A 5-day-old girl appears for a routine physical examination. She is receiving breast milk. Mother is worried. The child had 5 loose, greenish-yellow stools containing mucus for the past 2 days. The next step in management is:

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Pediatric Gi Practice Questions Quizlet Questions

Question 1 of 9

A 5-day-old girl appears for a routine physical examination. She is receiving breast milk. Mother is worried. The child had 5 loose, greenish-yellow stools containing mucus for the past 2 days. The next step in management is:

Correct Answer: D

Rationale: Reassurance fits; 5-6 loose stools daily are normal for breastfed newborns, with mucus common (AAP). No dehydration or sepsis signs warrant A-D.

Question 2 of 9

A 3-month-old infant presents with cyanosis and a murmur. Echocardiogram shows tetralogy of Fallot. The next step is:

Correct Answer: A

Rationale: Surgery corrects tetralogy of Fallot, per AHA. B-E are temporizing.

Question 3 of 9

A 1-year-old girl presents with recurrent pneumonia and digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: C

Rationale: Cystic fibrosis fits pneumonia and positive sweat test, per CFF. A, B, D, E differ.

Question 4 of 9

A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a large ventricular septal defect. The next step is:

Correct Answer: B

Rationale: Diuretics manage heart failure in large VSDs, per AHA. A, C-E depend on severity.

Question 5 of 9

A child diagnosed with meningitis remains on transmission based droplet precautions until hours after appropriate antimicrobial therapy has been started.

Correct Answer: B

Rationale: Droplet precautions for meningitis continue 24 hours (B) post-antibiotics to ensure contagion reduction. Shorter (A) or longer (C, D) are incorrect. Document: 'Until 24 hours after appropriate antimicrobial therapy.'

Question 6 of 9

A 5-year-old boy appears with wheezing and shortness of breath after exposure to a cat. Physical examination reveals bilateral wheezing and respiratory distress. He improves significantly after nebulized albuterol therapy. Most likely diagnosis is:

Correct Answer: D

Rationale: Asthma fits a 5-year-old with allergen-triggered wheezing responsive to albuterol (ATS). Bronchiolitis is less likely at this age, and A, B, E don’t match.

Question 7 of 9

The last dose of hepatitis B vaccine should not be given before age:

Correct Answer: D

Rationale: The third hepatitis B dose is recommended at 6 months , per CDC, ensuring full immunity. Earlier doses (A-D) are part of the schedule but not the final one.

Question 8 of 9

A 5-month-old infant presents with hypotonia and hepatomegaly. Labs show elevated lactate. Most likely diagnosis is:

Correct Answer: B

Rationale: Mitochondrial disorder causes hypotonia and lactic acidosis, per NORD. A-D differ.

Question 9 of 9

A 6-month-old infant presents with stridor and respiratory distress. Laryngoscopy shows subglottic narrowing. Most likely diagnosis is:

Correct Answer: C

Rationale: Subglottic stenosis features chronic stridor, per AAP. A, B, D, E differ.

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