A 2-year-old girl presents with a seizure and fever of 102°F. No focal neurologic signs are noted. Most likely diagnosis is:

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Question 1 of 5

A 2-year-old girl presents with a seizure and fever of 102°F. No focal neurologic signs are noted. Most likely diagnosis is:

Correct Answer: B

Rationale: Febrile seizure is common in toddlers with fever and no focal signs, per AAP. A, C-E have additional features.

Question 2 of 5

A 5-year-old girl presents with abdominal pain and vomiting. CT shows a twisted mesentery. Most likely diagnosis is:

Correct Answer: C

Rationale: Malrotation with volvulus features pain, vomiting, and twisted mesentery, per AAP. A, B, D, E differ in CT.

Question 3 of 5

A 2-year-old boy presents with fever and a vesicular rash in the mouth. Most likely diagnosis is:

Correct Answer: C

Rationale: HFMD features fever and oral vesicles, per CDC. A, B, D, E differ in distribution.

Question 4 of 5

Most common complication of untreated congenital adrenal hyperplasia is:

Correct Answer: A

Rationale: Adrenal crisis is the most serious complication of untreated CAH due to cortisol deficiency, per AAP (doc p148, Q558).

Question 5 of 5

A newborn girl appears with ambiguous genitalia and a 46,XX karyotype. Labs reveal elevated 17-hydroxyprogesterone. Most likely diagnosis is:

Correct Answer: A

Rationale: CAH fits XX karyotype and elevated 17-OHP, per AAP (doc p149, Q574).

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