A 3-month-old infant presents with cyanosis and a murmur. Echocardiogram shows pulmonary atresia. The next step is:

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Question 1 of 5

A 3-month-old infant presents with cyanosis and a murmur. Echocardiogram shows pulmonary atresia. The next step is:

Correct Answer: B

Rationale: Prostaglandin E1 maintains ductal patency in pulmonary atresia, per AHA, as a bridge to surgery. A, C-E are secondary.

Question 2 of 5

A 3-month-old infant presents with cyanosis and poor feeding. Chest x-ray shows a narrow mediastinum. Most likely diagnosis is:

Correct Answer: B

Rationale: Transposition shows a narrow mediastinum and cyanosis, per AAP. A, C-E differ.

Question 3 of 5

A newborn appears with ambiguous genitalia and a 46,XX karyotype. Maternal history reveals virilization during pregnancy. Most likely diagnosis is:

Correct Answer: A

Rationale: CAH fits XX karyotype and maternal virilization, per AAP (doc p148, Q561).

Question 4 of 5

Most common thyroid abnormality in patients with Turner syndrome is:

Correct Answer: A

Rationale: Hypothyroidism is the most common thyroid issue in Turner syndrome due to autoimmune thyroiditis, per AAP (doc p149, Q577).

Question 5 of 5

Most common cause of diabetes mellitus in children is:

Correct Answer: A

Rationale: Type 1 diabetes is the most common form in children, per AAP (doc p150, Q593).

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