A 10-year-old boy appears with fatigue, weight gain, and constipation. Labs reveal elevated TSH and low free T4. Most likely diagnosis is:

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ATI PN Pediatrics Proctored Exam 2020 Questions

Question 1 of 5

A 10-year-old boy appears with fatigue, weight gain, and constipation. Labs reveal elevated TSH and low free T4. Most likely diagnosis is:

Correct Answer: A

Rationale: Hypothyroidism fits fatigue, weight gain, constipation, and thyroid labs, per AAP (doc p150, Q582).

Question 2 of 5

A 2-month-old infant presents with projectile vomiting. Labs show hypochloremic alkalosis. Most likely diagnosis is:

Correct Answer: B

Rationale: Pyloric stenosis causes vomiting and hypochloremic alkalosis, per AAP. A, C-E differ.

Question 3 of 5

A 2-year-old boy presents with fever and a vesicular rash in the mouth and on the hands and feet. Most likely diagnosis is:

Correct Answer: B

Rationale: Hand-foot-mouth disease features vesicles in the mouth, hands, and feet, per CDC. A, C-E differ in distribution.

Question 4 of 5

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

Correct Answer: B

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

Question 5 of 5

A 4-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a target sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Intussusception shows a target sign, per AAP. A, C-E differ.

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