A 3-year-old boy presents with fever and a petechial rash. Labs show leukocytosis and positive blood culture. Most likely diagnosis is:

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Question 1 of 5

A 3-year-old boy presents with fever and a petechial rash. Labs show leukocytosis and positive blood culture. Most likely diagnosis is:

Correct Answer: C

Rationale: Meningococcemia fits fever, petechiae, and positive culture, per CDC. A, B, D, E lack bacteremia.

Question 2 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 3 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 4 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).

Question 5 of 5

A 5-year-old girl presents with fever and a red, swollen ankle. Aspiration shows gram-positive cocci. Most likely diagnosis is:

Correct Answer: A

Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.

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