docnikki
Forum Guru
Topics: 93
Posts: 680
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1.An 18-month-old boy is brought to the emergency department because he has not used his left arm since he fell while walking and holding hands with his 8-year-old sister 2 hours ago. On examination, he holds his left upper extremity at his side with his forearm pronated. There is no tenderness of the left lower extremity, but there is restricted movement of the elbow. The remainder of the examination shows no abnormalities. Which of the following is the most appropriate initial step in management?
A ) Passive hypersupination of the forearm
B ) Application of figure-of-8 strap
C ) Administration of analgesics and application of ice
D ) Aspiration of the elbow joint
E ) In-place splint immobilization of the elbow
2.A 6-month-old girl is brought to the physician for a routine health maintenance examination. She was born with a lumbosacral myelomeningocele which was successfully repaired at 2 days of age. The anterior fontanelle is 6 x 8 cm and bulging, and the posterior fontanelle is 3 x 4 cm and bulging. She has severe motor and sensory deficits involving both lower extremities. A head growth chart shows the following values:
Age-Head circumference (cm)
Birth - 34.2
1 month- 36.6
2 months- 38
4 months- 44
6 months- 47
Which of the following is the most likely cause of increased intracranial pressure?
A ) Acute cerebral edema
B ) Decreased absorption of cerebrospinal fluid
C ) Dilation of cerebral arteries
D ) Intracranial mass lesion
E ) Obstruction of lateral sinus
F ) Obstruction of superior vena cava
G ) Obstruction of cerebrospinal fluid flow
H ) Overproduction of cerebrospinal fluid
3.A 6-year-old girl is brought to the physician because of a 4-week history of headache, fatigue, and decreased appetite. During this period, she has had nausea and vomiting. At the age of 4 years, she was diagnosed with poststreptococcal glomerulonephritis. She is at the 15th percentile for height and the 10th percentile for weight. Examination shows no abnormalities. Her serum urea nitrogen (BUN) level is 50 mg/dL. Which of the following is most likely to limit progression of this patient's renal failure?
A) Increased potassium and sodium bicarbonate intake
B) Decreased sodium and daily calorie intake
C) Low-protein diet
D) Strict fluid restriction
E) Dialysis
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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1. A
2. G
3. C
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| nadiabarati
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agree with robin
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| docnikki
Forum Guru
Topics: 93
Posts: 680
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Can you plz explain the second quest. thanks
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| r_albayunen
Forum Senior
Topics: 0
Posts: 218
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1. nursemaid elbow - A
2. G- is it arnold chiari II?
3. C
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| fongch
Forum Elite
Topics: 71
Posts: 316
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1 A - Nursemaid elbow
2 G
3 C
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| Ivonne
Forum Guru
Topics: 54
Posts: 1,430
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A
G
C
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