The MOST common indication for long-term parenteral nutrition is

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Pediatric Musculoskeletal Assessment Questions

Question 1 of 5

The MOST common indication for long-term parenteral nutrition is

Correct Answer: A

Rationale: Short bowel syndrome is the most common reason for long-term parenteral nutrition due to significant nutrient absorption loss.

Question 2 of 5

Which of the following is a cause of metabolic acidosis with normal anion gap?

Correct Answer: B

Rationale: Diarrhea causes normal anion gap metabolic acidosis due to bicarbonate loss, unlike the others with elevated gaps.

Question 3 of 5

Most hemangiomas do not necessitate medical intervention and involute spontaneously; however, if complications arise and treatment is warranted, oral propranolol is the mainstay of therapy.

Correct Answer: A

Rationale: Hemangiomas are benign vascular tumors that often resolve without intervention. When treatment is needed due to complications like ulceration or obstruction, oral propranolol is the first-line therapy due to its efficacy in reducing proliferation.

Question 4 of 5

Brown nits located on the proximal hair shaft suggest active infestation. White nits located on the hair shaft 4 \mathrm{~cm} or farther from the scalp indicate previous infestation. Because nonviable nits can remain stuck in the hair for weeks to months after an infestation has resolved, many children with nits do not have active lice infestation.

Correct Answer: D

Rationale: Brown nits near the scalp indicate active lice laying eggs, while white nits farther out suggest a past, resolved infestation.

Question 5 of 5

Common fracture patterns that should increase the index of suspicion of child abuse include all the following EXCEPT

Correct Answer: D

Rationale: Toddler's fractures are common accidental injuries in young children, unlike the others which are more suggestive of abuse.

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