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

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Question 1 of 5

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

Correct Answer: B

Rationale: Ewing sarcoma presents with fever and lytic lesions, per NCI. A, C-E differ.

Question 2 of 5

A 5-year-old girl presents with recurrent UTIs. Voiding cystourethrogram shows grade III reflux. The next step is:

Correct Answer: B

Rationale: Antibiotic prophylaxis manages grade III VUR, per AAP. A, C-E depend on response.

Question 3 of 5

An African American woman noticed some bruises on her newborn girl’s buttocks. She asks the nurse who spanked her daughter. The nurse explains that these marks are called

Correct Answer: D

Rationale: Mongolian spots D are benign, blue-gray marks common in darker-skinned newborns, per document .

Question 4 of 5

The nurse is preparing to draw up a Phytonadione injection for the newborn. The length of the needle should be:

Correct Answer: C

Rationale: 5/8 inch C is appropriate for IM injection in a newborn, per document 4.

Question 5 of 5

Which of the following are considered signs of respiratory distress in the newborn?

Correct Answer: B

Rationale: Nasal flaring B is a sign of respiratory distress, per document p5, 2.

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