Sudden collapse in the presence of cutaneous symptoms in a previously healthy child should raise suspicion of

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 9

Sudden collapse in the presence of cutaneous symptoms in a previously healthy child should raise suspicion of

Correct Answer: B

Rationale: Anaphylaxis should be suspected in sudden collapse with cutaneous signs, especially after allergen exposure.

Question 2 of 9

Intranasal corticosteroids are less helpful for symptoms of

Correct Answer: C

Rationale: Intranasal corticosteroids have limited efficacy in treating conjunctival injection (eye redness) compared to oral antihistamines.

Question 3 of 9

The following signs are more in favour of a circulatory failure Except:

Correct Answer: B

Rationale: Marked tachypnea with recessions is a respiratory rather than a circulatory failure sign, which includes weak pulses and cyanosis.

Question 4 of 9

One of the following can cause unilateral dilated fixed pupil

Correct Answer: D

Rationale: Tentorial herniation compresses the oculomotor nerve, leading to a fixed, dilated pupil. This occurs due to increased intracranial pressure, which causes brain herniation, affecting the parasympathetic fibers controlling pupil constriction.

Question 5 of 9

You are discussing with the medical students the role of systemic steroids for the management of rheumatologic diseases. Your discussion should include all the following statements EXCEPT

Correct Answer: D

Rationale: Steroids do not prevent joint destruction; they only reduce inflammation temporarily.

Question 6 of 9

Which of the following is a cause of tender hepatomegaly

Correct Answer: A

Rationale: Right-sided heart failure leads to hepatic congestion and tender hepatomegaly due to increased central venous pressure.

Question 7 of 9

Which is true of antihistamines?

Correct Answer: C

Rationale: The choice of antihistamines should consider side effects and cost, as effectiveness varies among individuals.

Question 8 of 9

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 9 of 9

Sleep dysregulation is commonly seen in autism spectrum disorders (ASDs) that can be treated by some medications. Of the following, the first medication for sleep dysregulation is

Correct Answer: A

Rationale: Melatonin is the first-line treatment for sleep dysregulation in ASDs, as it regulates the sleep-wake cycle naturally.

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