The school nurse teaching a class of fourth graders about bicycle ...

[Zulu123]

The school nurse teaching a class of fourth graders about bicycle safety includes the recommendations of:
 
  a. Using additional caution while riding with a device that uses earphones
  b. Wearing reflective clothing when riding at night
  c. Wearing a helmet when riding on pavement
  d. Avoiding clothing that could be caught in the chain

Question 2

A 7-year-old is having on and off knee, ankle, wrist, and hip pain. The family history is positive for rheumatoid arthritis. No injury has taken place, and the child has occasional swelling of joints. Pain resolves with rest, ice, and NSAIDs.
 
  The primary care physician ran labs with positive rheumatoid factor ANA and ESR. This child is a soccer player and a violinist. Your differential diagnosis would be: 1. Juvenile Idiopathic Arthritis (JIA), septic arthritis, osteomyelitis, and fracture.
   2. Juvenile Idiopathic Arthritis (JIA), toxic synovitis, osteomyelitis, and Developmental Dislocated Hips (DDH).
   3. Juvenile Idiopathic Arthritis (JIA), chronic inflammatory arthritis, chronic osteomyelitis, and Developmental Dislocated Hips (DDH).
   4. Juvenile Idiopathic Arthritis (JIA) only.

[Ptupou85]

Answer to Question 1

D
Children should never ride a bike while listening to a device requiring earphones. They will not be able to hear an approaching car or other danger signals. Children should never ride a bike at night. Anyone riding a bike should always wear a helmet. Riders should take care to not wear clothing that can get caught in the chain.

Answer to Question 2

4
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1. Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain and swelling to more than one joint. This can be hereditary. Lab oratory tests are normal in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
2. All are factors in Juvenile Idiopathic Arthritis.
3. Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain and swelling to more than one joint. This can be hereditary. Laboratory tests are normal in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
4. Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain and swelling to more than one joint. It can be hereditary. Laboratory tests are normal in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).