Answer to Question 1
C
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A Incorrect. Primary acquired hypothyroidism is not caused by childhood communicable diseases such as chickenpox or mumps.
B Incorrect. Primary acquired hypothyroidism is not caused by an unusual reaction to immunizations for childhood communicable diseases.
C Correct. Primary acquired hypothyroidism is the most common form and is usually caused by autoimmune chronic lymphocytic thyroiditis called Hashimoto's thyroiditis. This condition occurs during childhood and adolescence and more frequently in girls.
D Incorrect. Primary acquired hypothyroidism is not caused by infections, particularly beta-hemolytic streptococcus infections.
Answer to Question 2
B
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A Incorrect. By letting the child know that the experience will not be fun all the time.
B Correct. By suggesting that school is an adventure and that learning can be fun, the transition to school can be enhanced.
C Incorrect. By telling the child ahead of time those things that he or she will not like, the caregivers may cause the child to experience separation issues.
D Incorrect. Staying away from school and telling the child he or she is big now will likely enhance separation difficulties.
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