What is the earliest age at which a child should be evaluated for scoliosis?

Choice A rationale

Observing for signs of respiratory distress is the priority assessment for a child with burns to the face and neck. Burns in this area can lead to airway edema and compromise, which can rapidly become life-threatening. Assessing for stridor, hoarseness, difficulty breathing, and changes in respiratory rate and effort is crucial for immediate intervention.

Choice B rationale

Monitoring vital signs for indications of shock is important in burn patients due to fluid shifts and potential hypovolemia. However, airway patency takes precedence, as inadequate oxygenation will quickly lead to irreversible damage. Vital signs should be monitored continuously after ensuring the airway is secure.

Choice C rationale

Obtaining a detailed history of the burn incident is necessary for understanding the mechanism of injury and potential associated trauma. However, the immediate priority is to assess and manage any threats to the child's airway, breathing, and circulation. History taking can occur once the child is stable.

Choice D rationale

Evaluating the extent and depth of the burns is crucial for determining the severity of the injury and guiding fluid resuscitation and wound care. However, ensuring a patent airway and adequate breathing is the immediate priority upon the child's arrival in the emergency department.

Choice A rationale

Using antibacterial soap for general handwashing is a good hygiene practice but does not directly prevent tick bites. Tick prevention focuses on avoiding tick-infested areas and creating a barrier against ticks.

Choice B rationale

Wearing long sleeves and pants outdoors, especially in wooded or grassy areas where ticks are commonly found, is a crucial measure for preventing tick bites. This creates a physical barrier that reduces the skin's exposure to ticks.

Choice C rationale

While avoiding wooded areas can reduce the risk of tick exposure, it may not always be practical or possible. Emphasizing protective clothing and other preventive measures allows children to engage in outdoor activities while minimizing risk.

Choice D rationale

Applying sunscreen protects against sunburn but does not prevent tick bites. While important for overall skin health, sunscreen does not deter or kill ticks. Insect repellents containing DEET or picaridin are effective against ticks. .