A 3-Year-Old Girl Is Brought to the Clinic for Evaluation

question 709

Multiple Choice

A 3-year-old girl is brought to the clinic for evaluation of right knee swelling.  Her mother first noticed the swelling and a limp 2 months ago but attributed them to roughhousing with her brother.  Typically, the limping was present in the mornings and resolved by midday.  However, while bathing the patient last night, her mother noticed that the right knee was more swollen than usual.  The knee is not painful, and the patient has had no fever or rashes.  Temperature is 37.5 C (99.5 F) .  She can bear weight on both legs but has a noticeable limp.  The right knee is swollen and slightly warm.  The overlying skin appears normal and intact.  There is no tenderness to palpation.  Peripheral pulses are normal.  Sensation is intact.  This patient is at greatest risk for which of the following complications?

• A)Atrioventricular conduction block
• B)Inflammatory bowel disease
• C)Intramuscular hemorrhage
• D)Pulmonary fibrosis
• E)Uveitis

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Definitions:

Needs for Affiliation

The desire to form connections with others and maintain social relationships.

Salespersons

Individuals who sell products or services, often directly to customers, and are skilled in negotiation, communication, and persuasion.

Basic Psychological Needs

Fundamental requirements for psychological well-being and health, typically including autonomy, competence, and relatedness.

Controlled Motivation

Motivation that is driven by external pressures or obligations rather than by personal interest or enjoyment.