A 2-year-old boy presents with fever and a seizure. Exam shows a bulging fontanelle. Most likely diagnosis is:

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Question 1 of 5

A 2-year-old boy presents with fever and a seizure. Exam shows a bulging fontanelle. Most likely diagnosis is:

Correct Answer: B

Rationale: Meningitis fits fever, seizure, and bulging fontanelle, per AAP. A, C-E lack this triad.

Question 2 of 5

A 2-month-old infant presents with tachypnea and wheezing. Chest x-ray shows hyperinflation. Most likely diagnosis is:

Correct Answer: B

Rationale: Bronchiolitis features tachypnea, wheezing, and hyperinflation in infants, per AAP. A, C-E differ.

Question 3 of 5

A 2-month-old infant presents with poor weight gain and tachypnea. Chest x-ray shows cardiomegaly. Most likely diagnosis is:

Correct Answer: B

Rationale: CHF features poor growth, tachypnea, and cardiomegaly, per AHA. A, C-E differ in x-ray.

Question 4 of 5

A 5-year-old girl presents with recurrent UTIs and daytime wetting. Voiding cystourethrogram shows reflux. Most likely diagnosis is:

Correct Answer: B

Rationale: VUR causes recurrent UTIs and reflux on VCUG, per AAP. A, C-E differ in imaging.

Question 5 of 5

Best diagnostic test in patients with ambiguous genitalia due to congenital adrenal hyperplasia is:

Correct Answer: C

Rationale: Serum 17-hydroxyprogesterone confirms CAH by detecting elevated levels, per AAP (doc p148, Q557).

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