Which of the following is the most common clinical feature at presentation in acute rheumatic fever (ARF)?

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 5

Which of the following is the most common clinical feature at presentation in acute rheumatic fever (ARF)?

Correct Answer: A

Rationale: Migratory polyarthritis is the most common initial presentation of ARF, occurring in 75% of cases.

Question 2 of 5

What is the role of physical therapy in managing rheumatic diseases?

Correct Answer: D

Rationale: Physical therapy improves joint mobility, reduces pain, and enhances muscle strength in patients with rheumatic diseases.

Question 3 of 5

Congenital diaphragmatic hernia (CDH) can be diagnosed on prenatal ultrasonography (between 16 and 24 wk of gestation) in > 50% of cases. Findings on ultrasonography may include the following EXCEPT

Correct Answer: D

Rationale: Oligohydramnios is not typically associated with CDH. The other findings are common on prenatal ultrasound in CDH cases.

Question 4 of 5

Which newborn screening test is essential for early detection of congenital hypothyroidism?

Correct Answer: B

Rationale: Congenital hypothyroidism is detected through newborn screening by measuring TSH and T4 levels. Early diagnosis and treatment with levothyroxine prevent intellectual disability and growth failure.

Question 5 of 5

In addition to pertussis vaccination, which vaccine given to pregnant women reduces infant disease up to 3 months of age?

Correct Answer: B

Rationale: Maternal influenza vaccination provides passive immunity to the newborn, reducing the risk of severe illness in early infancy.

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