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

Questions 56

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Question 1 of 9

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 9

The most common cause of anaphylaxis occurring in the hospital is:

Correct Answer: D

Rationale: IV medications and latex are the top in-hospital anaphylaxis causes, per AAAAI. A-D are less common in this setting.

Question 3 of 9

A 7-year-old boy presents with chest pain and a murmur. Echocardiogram shows mitral valve prolapse. The next step is:

Correct Answer: C

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

Question 4 of 9

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 5 of 9

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

Correct Answer: B

Rationale: HFMD features vesicles in mouth and hands, per CDC. A, C-E differ.

Question 6 of 9

The most common cardiovascular anomaly in Williams syndrome is:

Correct Answer: A

Rationale: Supravalvular aortic stenosis is the most common cardiac defect in Williams syndrome, per NIH. B-E are less frequent.

Question 7 of 9

A 4-year-old girl presents with hematuria and flank pain. Ultrasound shows hydronephrosis. Most likely diagnosis is:

Correct Answer: B

Rationale: UPJ obstruction causes hydronephrosis and hematuria, per AAP. A, C-E differ.

Question 8 of 9

The most therapeutic play for a 4-year-old is

Correct Answer: B

Rationale: Drawing B allows expression, per document p43, 6.

Question 9 of 9

A first-time dad is concerned that his 3-day-old daughter’s skin is 'yellow'. In the nurse’s explanation of physiologic jaundice, what fact should be included?

Correct Answer: D

Rationale: Bilirubin levels peak between the second and fourth days D in physiologic jaundice, a normal process, per document .

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