The text cоntrаsts Trаjаn's successful expansiоn intо Dacia with his involvement in Parthia. What made the Romanization of Dacia appear more 'constructive'?
InstructiоnsReаd eаch questiоn cаrefully.Answer each questiоn by bubbling your answer on the Scantron answer sheet.After you have finished answering all questions, select TRUE.Click Finish Attempt at the bottom of the page.On the next page, click Submit All and Finish.If a confirmation message appears, click Submit All and Finish again to complete your submission.Once your assessment has been submitted successfully, notify your proctor that you are finished. Please wait for the proctor's instructions before proceeding to the next step.Chapters 39-44 Key/Variation A____ 1. What action begins a 24-hour urine collection? a. Saving the first morning urine c. Collecting urine after the first meal b. Refrigerating the empty container d. Voiding and discarding the first specimen ____ 2. What term describes red blood cells that are smaller than normal? a. Spherocytes c. Macrocytes b. Normocytes d. Microcytes ____ 3. What factor contributes to rapid spread of respiratory infections in young children? a. Greater antibody production c. Shorter distance between structures b. Increased pulmonary surface area d. Longer respiratory passages ____ 4. What skin manifestation is included among the major manifestations of acute rheumatic fever? a. Butterfly rash c. Strawberry tongue b. Erythema marginatum d. Koplik spots ____ 5. Which laboratory findings commonly increase during acute rheumatic fever? a. Calcium and phosphorus c. Hemoglobin and hematocrit b. ESR and C-reactive protein d. Albumin and total protein ____ 6. Which dietary history is frequently associated with iron-deficiency anemia in toddlers? a. High intake of vegetables c. High intake of citrus fruit b. Frequent intake of whole grains d. Excessive intake of milk ____ 7. What laboratory test provides the most reliable standardized evidence of a preceding streptococcal infection in acute rheumatic fever? a. Serum potassium level c. Platelet aggregation test b. Hemoglobin electrophoresis d. Antistreptolysin O titer ____ 8. What is the most common cause of emergency abdominal surgery during childhood? a. Irritable bowel syndrome c. Acute appendicitis b. Lactose intolerance d. Gastroesophageal reflux ____ 9. What eating behavior should be assessed in a child suspected of having anemia? a. Pica c. Bruxism b. Aerophagia d. Rumination ____ 10. Which laboratory measurement is useful when dehydration is suspected in a child with diarrhea? a. Bleeding time c. Urine specific gravity b. Serum bilirubin d. Troponin level ____ 11. What proportion of childhood brain tumors occurs in the infratentorial region? a. Approximately 80% c. Approximately 20% b. Approximately 95% d. Approximately 60% ____ 12. What is the long-term goal of management for irritable bowel syndrome in children? a. Permanent restriction of dietary fiber c. Complete elimination of intestinal bacteria b. Regular bowel habits and symptom relief d. Surgical removal of affected intestine ____ 13. Which electrocardiographic finding is considered a minor manifestation of acute rheumatic fever? a. Widened QRS complex c. Elevated ST segment b. Shortened QT interval d. Prolonged PR interval ____ 14. Which direction is used to cleanse the perineum of a girl before obtaining a clean-catch urine specimen? a. Front to back c. Side to side b. Center outward d. Back to front ____ 15. What type of urine specimen is most appropriate for a urine collection bag in an infant? a. Blood culture specimen c. Cerebrospinal specimen b. Sterile culture specimen d. Urinalysis specimen ____ 16. Which finding is recognized as a possible warning sign of childhood cancer? a. Temporary hunger before meals c. Occasional transient hiccups b. Unexplained rapid weight lossUnexplained rapid weight loss d. Brief fatigue after exercise ____ 17. During which pediatric age period is iron-deficiency anemia especially common? a. Toddler period from 12 to 36 months c. Middle childhood only b. Late adolescence only d. Birth to 3 months ____ 18. What is the fundamental physiologic consequence of anemia in children? a. Decreased oxygen-carrying capacity c. Increased platelet production b. Increased blood viscosity d. Increased oxygen storage ____ 19. What stool characteristic suggests fat malabsorption in a child? a. Greasy bulky foul-smelling stools c. Watery explosive stools b. Mucoid green stools d. Small dry pellet stools ____ 20. What term describes the involuntary movements associated with acute rheumatic fever? a. Sydenham chorea c. Ataxia b. Dystonia d. Dysmetria ____ 21. What is the usual first symptom of acute appendicitis? a. Projectile vomiting c. Periumbilical pain b. Severe jaundice d. Bloody diarrhea ____ 22. What term describes red blood cells containing a reduced amount of hemoglobin? a. Hypochromic c. Normochromic b. Poikilochromic d. Hyperchromic ____ 23. What is the treatment of choice for most children with dehydration caused by acute diarrhea? a. Immediate blood transfusion c. Total parenteral nutrition b. Oral rehydration therapy d. Continuous gastric suction ____ 24. What is a major long-term health requirement for survivors of childhood cancer? a. Screening only when new symptoms develop c. Lifelong risk-based screening and surveillance b. Discontinuation of medical surveillance after remission d. Follow-up limited to the first year after therapy ____ 25. Which structures constitute the reactive portion of the lower respiratory tract? a. Pharynx and larynx c. Nasopharynx and trachea b. Bronchi and bronchioles d. Alveoli and pleura ____ 26. During what age period does the respiratory infection rate increase as maternal antibodies disappear? a. Birth to 1 month c. 9 to 12 months b. 18 to 24 months d. 3 to 6 months ____ 27. What commonly obstructs the appendiceal lumen in acute appendicitis? a. Gastric ulcer c. Fecalith b. Gallstone d. Renal calculus ____ 28. What physical consequence may occur in a child with chronic severe anemia? a. Persistent cyanosis c. Accelerated sexual maturation b. Increased cellular metabolism d. Growth retardation ____ 29. What method can stimulate urination in an infant during urine specimen collection? a. Placing the infant in prone position c. Applying a warm blanket to the legs b. Massaging the upper abdomen firmly d. Cooling the abdomen with alcohol ____ 30. Which medication is the drug of choice for primary prevention of acute rheumatic fever following streptococcal pharyngitis? a. Furosemide c. Aspirin b. Digoxin d. Penicillin ____ 31. What rash is characteristic of scarlet fever? a. Bullous honey-colored rash c. Petechial purpuric eruption b. Erythematous sandpaper-like rash d. Vesicular fluid-filled eruption ____ 32. Which child can commonly assume greater responsibility for a 24-hour urine collection? a. Young toddler c. Young infant b. School-age child d. Preschool infant ____ 33. Which manifestation is classified as a major Jones criterion for acute rheumatic fever? a. Arthralgia c. Elevated ESR b. Fever d. Polyarthritis ____ 34. Which finding involving the musculoskeletal system may provide an early clue to childhood cancer? a. Temporary soreness after exercise c. Persistent localized pain or limping b. Increased muscle tone d. Symmetric flexibility ____ 35. Which organism is associated with acute streptococcal pharyngitis? a. Respiratory syncytial virus c. Mycoplasma pneumoniae b. Group A beta-hemolytic streptococcus d. Human metapneumovirusHuman metapneumovirus ____ 36. What proportion of childhood cancers is represented by primary central nervous system tumors? a. Approximately 25% c. Approximately 50% b. Approximately 75% d. Approximately 5% ____ 37. Which red blood cell term refers specifically to sickle-shaped cells? a. Drepanocytes c. Normocytes b. Spherocytes d. Macrocytes ____ 38. What anatomic feature predisposes infants and young children to middle-ear infections? a. Short and open eustachian tube c. Thick and immobile tympanic membrane b. Large and rigid nasal passages d. Narrow and elongated pharynx ____ 39. Which complication can follow untreated group A streptococcal pharyngitis? a. Acute rheumatic fever c. Bronchial asthma b. Viral bronchiolitis d. Cystic fibrosis ____ 40. What principle is essential when collecting a clean-catch urine specimen? a. Collect the first portion of the urine stream c. Prevent contamination of the specimen container b. Mix the specimen with sterile irrigation fluid d. Touch the inner lid only with clean glove