Paediatric kfp 151-200 MRQ

A 4-year-old boy presents with behavioral difficulties, poor appetite, and intermittent abdominal pain over the past few weeks. On examination, he appears pale and irritable, with a low hemoglobin level on a recent blood test. You suspect lead poisoning and request a blood lead level test, complete blood count, and abdominal X-ray to assess for potential ingestion of foreign substances.

Which of the following are recognized risk factors for developing this condition? Select five (5) correct answers.

A 2-year-old girl is brought in by her parents due to irritability, delayed speech development, and poor appetite. You suspect lead poisoning and request a blood lead level test, complete blood count, and urine analysis.

Which of the following are significant risk factors for this condition? Select five (5) correct answers.

A 3-year-old boy presents with concerns regarding his behaviour. The child lives in an older house that is currently undergoing renovations. He has a habit of putting toys and random objects in his mouth. You suspect lead poisoning and request a blood lead level test, complete blood count, and abdominal X-ray.

Which of the following are common symptoms that may be present in this condition? Select four (4) correct answers.

A 4-year-old girl is brought in by her parents due to ongoing headaches and has been unusually tired. They also report that she has been living in an old house that was recently painted. On examination, she has difficulty concentrating. You suspect lead poisoning and request a blood lead level test, complete blood count, and urine analysis.

Which of the following are possible symptoms associated with this condition? Select four (4) correct answers.

A 3-year-old boy presents with a three-month history of poor appetite, intermittent abdominal pain, irritability, and delayed speech development. His parents mention that he lives in an older house undergoing renovations and often plays with peeling paint chips. The child has a habit of mouthing objects and is frequently observed chewing on windowsills. On examination, he appears underweight. You suspect lead poisoning and request a blood lead level test, complete blood count for assesment

Which of the following are clinical features you would expect to find in this condition? Select five (5) correct answers.

A 4-year-old girl is brought in by her parents due to irritability, decreased appetite, and behavioral changes. She lives in an old house that was recently renovated, and her parents report that she has a habit of chewing on old painted furniture. She has been struggling with attention in preschool and has recently lost weight. You suspect lead poisoning and request a blood lead level test, complete blood count, and abdominal X-ray.

Which of the following are clinical signs that may be observed in this condition? Select five (5) correct answers.

A 3-year-old boy presents with ongoing irritability, poor appetite, abdominal pain, and developmental delays. He lives in an older home that is currently undergoing renovations. His blood tests reveal a lead level of 25 µg/dL, and he is noted to be anemic with microcytic hypochromic features. The child has a habit of mouthing objects and has been observed chewing on windowsills. You suspect lead poisoning and request further environmental assessments to identify the source of exposure.

Which of the following are appropriate management steps for this condition? Select five (5) correct answers.

A 2-year-old girl is brought in with behavioral changes, fatigue, and developmental delays. She lives in an older home where peeling paint is present. Her blood lead level is 50 µg/dL, and she is noted to be anemic. The family uses tap water from old lead-containing pipes. You suspect lead poisoning and request blood lead level confirmation, complete blood count, and home environmental assessment.

Which of the following are appropriate management strategies for this condition? Select five (5) correct answers.

A 5-year-old boy presents with a six-month history of poor concentration, behavioral difficulties, and frequent abdominal pain. His parents report poor appetite, irritability, and delayed speech development. He lives in an older house where peeling paint is present, and he frequently plays on the floor and puts toys in his mouth. Blood tests reveal a blood lead level of 55 µg/dL and microcytic hypochromic anemia. You suspect lead poisoning and request an environmental assessment, blood lead level retesting, and neurodevelopmental evaluation.

Which of the following are potential complications of this condition if left untreated? Select five (5) correct answers.

A 2-year-old girl is brought in with a six-month history of irritability, fatigue, and poor growth. The parents report that the child has developmental delays and struggles with speech. She lives in a house built in the 1950s and has frequent exposure to peeling paint and old furniture. Blood tests reveal a blood lead level of 60 µg/dL and mild anemia. You suspect lead poisoning and request a full developmental assessment, blood lead level monitoring, and a home environment inspection.

Which of the following are potential long-term complications if the condition remains untreated? Select five (5) correct answers.

A 4-year-old boy presents with delayed speech, irritability, and poor attention span. His parents report that he lives in an older home with peeling paint and frequently plays with toys that may have been imported. His blood lead level is 45 µg/dL, and he is noted to be underweight with mild microcytic anemia. You suspect lead poisoning and request a full developmental assessment, environmental evaluation, and repeat blood lead level testing after initial interventions.

Which of the following factors are associated with a poorer long-term prognosis for this condition? Select five (5) correct answers.

A 3-year-old girl is brought in with poor growth, irritability, and developmental delays. Her parents report that she lives in an older house with recent renovations. Her blood lead level is 65 µg/dL, and she is noted to have significant delays in speech and fine motor development. The child’s family faces challenges with follow-up care due to limited access to healthcare services. You suspect lead poisoning and request a neurodevelopmental assessment, blood lead level monitoring, and a home inspection for potential sources of exposure.

Which of the following factors are associated with a better long-term prognosis in this condition? Select five (5) correct answers.

A 5-year-old boy presents with multiple small, red sores around his mouth and nose that have developed into honey-colored crusted lesions over the past few days. His parents report that he often scratches his skin due to eczema and has recently been playing in a local daycare center with several other children who had similar skin rashes. The family lives in a humid environment, and the child frequently swims in local pools.

Which of the following are significant risk factors for developing this condition? Select five (5) correct answers.

 

 

A 3-year-old boy is brought in with multiple itchy, red lesions on her arms and legs, some of which have developed honey-colored crusts. The picture is given below.

Which of the following are key risk factors that may have contributed to this condition? Select five (5) correct answers.

 

 

A 5-year-old boy is brought in by his parents with multiple lesions around his mouth and nose. The lesions started as red spots that developed into fluid-filled blisters, which subsequently ruptured and formed yellowish crusts. His parents report that the lesions are spreading and that the child frequently scratches the affected areas. The child attends a daycare center and has recently been in contact with other children who had similar skin issues..

Which of the following are clinical signs that would support this diagnosis? Select five (5) correct answers.

 

 

A 4-year-old boy presents with multiple crusted lesions around his mouth and nose. The lesions initially appeared as small red spots, developed into fluid-filled vesicles, and subsequently ruptured to form golden-yellow crusts. The child has been scratching the lesions, and the parents report that the rash appears to be spreading. He attends a daycare where another child had similar skin lesions. On examination, there is mild regional lymphadenopathy, and the lesions are limited to a small area around the face. You suspect impetigo and request a wound swab for bacterial culture.

Which of the following are appropriate management strategies for this condition? Select five (5) correct answers.

A 6-year-old girl is brought in with multiple honey-colored crusted lesions on her arms and legs. The lesions began as small red spots, evolved into vesicles, and then ruptured to form the characteristic crusts. The parents report that the lesions have been spreading over the past week. She has been attending school and swimming in a local pool. On examination, the lesions are superficial and localized to her arms. You suspect impetigo and request a wound swab for culture and sensitivity.

Which of the following are appropriate management strategies for this condition? Select five (5) correct answers.

A 5-year-old boy presents with multiple crusted lesions around his mouth and nose. The lesions started as red spots, progressed to fluid-filled blisters, and subsequently ruptured to form golden-yellow crusts. The child has been receiving topical antibiotic therapy for five days, with noticeable improvement. His parents are concerned about the long-term outcome, especially regarding potential scarring and recurrence.

Which of the following factors are associated with a poorer prognosis in this condition? Select five (5) correct answers.

 

 

A 6-year-old girl presents with multiple superficial, honey-colored crusted lesions on her arms and legs. She has been receiving topical antibiotic treatment for four days. The lesions are drying, and the parents inquire about the potential for scarring, recurrence, and complications. The child has a history of mild eczema and occasionally scratches her skin. You suspect impetigo and request follow-up after seven days to reassess healing.

Which of the following are factors that predict a better long-term prognosis for this condition? Select five (5) correct answers.

A 4-year-old boy presents with rapidly worsening redness, swelling, and severe pain after a minor laceration sustained while playing outdoors two days ago. His parents report that the area became progressively more painful, swollen, and discolored over the last 24 hours. The child now has a fever of 39.2°C and appears lethargic.

Which of the following are significant risk factors for developing this condition? Select five (5) correct answers.

 

 

 

A 2-year-old girl presents with rapidly progressing swelling, pain, and redness in her right leg following an insect bite sustained three days ago. She now has a high fever, tachycardia, and appears toxic. The affected leg is swollen with areas of dusky discoloration and severe tenderness disproportionate to the visual findings. Also mother notices lesion on the chest There is also mild blistering of the skin.

Which of the following are key risk factors that may have contributed to the development of this condition? Select five (5) correct answers.

 

A 7-year-old boy is brought to the emergency department with severe, rapidly progressing swelling and pain in his right thigh following a minor laceration sustained two days ago. His parents report that the pain has worsened significantly, and the child now has a fever of 39.5°C, lethargy, and tachycardia. On examination, the thigh is markedly swollen, erythematous, and extremely tender. There are areas of dusky skin discoloration, and small fluid-filled blisters are present. You suspect necrotizing fasciitis and initiate immediate supportive care.

Which of the following are appropriate investigations to confirm the diagnosis and assess the extent of the condition? Select five (5) correct answers.

A 10-year-old girl presents with a rapidly progressing painful swelling in her left arm after a minor insect bite three days ago. She now has high-grade fever, severe pain, and a lethargic appearance. Examination reveals swelling with dusky discoloration, skin blistering, and severe tenderness. You suspect necrotizing fasciitis and commence resuscitative measures.

Which of the following are critical investigations to confirm the diagnosis and guide immediate management? Select five (5) correct answers.

A 9-year-old boy presents to the emergency department with rapidly progressing pain and swelling in his right thigh, two days after sustaining a minor abrasion. His parents report that the pain has become severe and unrelenting, and he now has a fever of 39.5°C, lethargy, and tachycardia. On examination, the thigh is erythematous, markedly swollen, and exquisitely tender with areas of dusky discoloration and small fluid-filled blisters. You suspect necrotizing fasciitis and have already initiated fluid resuscitation and ordered blood tests and imaging.

Which of the following are critical management steps to effectively treat this condition? Select five (5) correct answers.

A 6-year-old girl presents with severe and rapidly progressing swelling, pain, and skin discoloration in her left leg following an insect bite five days ago. She now has a fever of 40°C, hypotension, and appears lethargic. Examination reveals tense swelling with dusky discoloration and blistering. Laboratory tests show elevated white blood cells, raised CRP, and metabolic acidosis. You suspect necrotizing fasciitis and have commenced fluid resuscitation and broad-spectrum antibiotics.

Which of the following are essential components of the immediate management of this condition? Select five (5) correct answers.

A 10-year-old boy presents with rapidly progressing pain, swelling, and dusky skin discoloration in his right thigh, two days after sustaining a minor cut while playing outdoors. He is febrile (39.8°C), tachycardic, and hypotensive. Examination reveals severe tenderness, blistering, and areas of necrosis. He has already received fluid resuscitation and broad-spectrum antibiotics, and urgent surgical debridement is planned. You suspect necrotizing fasciitis and request blood tests, imaging, and immediate surgical consultation.

Which of the following are potential complications that may develop if the condition is not treated promptly and aggressively? Select five (5) correct answers.

A 7-year-old girl is hospitalized with severe necrotizing fasciitis involving her lower leg. She has undergone multiple surgical debridements and is receiving broad-spectrum antibiotics, IV fluids, and supportive care in the ICU. Despite initial interventions, she is showing signs of systemic deterioration, including hypotension, confusion, and poor urine output. You request further blood tests and imaging to assess the progression of the infection.

Which of the following are serious complications that could develop in this patient if her condition worsens? Select five (5) correct answers.

A 9-year-old boy is admitted to the hospital with severe pain, swelling, and dusky discoloration in his right lower leg following a minor injury. He presents with fever (39.5°C), tachycardia, and hypotension. On examination, the leg is swollen, tender, with areas of blistering and skin necrosis. Blood tests reveal elevated white cell counts, high CRP, and lactic acidosis. You suspect necrotizing fasciitis and initiate broad-spectrum antibiotics, fluid resuscitation, and request urgent imaging and surgical consultation.

Which of the following are factors that may negatively influence the prognosis of this condition in this child? Select five (5) correct answers.

A 7-year-old girl presents with rapidly progressing swelling and severe pain in her left arm, along with fever and lethargy. On examination, she has extensive skin discoloration, blistering, and tenderness over the affected area. She is hypotensive and tachycardic. Investigations confirm necrotizing fasciitis, and she undergoes immediate surgical debridement and is admitted to the ICU for intensive care and monitoring.

Which of the following are factors that may indicate a poor prognosis in this condition? Select five (5) correct answers.

A 5-year-old boy is brought to the emergency department after being found submerged in a backyard swimming pool. His parents report that he had been playing outside unsupervised for about 10 minutes. The child was pulled out of the water by a neighbor and received initial resuscitation at the scene. On arrival, he is conscious but lethargic. Vital signs show a heart rate of 110 bpm, respiratory rate of 26 breaths per minute, and oxygen saturation of 94% on room air. You suspect a non-fatal drowning event and initiate supportive care, including oxygen therapy and monitoring.

Which of the following are risk factors that may have contributed to this incident? Select five (5) correct answers.

A 3-year-old girl is brought to the hospital after being found face-down in a nearby lake by her older sibling. She was unsupervised for approximately 15 minutes. The child was unresponsive when pulled out, but spontaneous breathing resumed following basic resuscitation by a bystander. On arrival, her Glasgow Coma Scale (GCS) is 10, with labored breathing and low oxygen saturation. You suspect a non-fatal drowning event and initiate resuscitative measures, including oxygen support and monitoring.

Which of the following are risk factors that might have contributed to this incident? Select five (5) correct answers.

A 6-year-old boy is brought to the emergency department after being pulled from a public swimming pool. His parents report that he was submerged for an undetermined period but was quickly rescued and resuscitated. On arrival, he is drowsy and irritable. You suspect a non-fatal drowning event and initiate oxygen therapy along with close monitoring.

Which of the following are clinical signs that may be observed in such a condition? Select five (5) correct answers.

A 4-year-old girl is brought to the emergency department after being found submerged in a shallow backyard pool. She was submerged for approximately three minutes before being rescued. On arrival, she is lethargic with shallow breathing. You suspect a non-fatal drowning incident and begin immediate supportive management, including oxygen therapy and close monitoring.

Which of the following are clinical signs likely to be observed in this case? Select five (5) correct answers.

A 5-year-old boy is brought to the emergency department after being pulled from a backyard swimming pool. He was submerged for approximately 3 minutes and received initial resuscitation from a bystander. On arrival, he is conscious but drowsy, with labored breathing, a respiratory rate of 30 breaths per minute, oxygen saturation of 89% on room air, and crackles audible on lung auscultation. His heart rate is 115 bpm, and capillary refill time is 4 seconds. You suspect a non-fatal drowning event and decide to initiate immediate management.

Which of the following are appropriate steps in the initial management of this condition? Select five (5) correct answers.

A 7-year-old girl is brought to the emergency department after being found submerged in a lake. She was submerged for approximately 5 minutes, received initial CPR at the scene, and was transported to the hospital. On arrival, she is unconscious, with a respiratory rate of 8 breaths per minute, oxygen saturation of 85% on room air, and cold extremities. She is hypotensive, with a capillary refill time of 5 seconds. You suspect a severe drowning event and initiate immediate resuscitation.

Which of the following are critical management steps in this case? Select five (5) correct answers.

A 4-year-old boy is admitted to the pediatric intensive care unit after being rescued from a backyard swimming pool where he had been submerged for approximately five minutes. Initial resuscitation was provided at the scene. On arrival, he was intubated due to poor respiratory effort and hypoxia. His initial oxygen saturation was 85%, and he demonstrated decreased air entry with crackles on auscultation. Laboratory results showed metabolic acidosis and elevated lactate. You suspect a non-fatal drowning event and have initiated supportive management, including mechanical ventilation and fluid resuscitation.

Which of the following are possible complications that may develop in this child if not managed appropriately? Select five (5) correct answers.

A 7-year-old girl is admitted to the emergency department after being found submerged in a backyard pool for an unknown duration. On arrival, she is semi-conscious with labored breathing, oxygen saturation of 88% on room air, and cold extremities. After stabilization with oxygen therapy and IV fluids, she is admitted to the pediatric intensive care unit for further monitoring. You suspect complications related to a non-fatal drowning event.

Which of the following are potential complications that could develop if her condition deteriorates? Select five (5) correct answers.

A 6-year-old boy is admitted to the intensive care unit following a non-fatal drowning incident in a public pool. He was submerged for an unknown duration before being rescued. Initial resuscitation at the scene included CPR, and upon arrival, he was intubated due to severe respiratory distress. His oxygen saturation was 84% on room air, and arterial blood gases showed metabolic acidosis. Imaging revealed pulmonary edema. Despite stabilization, his Glasgow Coma Scale (GCS) remains at 8, and he requires ongoing mechanical ventilation.

Which of the following are factors associated with a poor long-term prognosis in this child? Select five (5) correct answers.

A 3-year-old girl is admitted to the pediatric intensive care unit after being found submerged in a backyard pool. She was underwater for approximately seven minutes before being pulled out and resuscitated by a neighbor. Upon arrival, she was unconscious, hypotensive, and required immediate intubation. Imaging revealed severe pulmonary edema, and she developed seizures during initial stabilization. Despite aggressive management, her neurological status remains poor, and she shows no signs of spontaneous movement.

Which of the following are factors that suggest a poor long-term prognosis for this child? Select five (5) correct answers.

A 2-year-old boy is brought to the clinic by his mother due to persistent dry, itchy skin over his cheeks, arms, and legs. The mother reports that the child has experienced multiple episodes of skin flare-ups since infancy. The child was exclusively breastfed for the first six months, and there is no known history of food allergies. The picture is given below

Which of the following are risk factors that could have contributed to the development of this skin condition? Select five (5) correct answers.

 

 

A 3-year-old girl presents with recurrent episodes of itchy, red patches on her face, neck, and arms. Her mother reports that the condition worsens during colder months and after bathing. The child was born via cesarean section and has a history of mild food allergies, including an egg allergy. Her family lives in an urban apartment with high exposure to air pollutants. She is bathed daily with warm water, and no moisturizers are applied afterward. There is a maternal history of eczema, and the child attends daycare regularly.

Which of the following are risk factors contributing to this skin condition? Select five (5) correct answers.