a sudden onset of respiratory distress in a 5 year old child with no fever is most likely the result of

ATI LPN

LPN Pediatrics

1. What is the most likely cause of a sudden onset of respiratory distress in a 5-year-old child with no fever?

A. Infection of the lower airways.
B. A progressive upper airway infection.
C. Inflammation of the upper airway.
D. A foreign body airway obstruction.

Correct answer: D

Rationale: A sudden onset of respiratory distress in a child without fever is most likely due to a foreign body airway obstruction. This obstruction can rapidly lead to difficulty breathing, stridor, and other signs of respiratory distress without necessarily causing a fever. Prompt recognition and intervention are crucial in such cases to prevent further complications and ensure the child's airway remains clear.

2. Based on the complaints provided by Madam KK, is the child exhibiting danger signs?

A. Yes
B. No
C. I don't know
D. Yes

Correct answer: A

Rationale: Yes, the child is displaying danger signs with symptoms such as fever and rapid breathing, indicating a potential serious health issue that requires immediate attention. The correct answer is 'Yes' because the symptoms described in Madam KK's complaints align with danger signs that suggest a severe health problem. Choices B and C are incorrect because the symptoms mentioned clearly indicate the presence of danger signs. Choice D is a duplicate of choice A and does not provide a valid alternative.

3. What is the purpose of the pediatric assessment triangle?

A. Detect immediate life threats through a quick hands-on assessment.
B. Identify if the child has a medical condition or a traumatic injury.
C. Determine if the child's problem is respiratory or circulatory in nature.
D. Form a general impression of the child without touching them.

Correct answer: D

Rationale: The pediatric assessment triangle is used to form a rapid, hands-off general impression of the child's condition without directly touching them. This visual assessment helps in identifying children who require immediate attention and further evaluation.

4. What is the main cause or association of Type 2 diabetes?

A. Mostly associated with autoantibodies
B. Mostly associated with childhood cancer
C. Commonly associated with obesity and metabolic syndrome
D. Commonly associated with overeating

Correct answer: C

Rationale: Type 2 diabetes is commonly associated with obesity and metabolic syndrome. These conditions are major contributing factors to the development of Type 2 diabetes due to insulin resistance and other metabolic abnormalities linked to excess body weight and unhealthy lifestyle habits.

5. Adoley has been presented at the OPD with the following clinical manifestations: crying easily, short attention span, inability to sit still, fatigue but unable to sleep at night, excessive sweating, increased heart rate, and blood pressure. Which of the following will be the appropriate diagnosis for Adoley?

A. Autism
B. Hyperthyroidism
C. Hypoglycemia
D. Pneumonia

Correct answer: B

Rationale: The symptoms described in the case, such as excessive sweating, increased heart rate, and inability to sleep, are indicative of hyperthyroidism. Hyperthyroidism is characterized by an overactive thyroid gland, leading to symptoms like increased heart rate, sweating, and difficulty sleeping, which align with Adoley's clinical manifestations. Therefore, the appropriate diagnosis for Adoley would be hyperthyroidism.