A 4-year-old girl presents with a high fever and drooling. X-ray shows a steeple sign. Most likely diagnosis is:

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Question 1 of 5

A 4-year-old girl presents with a high fever and drooling. X-ray shows a steeple sign. Most likely diagnosis is:

Correct Answer: A

Rationale: Croup shows a steeple sign with fever and respiratory symptoms, per AAP. B-E differ in x-ray.

Question 2 of 5

Most common cause of precocious puberty in girls is:

Correct Answer: C

Rationale: Idiopathic is the most common cause of precocious puberty in girls, per AAP (doc p148, Q562).

Question 3 of 5

Most common cause of hypothyroidism in children is:

Correct Answer: C

Rationale: Hashimoto thyroiditis is the most common cause of hypothyroidism in children, per AAP (doc p149, Q578).

Question 4 of 5

A 12-year-old girl appears with polyuria, polydipsia, and weight loss. Labs reveal blood glucose of 300 mg/dL and ketonuria. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 diabetes fits polyuria, weight loss, hyperglycemia, and ketonuria, per AAP (doc p150, Q594).

Question 5 of 5

A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 8 g/dL and microcytic anemia. Most likely diagnosis is:

Correct Answer: C

Rationale: Iron deficiency anemia is microcytic and common, per AAP. A, B, D, E differ.

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