A 12-year-old girl appears with polyuria, polydipsia, and weight loss. Labs reveal blood glucose of 300 mg/dL and ketonuria. Most likely diagnosis is:

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Question 1 of 5

A 12-year-old girl appears with polyuria, polydipsia, and weight loss. Labs reveal blood glucose of 300 mg/dL and ketonuria. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 diabetes fits polyuria, weight loss, hyperglycemia, and ketonuria, per AAP (doc p150, Q594).

Question 2 of 5

A 5-year-old boy presents with fever and a petechial rash. Labs show thrombocytopenia. Most likely diagnosis is:

Correct Answer: C

Rationale: Meningococcemia fits fever and petechiae, per CDC. A, B, D, E differ.

Question 3 of 5

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

Correct Answer: B

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

Question 4 of 5

A 2-year-old girl presents with fever and a generalized rash. Exam shows posterior auricular lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Rubella features fever, rash, and posterior auricular nodes, per CDC. A, C-E differ.

Question 5 of 5

A 6-year-old boy presents with night sweats and weight loss. Chest x-ray shows hilar lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Tuberculosis features night sweats and hilar nodes, per CDC. A, C-E differ.

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