A 2-month-old infant presents with jaundice and clay-colored stools. Labs show elevated direct bilirubin. Most likely diagnosis is:

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Pediatric Gi Nclex Practice Questions Questions

Question 1 of 5

A 2-month-old infant presents with jaundice and clay-colored stools. Labs show elevated direct bilirubin. Most likely diagnosis is:

Correct Answer: B

Rationale: Biliary atresia causes jaundice, clay stools, and conjugated hyperbilirubinemia, per AAP. A, C-E differ in presentation.

Question 2 of 5

A 1-month-old infant presents with cyanosis and a murmur. Echocardiogram shows truncus arteriosus. The next step is:

Correct Answer: A

Rationale: Surgery corrects truncus arteriosus, per AHA. B-E are temporizing.

Question 3 of 5

Best diagnostic test to detect central precocious puberty is:

Correct Answer: C

Rationale: GnRH stimulation test confirms central precocious puberty, per AAP (doc p148, Q564).

Question 4 of 5

Best screening test for congenital hypothyroidism is:

Correct Answer: B

Rationale: Serum TSH is the most sensitive screening test for congenital hypothyroidism, per AAP (doc p149, Q580).

Question 5 of 5

Most common complication of type 1 diabetes in children is:

Correct Answer: A

Rationale: Hypoglycemia is the most common acute complication in type 1 diabetes, per AAP (doc p151, Q596).

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