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PrometricGPT – Nursing – Pediatrics-4
1 / 50
What is the most common cause of bacterial meningitis in children under 5?
Haemophilus influenzae type B (Hib) was a common cause of bacterial meningitis in young children before the introduction of the Hib vaccine.
2 / 50
Which of the following is a common feature of congenital hypothyroidism?
Prolonged jaundice is a common feature of congenital hypothyroidism in newborns.
3 / 50
Which type of seizure involves brief, sudden lapses in consciousness?
Absence seizures, commonly seen in children, involve brief lapses in consciousness without convulsions.
4 / 50
What is the recommended daily intake of vitamin D for infants?
The recommended daily intake of vitamin D for infants is 400 IU to support healthy bone development.
5 / 50
Which condition is characterized by a “boot-shaped” heart on chest X-ray?
A “boot-shaped” heart on chest X-ray is characteristic of Tetralogy of Fallot.
6 / 50
What is the appropriate first step in managing pediatric anaphylaxis?
Intramuscular epinephrine is the first-line treatment for pediatric anaphylaxis to rapidly counteract the severe allergic reaction.
7 / 50
Which genetic condition is associated with tall stature and long extremities?
Marfan syndrome is associated with tall stature, long extremities, and connective tissue abnormalities.
8 / 50
What is the most common cause of death in children with cystic fibrosis?
Respiratory failure due to chronic lung infections is the most common cause of death in children with cystic fibrosis.
9 / 50
What is the primary treatment for bronchiolitis in infants?
Supportive care, including hydration and oxygen therapy, is the main treatment for bronchiolitis in infants caused by viral infections such as RSV.
10 / 50
Which test is used to diagnose developmental dysplasia of the hip in infants?
The Ortolani and Barlow tests are used to diagnose developmental dysplasia of the hip in infants by assessing hip stability.
11 / 50
Which genetic disorder is associated with progressive muscle weakness in boys?
Duchenne muscular dystrophy is a genetic disorder characterized by progressive muscle weakness, primarily affecting boys.
12 / 50
What is the most appropriate treatment for a child with mild dehydration?
Oral rehydration solution is recommended for treating mild dehydration in children, especially in cases of diarrhea.
13 / 50
What is the most common cause of strabismus in children?
Strabismus is most commonly caused by a muscle imbalance that affects eye alignment.
14 / 50
Which congenital heart defect causes a “machine-like” murmur?
Patent ductus arteriosus (PDA) is associated with a “machine-like” murmur.
15 / 50
What is the best way to assess a child’s pain level who is non-verbal?
The FLACC pain scale (face, legs, activity, cry, consolability) is commonly used to assess pain in non-verbal children.
16 / 50
What is the most common cause of nocturnal enuresis in children?
Nocturnal enuresis (bedwetting) is most commonly due to delayed bladder maturation in children.
17 / 50
Which of the following is a complication of untreated streptococcal pharyngitis?
Untreated streptococcal pharyngitis can lead to rheumatic fever, a condition that can damage the heart valves.
18 / 50
What is the most appropriate intervention for a child with a febrile seizure?
The priority during a febrile seizure is to keep the child safe and monitor their condition, as most febrile seizures are self-limiting.
19 / 50
What is the primary goal of treatment for a child with attention-deficit/hyperactivity disorder (ADHD)?
The primary goal of treatment for ADHD is to improve functioning in multiple settings, such as home, school, and social environments.
20 / 50
Which of the following is a sign of dehydration in infants?
A sunken fontanel is a key sign of dehydration in infants, along with decreased urine output and dry mucous membranes.
21 / 50
Which of the following conditions is characterized by a “café-au-lait” spot?
“Café-au-lait” spots are characteristic of neurofibromatosis, a genetic disorder that causes tumors to form on nerve tissue.
22 / 50
What is the recommended treatment for a child with a pinworm infection?
Mebendazole or albendazole is used to treat pinworm infections in children, which typically present with perianal itching.
23 / 50
What is the best method to diagnose vesicoureteral reflux in children?
A voiding cystourethrogram (VCUG) is the gold standard for diagnosing vesicoureteral reflux, which involves the backward flow of urine from the bladder to the kidneys.
24 / 50
What is the first-line treatment for moderate persistent asthma in children?
Inhaled corticosteroids are the first-line treatment for moderate persistent asthma to reduce airway inflammation.
25 / 50
What is the typical presentation of roseola in children?
Roseola typically presents with a high fever followed by the appearance of a rash once the fever subsides.
26 / 50
Which of the following is a common complication of mumps in children?
Orchitis (inflammation of the testicles) is a common complication of mumps, especially in post-pubertal boys.
27 / 50
What is the primary goal of treating pediatric pneumonia?
The primary goal of treating pneumonia in children is to improve oxygenation and ensure the child is receiving adequate oxygen.
28 / 50
Which of the following is the first sign of puberty in boys?
Testicular enlargement is typically the first sign of puberty in boys.
29 / 50
What is the most common bacterial cause of pharyngitis in children?
Streptococcus pyogenes (Group A Streptococcus) is the most common bacterial cause of pharyngitis (strep throat) in children.
30 / 50
What is the most effective prevention for rotavirus infection in infants?
The rotavirus vaccine is the most effective prevention for rotavirus infection, which causes severe diarrhea in infants and young children.
31 / 50
Which condition is commonly associated with a “cherry-red spot” on the retina?
A “cherry-red spot” on the retina is a characteristic finding in Tay-Sachs disease, a genetic disorder that affects nerve cells.
32 / 50
What is the most common viral cause of myocarditis in children?
Coxsackievirus is the most common viral cause of myocarditis in children, leading to inflammation of the heart muscle.
33 / 50
Which condition presents with a “sandpaper” rash in children?
Scarlet fever presents with a “sandpaper” rash, typically after a streptococcal throat infection.
34 / 50
Which congenital heart defect is associated with cyanosis at birth?
Tetralogy of Fallot is a cyanotic heart defect that causes decreased oxygenation in the blood.
35 / 50
Which vaccine is contraindicated in children with a history of severe egg allergy?
The influenza vaccine is contraindicated in children with a history of severe egg allergy, as the vaccine may contain egg protein.
36 / 50
What is the appropriate site for an intramuscular injection in a child under 3 years?
The vastus lateralis (thigh muscle) is the preferred site for intramuscular injections in children under 3 years old.
37 / 50
Which condition is characterized by a “bull’s eye” rash?
Lyme disease, caused by the Borrelia bacterium, is characterized by a “bull’s eye” rash.
38 / 50
What is the most common cause of febrile seizures in children?
Viral infections, such as upper respiratory tract infections, are the most common cause of febrile seizures in children.
39 / 50
Which vitamin deficiency causes scurvy in children?
Scurvy, characterized by symptoms such as bleeding gums and bruising, is caused by a deficiency of vitamin C.
40 / 50
What is the recommended management for a child with head lice?
Permethrin shampoo is the first-line treatment for head lice infestations in children.
41 / 50
Roseola typically presents with a high fever that subsides, followed by the appearance of a rash.
42 / 50
Which condition is characterized by excessive vomiting and weight loss in infants?
Pyloric stenosis causes excessive vomiting and failure to thrive in infants due to narrowing of the pyloric valve.
43 / 50
What is the primary prevention method for iron deficiency anemia in infants?
Iron-fortified formula or cereals are recommended to prevent iron deficiency anemia in infants, especially after 6 months of age.
44 / 50
Which test is used to diagnose cystic fibrosis in children?
The sweat chloride test is the gold standard for diagnosing cystic fibrosis in children.
45 / 50
Which of the following is the most common cause of hematuria in children?
Urinary tract infections are the most common cause of hematuria (blood in urine) in children.
46 / 50
What is the appropriate initial treatment for mild croup in children?
Mild croup is often treated with humidified air or steam to soothe the inflamed airways.
47 / 50
Which vaccine is given to prevent mumps, measles, and rubella in children?
The MMR vaccine protects children against mumps, measles, and rubella.
48 / 50
What is the most common cause of pediatric asthma exacerbations?
Viral respiratory infections, such as the common cold, are the most common triggers for asthma exacerbations in children.
49 / 50
Which type of fracture is most common in children due to their softer bones?
Greenstick fractures, where the bone bends and partially breaks, are common in children due to the flexibility of their bones.
50 / 50
What is the most common bacterial cause of pneumonia in children?
Streptococcus pneumoniae is the most common bacterial cause of pneumonia in children.
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