One of the following is a bad prognostic criterion of acute lymphoblastic leukemia:

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 5

One of the following is a bad prognostic criterion of acute lymphoblastic leukemia:

Correct Answer: D

Rationale: Male sex is associated with a worse prognosis in acute lymphoblastic leukemia due to a higher likelihood of relapse, particularly in testicular involvement.

Question 2 of 5

Hemophilia A is characterized by:

Correct Answer: C

Rationale: Hemophilia A is a clotting disorder due to Factor VIII deficiency, leading to prolonged activated partial thromboplastin time (APTT) while PT, BT, and TT remain normal.

Question 3 of 5

The most common infecting agent associated with the development of transient aplastic crisis in children with chronic hemolytic anemia is:

Correct Answer: D

Rationale: Parvovirus B19 infects erythroid progenitor cells, halting red cell production. In chronic hemolytic anemia (e.g., sickle cell disease, hereditary spherocytosis), this leads to transient aplastic crisis with severe anemia.

Question 4 of 5

Adrenal production of androgen with development of underarm odor and faint genital hair (adrenarche) may occur as early as

Correct Answer: D

Rationale: Adrenarche typically begins around age 8, characterized by increased adrenal androgen production leading to body odor and pubic hair growth.

Question 5 of 5

Reticulocyte count is expected to be low in one of the following conditions:

Correct Answer: B

Rationale: Aplastic anemia leads to bone marrow failure, causing a decreased reticulocyte count due to impaired red blood cell production.

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