ATI RN
Pediatric Endocrine System Questions
Question 1 of 5
When diabetes and thyroid disease coexist, the possibility of autoimmune adrenal insufficiency should be considered. It may be heralded by the followings EXCEPT
Correct Answer: A
Rationale: Increasing insulin requirements (A) suggest better insulin sensitivity, not adrenal insufficiency, which reduces insulin needs.
Question 2 of 5
A 4-month-old boy presented with failure to thrive, rapid breathing, and repeated vomiting. On examination, there is hepatomegaly and abdominal sonography revealed renal calcification. Of the following, the MOST likely urine odor of this infant is
Correct Answer: D
Rationale: Tyrosinemia type 1, with hepatomegaly, failure to thrive, and renal issues, produces a boiled cabbage urine odor from tyrosine metabolites, unlike other disorders (A, B, C, E).
Question 3 of 5
The following are ocular manifestations of albinism EXCEPT
Correct Answer: D
Rationale: Albinism causes red reflex (A), strabismus (B), refractive errors (C), and poor binocular vision (E) due to hypopigmentation and foveal hypoplasia, not hyperplasia (D), which is the opposite.
Question 4 of 5
One of the following is a characteristic feature for both Infantile Sandhoff disease and Tay-Sachs disease
Correct Answer: D
Rationale: Both Sandhoff and Tay-Sachs feature cherry-red spots from ganglioside buildup, unlike organomegaly (A, B), cardiac issues (C), or bony changes (E), which are less consistent.
Question 5 of 5
Niemann-pick disease type A is characterized by all the following EXCEPT
Correct Answer: C
Rationale: Niemann-Pick type A includes failure to thrive (A), hepatosplenomegaly (B), retardation (D), and neurodegeneration (E). Lung disease (C) is more characteristic of type B.