A 1-month-old infant presents with cyanosis and poor feeding. Echocardiogram shows tricuspid atresia. The next step is:

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Question 1 of 5

A 1-month-old infant presents with cyanosis and poor feeding. Echocardiogram shows tricuspid atresia. The next step is:

Correct Answer: B

Rationale: Prostaglandin E1 stabilizes tricuspid atresia by maintaining ductal flow, per AHA. A, C-E follow stabilization.

Question 2 of 5

A 2-year-old boy presents with a limp and knee swelling. Labs show elevated ESR. Most likely diagnosis is:

Correct Answer: C

Rationale: JIA features limp and elevated ESR, per ACR. A, B, D, E differ.

Question 3 of 5

A newborn boy appears with ambiguous genitalia and a 46,XY karyotype. Labs reveal low testosterone and elevated LH/FSH. Most likely diagnosis is:

Correct Answer: C

Rationale: Gonadal dysgenesis fits XY karyotype, low testosterone, and high gonadotropins, per AAP (doc p149, Q571).

Question 4 of 5

Most common cause of adrenal insufficiency in children is:

Correct Answer: A

Rationale: Addison disease is the most common cause of primary adrenal insufficiency in children, per AAP (doc p150, Q587).

Question 5 of 5

A 10-year-old boy appears with short stature and delayed puberty. Labs reveal low IGF-1 and normal GH after stimulation. Most likely diagnosis is:

Correct Answer: A

Rationale: Growth hormone deficiency fits short stature and low IGF-1, per AAP (doc p151, Q603).

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