A 3-year-old girl presents with fever and a stiff neck. CSF shows acid-fast bacilli. Most likely diagnosis is:

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Question 1 of 5

A 3-year-old girl presents with fever and a stiff neck. CSF shows acid-fast bacilli. Most likely diagnosis is:

Correct Answer: C

Rationale: TB meningitis features stiff neck and acid-fast bacilli, per CDC. A, B, D, E differ in CSF.

Question 2 of 5

Most common cause of delayed puberty in girls is:

Correct Answer: A

Rationale: Turner syndrome is the most common cause of delayed puberty in girls, per AAP (doc p148, Q565).

Question 3 of 5

A newborn appears with prolonged jaundice, umbilical hernia, and large fontanelles. Labs reveal elevated TSH and low T4. Most likely diagnosis is:

Correct Answer: B

Rationale: Congenital hypothyroidism fits jaundice, hernia, large fontanelles, and abnormal thyroid labs, per AAP (doc p149, Q581).

Question 4 of 5

Most common cause of hypoglycemia in a child with type 1 diabetes is:

Correct Answer: A

Rationale: Insulin overdose is the most common cause of hypoglycemia in type 1 diabetes, per AAP (doc p151, Q597).

Question 5 of 5

A 5-year-old boy presents with hematuria and edema. Labs show hypoalbuminemia. Most likely diagnosis is:

Correct Answer: B

Rationale: Nephrotic syndrome features hematuria, edema, and hypoalbuminemia, per AAP. A, C-E differ.

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