A 4-year-old boy presents with fever, limp, and hip pain. Hip x-ray is normal, but ESR is elevated. Most likely diagnosis is:

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Question 1 of 5

A 4-year-old boy presents with fever, limp, and hip pain. Hip x-ray is normal, but ESR is elevated. Most likely diagnosis is:

Correct Answer: B

Rationale: Transient synovitis is common in preschoolers with limp and fever, often post-viral, with normal x-ray, per AAP. A, C-E have different presentations or imaging.

Question 2 of 5

A 2-year-old girl presents with a seizure and fever of 102°F. No focal neurologic signs are noted. Most likely diagnosis is:

Correct Answer: B

Rationale: Febrile seizure is common in toddlers with fever and no focal signs, per AAP. A, C-E have additional features.

Question 3 of 5

A 2-year-old boy presents with fever and a stiff neck. CSF analysis shows gram-positive cocci. Most likely diagnosis is:

Correct Answer: B

Rationale: S. pneumoniae meningitis is a common cause of bacterial meningitis with gram-positive cocci in CSF, per AAP. A, C-E differ in etiology or CSF findings.

Question 4 of 5

A 5-year-old girl presents with abdominal pain and vomiting. CT shows a twisted mesentery. Most likely diagnosis is:

Correct Answer: C

Rationale: Malrotation with volvulus features pain, vomiting, and twisted mesentery, per AAP. A, B, D, E differ in CT.

Question 5 of 5

A 2-year-old boy presents with fever and a vesicular rash in the mouth. Most likely diagnosis is:

Correct Answer: C

Rationale: HFMD features fever and oral vesicles, per CDC. A, B, D, E differ in distribution.

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