A 2-year- old girl presented with abdominal mass and irritability. The mother reported change in the color of urine to red for the last few days. The examination was notable for a flank mass with raised blood pressure. Of the following, the MOST likely diagnosis is

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Question 1 of 5

A 2-year- old girl presented with abdominal mass and irritability. The mother reported change in the color of urine to red for the last few days. The examination was notable for a flank mass with raised blood pressure. Of the following, the MOST likely diagnosis is

Correct Answer: B

Rationale: Wilms' tumor fits with an abdominal mass, hematuria, and hypertension, common in young children.

Question 2 of 5

You are a 4th year pediatric board trainee, asked to explain the mechanism of airway compromise during loss of consciousness to a medical student. The BEST statement you would like to use is that it's due to

Correct Answer: D

Rationale: Loss of consciousness causes airway compromise via loss of muscle tone, allowing the tongue and mandible to obstruct (E), per basic airway physiology.

Question 3 of 5

You are treating a 5-month-old baby boy with severe acute bronchiolitis. Mother is concerned about the prognosis of such an illness. Your BEST response to her is to say

Correct Answer: B

Rationale: Most infants with severe bronchiolitis recover, with <1% mortality from respiratory failure (B), a balanced and evidence-based response, per pediatric data.

Question 4 of 5

In distributive shock (like septic shock), the systemic inflammatory response syndrome (SIRS) may precede the shock. All the following may be part of the syndrome EXCEPT

Correct Answer: D

Rationale: SIRS includes fever (A), tachycardia (B), hypothermia (C), and tachypnea (D). Immature WBC >5% (E) isn’t a formal criterion, per SIRS definition.

Question 5 of 5

Of the following, the COMMONEST cause of poisoning in childhood is with

Correct Answer: A

Rationale: Cosmetics (A) are the most common childhood poisoning source due to accessibility, per poison control data.

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