What condition is characterized by a chronic inflammatory process that may involve any part of the gastrointestinal (GI) tract from mouth to anus?

The correct answer is choice B. A feeling of fullness in the ear.

Choice A rationale:

Nausea and vomiting are not typical symptoms of chronic otitis media with effusion (OME). OME involves fluid accumulation in the middle ear without signs of acute infection. It is commonly seen in children and may cause mild hearing impairment and a feeling of fullness in the ear.

Choice B rationale:

A feeling of fullness in the ear is a common symptom of OME. The fluid accumulation in the middle ear can lead to a sensation of pressure or fullness, as well as mild hearing loss. This can impact a child's ability to hear and communicate effectively.

Choice C rationale:

Severe pain in the ear is more characteristic of acute otitis media (AOM), which is an infection of the middle ear with signs of inflammation. In OME, pain is typically not a prominent symptom unless there is an underlying AOM episode.

Choice D rationale:

Fever as high as 40°C (104°F) is not a typical symptom of OME. OME is generally a chronic condition without acute signs of infection such as fever. However, if a fever is present, it might indicate a concurrent infection that needs further evaluation.

The correct answer is choice C. They may lie to meet expectations set by others that they have been unable to attain.

Choice A rationale:

Lying resulting from the inability to distinguish between fact and fantasy is more characteristic of younger children and might not be as applicable to the 8 to 10-year-old age group.

Choice B rationale:

While cheating during games might be a behavior observed in children, it doesn't specifically address the characteristic of dishonesty outlined in the question for this age group.

Choice C rationale:

Children aged 8 to 10 years may lie to meet expectations set by others that they have been unable to attain. This is a manifestation of social pressure and the desire to avoid disappointing others or facing consequences for not meeting perceived expectations.

Choice D rationale:

Stealing due to a limited sense of property rights might apply more to younger children who are still developing their understanding of ownership and boundaries.