A 5-year-old boy presents with hematuria and edema. Labs show hypoalbuminemia and proteinuria. Most likely diagnosis is:

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Question 1 of 5

A 5-year-old boy presents with hematuria and edema. Labs show hypoalbuminemia and proteinuria. Most likely diagnosis is:

Correct Answer: B

Rationale: Nephrotic syndrome features edema and hypoalbuminemia, per AAP. A, C-E differ.

Question 2 of 5

A 4-year-old boy presents with fever and a diffuse erythematous rash. Exam shows a positive Nikolsky sign. Most likely diagnosis is:

Correct Answer: B

Rationale: SSSS features rash and Nikolsky sign, per IDSA. A, C-E differ.

Question 3 of 5

Which of the following findings in a 3-hour-old newborn should be reported?

Correct Answer: C

Rationale: Chest circumference 35 cm; head circumference 36 cm C is abnormal as head should typically be 2-3 cm larger than chest at birth, per AAP, indicating potential need for evaluation.

Question 4 of 5

One minute after delivery, the nurse observes the following in a newborn: Heart rate=112; some flexion of the extremities; good cry; skin pink except hands and feet are blue; actively crying. The nurse should assign the Apgar score to be a:

Correct Answer: D

Rationale: Apgar of 8 D: HR=2 100-112, Resp=2 good cry, Muscle tone=1 some flexion, Reflex=2 crying, Color=1 acrocyanosis, per document 0.

Question 5 of 5

An Apgar score of 7 indicates that:

Correct Answer: C

Rationale: An Apgar of 7 C suggests mild distress needing stimulation and oxygen, per document p5, 7.

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