A 15-year-old boy with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals a new infiltrate in the right upper lobe. Most likely diagnosis is:

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Question 1 of 5

A 15-year-old boy with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals a new infiltrate in the right upper lobe. Most likely diagnosis is:

Correct Answer: A

Rationale: Pneumonia fits fever, hemoptysis, and infiltrate in cystic fibrosis, per CFF. B-E are less consistent.

Question 2 of 5

A 6-month-old infant presents with stridor and barking cough. Symptoms worsen at night. Most likely diagnosis is:

Correct Answer: B

Rationale: Croup features stridor and barking cough, worse at night, in infants, per AAP. A, C-E differ in presentation.

Question 3 of 5

A 1-month-old infant presents with cyanosis during feeding. Echocardiogram shows tetralogy of Fallot. The next step is:

Correct Answer: A

Rationale: Surgery is the definitive treatment for tetralogy of Fallot, per AHA. B-E are temporizing or unrelated.

Question 4 of 5

A 5-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a target sign in the right lower quadrant. Most likely diagnosis is:

Correct Answer: B

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

Question 5 of 5

A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and swollen hands. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes fever, conjunctivitis, rash, and hand swelling, per AHA. A, C-E lack this combination.

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