A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a large ventricular septal defect. The next step is:

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Question 1 of 5

A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a large ventricular septal defect. The next step is:

Correct Answer: B

Rationale: Diuretics manage heart failure in large VSDs, per AHA. A, C-E depend on severity.

Question 2 of 5

A 1-year-old girl presents with recurrent pneumonia and digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: C

Rationale: Cystic fibrosis fits pneumonia and positive sweat test, per CFF. A, B, D, E differ.

Question 3 of 5

A 5-month-old infant presents with hypotonia and hepatomegaly. Labs show elevated lactate. Most likely diagnosis is:

Correct Answer: B

Rationale: Mitochondrial disorder causes hypotonia and lactic acidosis, per NORD. A-D differ.

Question 4 of 5

A 3-month-old infant presents with tachypnea and poor feeding. Chest x-ray shows dextrocardia and situs inversus. Most likely diagnosis is:

Correct Answer: C

Rationale: Dextrocardia with situs inversus fits isolated dextrocardia, per AAP. A, B, D, E differ.

Question 5 of 5

A 1-year-old girl presents with recurrent pneumonia and steatorrhea. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: C

Rationale: Cystic fibrosis fits pneumonia and positive sweat test, per CFF. A, B, D, E differ.

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