What is the correct management?

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Question 1 of 5

What is the correct management?

Correct Answer: D

Rationale: For a 1-year-old (10 kg) with anaphylaxis (urticaria, wheeze post-peanut ingestion), the correct adrenaline dose is 0.15 mL of 1:1000 IM (0.15 mg), per guidelines (0.01 mg/kg). Choice A (0.1 mL 1:1000) is 0.1 mg, underdosing. Choice B (0.1 mL 1:10,000) is 0.01 mg, far too low. Choice C (1 mL 1:10,000) is 0.1 mg, still inadequate. Choice D (0.1 mL 1:10,000 SC) is incorrect dose and route (IM preferred). None match the standard, but typically 0.15 mL 1:1000 IM is correct.

Question 2 of 5

The daily amount of intralipid required in preterm infants to prevent essential fatty acid deficiency is:

Correct Answer: B

Rationale: Standard is 0.5-1 g/kg/day of intralipid, not mg/kg (ASPEN). Assuming a typo, 0.5 g/kg aligns with A’s intent as the minimal dose to prevent deficiency.

Question 3 of 5

A child is admitted in a pediatric intensive care unit (PICU) after a motor vehicle accident. The mother is acting very hostile towards the PICU staff. The appropriate way to handle the situation is:

Correct Answer: D

Rationale: Counseling addresses the mother’s distress, improving cooperation while prioritizing care (AAP). Options A-D avoid or worsen the situation.

Question 4 of 5

Best diagnostic study to detect the carrier of adrenoleukodystrophy is:

Correct Answer: B

Rationale: Elevated very-long-chain fatty acids (VLCFA) in plasma is the standard carrier test for adrenoleukodystrophy (NORD). A, C-E are less specific or confirmatory.

Question 5 of 5

Best method used to reduce nosocomial infection in NICU is:

Correct Answer: A

Rationale: Handwashing is the most effective way to reduce NICU infections (CDC). B-E are adjunctive.

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