A 2-year-old boy presents with a barky cough and stridor. X-ray shows a steeple sign. Most likely diagnosis is:

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Question 1 of 5

A 2-year-old boy presents with a barky cough and stridor. X-ray shows a steeple sign. Most likely diagnosis is:

Correct Answer: A

Rationale: Croup features a barky cough, stridor, and steeple sign, per AAP. B-E differ in presentation.

Question 2 of 5

A 3-year-old girl presents with fever and a limp. X-ray shows a lytic lesion in the tibia. Most likely diagnosis is:

Correct Answer: B

Rationale: Ewing sarcoma presents with fever, limp, and lytic lesions, per NCI. A, C-E differ in imaging or history.

Question 3 of 5

A 6-month-old infant presents with stridor and poor feeding. Laryngoscopy shows floppy epiglottis. Most likely diagnosis is:

Correct Answer: B

Rationale: Laryngomalacia causes stridor and floppy epiglottis in infants, per AAP. A, C-E differ.

Question 4 of 5

A 6-year-old girl presents with jaundice and fatigue. Labs show elevated indirect bilirubin and reticulocytosis. Most likely diagnosis is:

Correct Answer: D

Rationale: Hemolytic anemia features jaundice and reticulocytosis, per ASH. A-C, E differ.

Question 5 of 5

Most common renal abnormality in patients with Turner syndrome is:

Correct Answer: A

Rationale: Horseshoe kidney is the most common renal anomaly in Turner syndrome, per AAP (doc p149, Q570).

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