A 1-month-old infant presents with cyanosis and a murmur. Echocardiogram shows total anomalous pulmonary venous return. The next step is:

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Question 1 of 5

A 1-month-old infant presents with cyanosis and a murmur. Echocardiogram shows total anomalous pulmonary venous return. The next step is:

Correct Answer: A

Rationale: Surgery corrects TAPVR, per AHA. B-E are temporizing.

Question 2 of 5

A 4-year-old girl presents with fever and swollen hands. Exam shows conjunctivitis and rash. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes fever, swollen hands, conjunctivitis, and rash, per AHA. A, C-E differ.

Question 3 of 5

A 6-year-old boy presents with abdominal pain and diarrhea. Stool shows leukocytes. Most likely diagnosis is:

Correct Answer: B

Rationale: IBD features diarrhea and leukocytes, per AGA. A, C-E differ.

Question 4 of 5

A 5-year-old girl presents with recurrent UTIs. Voiding cystourethrogram shows grade IV reflux. The next step is:

Correct Answer: B

Rationale: Antibiotic prophylaxis manages grade IV VUR, per AAP. A, C-E depend on response.

Question 5 of 5

A 5-year-old boy presents with fever and a petechial rash. Labs show leukocytosis. Most likely diagnosis is:

Correct Answer: C

Rationale: Meningococcemia fits fever and petechiae, per CDC. A, B, D, E differ.

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