A 10-year-old child with a history of asthma presents to your office sleepy, with a respiratory rate of 40, marked intercostal retractions, and few wheezes. Of the following, which is the best mode of transport to the local emergency department, which is 10 minutes away?

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Question 1 of 5

A 10-year-old child with a history of asthma presents to your office sleepy, with a respiratory rate of 40, marked intercostal retractions, and few wheezes. Of the following, which is the best mode of transport to the local emergency department, which is 10 minutes away?

Correct Answer: B

Rationale: An ALS ambulance is needed due to the child's respiratory distress, which requires advanced airway management and potential medication administration.

Question 2 of 5

A 1.5-month-old girl, the first child of unrelated parents was referred to our hospital with icterus and edema. She is exclusively breast-fed, she had acholic stools. She was hospitalized for further evaluation. The baby's blood group is A +ve, the mother's blood group is O +ve. What is the most probable diagnosis?

Correct Answer: C

Rationale: Neonatal cholestasis is characterized by prolonged jaundice, acholic stools, and direct hyperbilirubinemia. Causes include biliary atresia, metabolic disorders, and genetic syndromes. ABO incompatibility typically causes hemolysis and indirect hyperbilirubinemia, not acholic stools.

Question 3 of 5

The most common gastrointestinal manifestation that may occur in up to 80% of children with Henoch-Schonlein purpura (HSP) is

Correct Answer: A

Rationale: Abdominal pain and ileus are the most common GI manifestations in HSP.

Question 4 of 5

Acute laryngotracheobronchitis is associated with which radiological sign?

Correct Answer: C

Rationale: The steeple sign is a characteristic radiologic feature of croup (acute laryngotracheobronchitis).

Question 5 of 5

The most likely diagnosis of the patient in Question 5 is

Correct Answer: C

Rationale: Obstructive sleep apnea syndrome is suggested by snoring, daytime sleepiness, and enlarged tonsils, whereas tonsillitis or abscess would present with additional signs of infection.

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