A 3-year-old girl presents with a high fever and drooling. X-ray shows a thumbprint sign. Most likely diagnosis is:

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Question 1 of 5

A 3-year-old girl presents with a high fever and drooling. X-ray shows a thumbprint sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Epiglottitis presents with fever, drooling, and a thumbprint sign, per AAP. A, C-E have different signs.

Question 2 of 5

A 5-year-old boy presents with fever and a sore throat. Exam shows pharyngeal exudates and palatal petechiae. Most likely diagnosis is:

Correct Answer: C

Rationale: Mononucleosis features exudates and palatal petechiae, per CDC. A, B, D, E lack petechiae.

Question 3 of 5

A 2-year-old boy presents with a high fever and rash on the trunk and extremities. Exam shows Koplik spots. Most likely diagnosis is:

Correct Answer: A

Rationale: Measles features fever, rash, and Koplik spots, per CDC. B-E lack spots.

Question 4 of 5

A 2-month-old infant presents with nonbilious vomiting. Exam shows an olive-shaped mass. Most likely diagnosis is:

Correct Answer: B

Rationale: Pyloric stenosis causes nonbilious vomiting and a palpable mass, per AAP. A, C-E differ.

Question 5 of 5

A 12-year-old girl has not yet experienced menarche or breast budding. She appears with short stature and webbed neck. Most likely diagnosis is:

Correct Answer: B

Rationale: Turner syndrome fits delayed puberty, short stature, and webbed neck, per AAP (doc p149, Q567).

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