-threatening reaction with symptoms such as muscle rigidity and high fever.

Question 9 of 9

A child in the third grade has problems with spelling and reading. She appears very quiet and confused in class. Her teacher has noticed that this girl has trouble following directions. Her mind seems to wander whenever the teacher tells a story or explains something complicated. She is skilled in art and so far has performed well in arithmetic. Which of the following diagnostic procedures is most likely to yield useful findings in this child?

Correct Answer: C

Rationale: Given the child's difficulties with reading, spelling, and following directions, a language evaluation would be most appropriate to assess potential learning disabilities such as dyslexia.

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