Which of the following clinical signs is pathognomonic of rubella?

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Which of the following clinical signs is pathognomonic of rubella?

Correct Answer: D

Rationale: Post-auricular lymphadenopathy is a classic early sign of rubella, differentiating it from measles, which presents with Koplik spots.

Question 2 of 5

The MOST consistent statement of structural MRI brain findings of autistic spectrum disorders (ASD) is

Correct Answer: B

Rationale: Increased brain size is a consistent finding in early childhood for individuals with ASD.

Question 3 of 5

Nocturnal enuresis is described by all of the following EXCEPT

Correct Answer: D

Rationale: Primary nocturnal enuresis is generally not linked to emotional disorders but instead to factors like genetics, bladder capacity, or nighttime urine production.

Question 4 of 5

What is a major challenge faced by developing countries?

Correct Answer: A

Rationale: Many developing countries struggle with providing access to clean water, which affects public health and economic productivity.

Question 5 of 5

A 5-year-old boy with a history of bronchial asthma was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough. He has difficulty communicating due to an inability to complete a sentence. Examination reveals crackles and wheezes in the lower lobes, tachycardia, and a bounding pulse. Arterial blood gas: pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, PaO2 60mmHg. How would you interpret this?

Correct Answer: B

Rationale: The patient has a low pH (acidosis), elevated PaCO2 (respiratory cause), and an increased HCO3, indicating partial compensation. This suggests respiratory acidosis due to CO2 retention from severe asthma exacerbation.

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