A 1-year-old boy presents with recurrent ear infections and hearing loss. Tympanometry shows flat curves. Most likely diagnosis is:

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Question 1 of 5

A 1-year-old boy presents with recurrent ear infections and hearing loss. Tympanometry shows flat curves. Most likely diagnosis is:

Correct Answer: B

Rationale: Otitis media with effusion causes flat tympanometry and hearing loss post-infections, per AAP. A, C-E have distinct findings.

Question 2 of 5

A 3-year-old boy presents with fever and a vesicular rash on the trunk. Most likely diagnosis is:

Correct Answer: B

Rationale: Chickenpox presents with fever and vesicular rash, per CDC. A, C-E have different rashes.

Question 3 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 4 of 5

A 3-year-old boy presents with fever and a limp. Hip x-ray shows joint space widening. Most likely diagnosis is:

Correct Answer: B

Rationale: Septic arthritis features fever, limp, and joint widening, per AAP. A, C-E differ in acuity.

Question 5 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.

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