A 19-year-old pregnant mother likes all-night dance parties. She took methylenedioxymetamphetamine (MDMA 'X', Ecstasy) routinely before and during pregnancy. The most likely fetal defect is:

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Question 1 of 5

A 19-year-old pregnant mother likes all-night dance parties. She took methylenedioxymetamphetamine (MDMA 'X', Ecstasy) routinely before and during pregnancy. The most likely fetal defect is:

Correct Answer: D

Rationale: MDMA use in pregnancy is linked to cardiac defects , like septal defects, per studies (Teratology). A-C, E are less specific.

Question 2 of 5

Most common endocrine abnormality in patients with cystic fibrosis is:

Correct Answer: B

Rationale: Cystic fibrosis-related diabetes is the most common endocrine issue, from pancreatic damage, per CFF. A, C-E are less frequent.

Question 3 of 5

A newborn appears with abdominal distension and bilious vomiting. Abdominal x-ray reveals a double bubble sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Duodenal atresia shows a double bubble sign with bilious vomiting, per AAP. A, C-E have different presentations.

Question 4 of 5

A 4-year-old boy presents with fever, limp, and hip pain. Hip x-ray is normal, but ESR is elevated. Most likely diagnosis is:

Correct Answer: B

Rationale: Transient synovitis is common in preschoolers with limp and fever, often post-viral, with normal x-ray, per AAP. A, C-E have different presentations or imaging.

Question 5 of 5

A 5-year-old girl presents with hematuria and hypertension. Ultrasound shows a renal mass. Most likely diagnosis is:

Correct Answer: B

Rationale: Wilms tumor presents with hematuria, hypertension, and a renal mass, per NCI. A, C-E have different features.

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