Which statement about school refusal is FALSE?

Correct Answer: D

Rationale: Older children with school refusal more commonly experience anxiety disorders rather than obsessive disorders. Somatic symptoms are indeed prevalent in school refusal cases.

Correct Answer: B

Rationale: Tachycardia is an early compensatory mechanism in shock before hypotension or altered consciousness occurs.

Correct Answer: D

Rationale: Irritability is an early sign of hypoxemia, while cyanosis and bradycardia are late findings.

Correct Answer: B

Rationale: Expiratory grunting indicates difficulty in oxygenation and is often a compensatory mechanism in pneumonia, where alveolar collapse or consolidation reduces oxygen exchange.

Correct Answer: A

Rationale: People often migrate from rural to urban areas in search of better educational facilities, which are typically more accessible in cities.