A 2-week-old boy appears with nonbilious vomiting. He is being treated with oral erythromycin. Most likely diagnosis is:

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Question 1 of 5

A 2-week-old boy appears with nonbilious vomiting. He is being treated with oral erythromycin. Most likely diagnosis is:

Correct Answer: B

Rationale: Infantile hypertrophic pyloric stenosis fits, with erythromycin increasing risk via pyloric hypertrophy (AAP). Nonbilious vomiting rules out atresia , and A, B, D are less likely.

Question 2 of 5

Most common initial manifestation of childhood cerebral form of adrenoleukodystrophy (ALD) is:

Correct Answer: A

Rationale: Hyperactivity is often the first sign of cerebral ALD in children, preceding neurological decline (NORD). B-E appear later.

Question 3 of 5

Appropriate therapy for patients with pyridoxine dependency with seizures is:

Correct Answer: D

Rationale: Vitamin B6 at 10-100 mg/kg is the standard treatment for pyridoxine-dependent seizures (NORD). Lower doses (C, D) may suffice for deficiency, not dependency.

Question 4 of 5

A 5-year-old boy appears with wheezing and shortness of breath after exposure to a cat. Physical examination reveals bilateral wheezing and respiratory distress. He improves significantly after nebulized albuterol therapy. Most likely diagnosis is:

Correct Answer: D

Rationale: Asthma fits a 5-year-old with allergen-triggered wheezing responsive to albuterol (ATS). Bronchiolitis is less likely at this age, and A, B, E don’t match.

Question 5 of 5

A newborn appears with abdominal distension and failure to pass meconium within the first 48 hours of life. Abdominal x-ray reveals multiple air-fluid levels and dilated loops of bowel. Most likely diagnosis is:

Correct Answer: D

Rationale: Meconium ileus fits delayed meconium with air-fluid levels, common in cystic fibrosis, per AAP. A-C, E have different x-ray findings.

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