Which is the earliest and most consistent sign of myasthenia gravis?

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Pediatric Musculoskeletal Disorders NCLEX Questions Questions

Question 1 of 5

Which is the earliest and most consistent sign of myasthenia gravis?

Correct Answer: C

Rationale: Ptosis and extraocular muscle weakness are the earliest and most consistent signs of myasthenia gravis due to ocular muscle involvement.

Question 2 of 5

A rocker-bottom foot describes

Correct Answer: A

Rationale: A rocker-bottom foot is characteristic of congenital vertical talus, where the foot has a convex sole due to a fixed dorsiflexion of the talus.

Question 3 of 5

A school age child presented with a mass behind the knee. Physical examination reveals a firm mass in the popliteal fossa, medially located and distal to the popliteal crease. The mass is most prominent when the knee is extended. Knee radiographs are normal. Of the following, the MOST likely diagnosis is

Correct Answer: C

Rationale: A popliteal cyst (Baker's cyst) is a common benign condition in children, presenting as a firm mass in the popliteal fossa, more prominent on knee extension, with normal radiographs.

Question 4 of 5

There is marked geographic and racial variation in the incidence of developmental dysplasia of the hip (DDH). All the following are true EXCEPT

Correct Answer: D

Rationale: DDH incidence varies widely, with higher rates in certain populations (e.g., Manitoba), but it is not 0% in African newborns; it is lower but still occurs.

Question 5 of 5

Torticollis, literally meaning twisted neck, is not a diagnosis but rather a manifestation of a variety of underlying conditions. All the following conditions may cause torticollis EXCEPT

Correct Answer: D

Rationale: Upper lobe pneumonia does not typically cause torticollis, which is more often linked to musculoskeletal or neurologic conditions.

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