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:

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Question 1 of 5

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 2 of 5

Most common electrolyte abnormality in patients with cystic fibrosis is:

Correct Answer: A

Rationale: Hyponatremia is common in cystic fibrosis from salt loss in sweat, per CFF. B-E are less frequent.

Question 3 of 5

A newborn failed to pass meconium within the first 24 hours of life. Physical examination reveals abdominal distension and a palpable mass in the left lower quadrant. Most likely diagnosis is:

Correct Answer: C

Rationale: Hirschsprung disease fits delayed meconium and a mass from stool retention, per AAP. A, B, D, E differ.

Question 4 of 5

A 2-year-old boy presents with developmental delay and coarse facial features. Urine shows increased glycosaminoglycans. Most likely diagnosis is:

Correct Answer: B

Rationale: Mucopolysaccharidosis features coarse facies and glycosaminoglycan buildup, per NORD. A, C-E have distinct phenotypes.

Question 5 of 5

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

Correct Answer: B

Rationale: Diuretics manage heart failure in large ASDs, per AHA. A is for severe cases, C-E are not primary.

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