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

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Question 1 of 5

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

Correct Answer: B

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

Question 2 of 5

A 4-year-old girl presents with fever and a sore throat. Exam shows palatal petechiae and splenomegaly. Most likely diagnosis is:

Correct Answer: C

Rationale: Mononucleosis features petechiae and splenomegaly, per CDC. A, B, D, E differ.

Question 3 of 5

Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of

Correct Answer: B

Rationale: Increased pressure in the left atrium B closes the foramen ovale post-birth, per document 6.

Question 4 of 5

A maculopapular rash with a red base and a small white papule in the center is

Correct Answer: B

Rationale: Erythema toxicum B is a common newborn rash with this description, per document p5, 3.

Question 5 of 5

Esther, 4 years, is rushed to the emergency ward convulsing, with very hot skin. What immediate step would you take to reduce the temperature?

Correct Answer: D

Rationale: Tepid sponging D is the immediate physical method to reduce fever in a convulsing child, per document .

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