A 10-year-old girl presents with fatigue and pallor. Labs show hemoglobin of 8 g/dL and microcytic anemia. Most likely diagnosis is:

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Question 1 of 5

A 10-year-old girl presents with fatigue and pallor. Labs show hemoglobin of 8 g/dL and microcytic anemia. Most likely diagnosis is:

Correct Answer: C

Rationale: Iron deficiency anemia is the most common cause of microcytic anemia in children, per AAP. A, B, D, E have different lab profiles.

Question 2 of 5

A 5-year-old boy presents with fever and a red, swollen knee. Aspiration shows gram-positive cocci. Most likely diagnosis is:

Correct Answer: A

Rationale: Septic arthritis features fever, swollen joint, and gram-positive cocci, per AAP. B-E lack infection.

Question 3 of 5

A 4-year-old girl presents with fever and a pruritic rash starting on the trunk. Exam shows vesicles and crusts. Most likely diagnosis is:

Correct Answer: B

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

Question 4 of 5

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

Correct Answer: B

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

Question 5 of 5

A 6-month-old infant presents with poor feeding and a murmur. Echocardiogram shows a patent foramen ovale. The next step is:

Correct Answer: C

Rationale: Observation is standard for asymptomatic PFO, per AHA. A, B, D, E are for complications.

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