A 5-year-old boy presents with fever and a petechial rash. Labs show thrombocytopenia and elevated D-dimer. Most likely diagnosis is:

Questions 56

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Pediatric Gi Disorders Practice Questions Questions

Question 1 of 9

A 5-year-old boy presents with fever and a petechial rash. Labs show thrombocytopenia and elevated D-dimer. Most likely diagnosis is:

Correct Answer: C

Rationale: DIC fits petechiae and elevated D-dimer, per ISTH. A, B, D, E differ.

Question 2 of 9

A 4-year-old boy presents with a high fever and rash. Exam shows conjunctivitis and cervical lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes fever, rash, conjunctivitis, and lymphadenopathy, per AHA. A, C-E lack this combination.

Question 3 of 9

A child with a history of cystic fibrosis appears with fever and increased coughing. Chest x-ray reveals a new infiltrate in the right lower lobe. Most likely diagnosis is:

Correct Answer: C

Rationale: Pneumonia fits fever, cough, and new infiltrate in cystic fibrosis, per CFF. A, B, D, E are less likely.

Question 4 of 9

The most common complication of a fracture is

Correct Answer: B

Rationale: Non-union B is a frequent issue, per document p50, 3.

Question 5 of 9

When a child refuses medication, the nurse should

Correct Answer: B

Rationale: Seeing others take it B encourages compliance, per document 1.

Question 6 of 9

Nurses can prevent evaporative heat loss in the newborn by

Correct Answer: C

Rationale: Drying and skin-to-skin contact C prevent evaporative heat loss, per document 9.

Question 7 of 9

In hypernatremic dehydration, a rapid correction results in seizures due to:

Correct Answer: A

Rationale: Idiogenic osmoles in brain cells, formed during hypernatremia, draw water in during rapid correction, causing edema and seizures (UpToDate). B-E are incorrect.

Question 8 of 9

Most common cause of congenital hypothyroidism is:

Correct Answer: B

Rationale: Thyroid dysgenesis is the most common cause of congenital hypothyroidism, per AAP (doc p149, Q579).

Question 9 of 9

A 2-month-old infant presents with poor feeding and cyanosis. Echocardiogram shows a single ventricle. Most likely diagnosis is:

Correct Answer: C

Rationale: HLHS features a single ventricle, per AHA. A, B, D, E differ.

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