A 1-month-old infant presents with projectile vomiting. Physical exam reveals an olive-shaped mass in the epigastrium. Most likely diagnosis is:

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Pediatric Gi Disorders Practice Questions Questions

Question 1 of 5

A 1-month-old infant presents with projectile vomiting. Physical exam reveals an olive-shaped mass in the epigastrium. Most likely diagnosis is:

Correct Answer: B

Rationale: Pyloric stenosis presents with projectile vomiting and a palpable mass, per AAP. A, C-E have different features.

Question 2 of 5

A 4-year-old boy presents with a high fever and rash. Exam shows conjunctivitis and cervical lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes fever, rash, conjunctivitis, and lymphadenopathy, per AHA. A, C-E lack this combination.

Question 3 of 5

A 1-year-old girl presents with recurrent infections and eczema. Labs show thrombocytopenia and small platelets. Most likely diagnosis is:

Correct Answer: B

Rationale: Wiskott-Aldrich syndrome features infections, eczema, and microthrombocytopenia, per NIAID. A, C-E lack this triad.

Question 4 of 5

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

Correct Answer: B

Rationale: IBD features chronic pain, diarrhea, and occult blood, per AGA. A, C-E differ in chronicity.

Question 5 of 5

A 6-year-old boy presents with fatigue and bone pain. Labs show blasts and anemia. Most likely diagnosis is:

Correct Answer: C

Rationale: ALL shows fatigue, bone pain, and blasts, per NCI. A, B, D, E lack blasts.

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