A 5-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a target sign in the right lower quadrant. Most likely diagnosis is:

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Question 1 of 5

A 5-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a target sign in the right lower quadrant. Most likely diagnosis is:

Correct Answer: B

Rationale: Intussusception shows a target sign on ultrasound, per AAP. A, C-E differ in imaging.

Question 2 of 5

A 5-year-old girl presents with weight loss and polyuria. Labs show blood glucose of 200 mg/dL. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 DM is common in kids with hyperglycemia, per ADA. A, C-E differ in etiology.

Question 3 of 5

Most common cause of ambiguous genitalia in a newborn girl is:

Correct Answer: B

Rationale: Congenital adrenal hyperplasia is the most common cause of ambiguous genitalia in XX females, per AAP (doc p148, Q556).

Question 4 of 5

A 2-month-old boy appears with vomiting and dehydration. Labs reveal hyponatremia and hyperkalemia. Most likely diagnosis is:

Correct Answer: B

Rationale: CAH causes vomiting, hyponatremia, and hyperkalemia, per AAP (doc p149, Q572).

Question 5 of 5

A 6-year-old boy appears with fatigue, weight loss, and hyperpigmentation. Labs reveal hyponatremia and hyperkalemia. Most likely diagnosis is:

Correct Answer: B

Rationale: Addison disease fits fatigue, hyperpigmentation, and electrolyte abnormalities, per AAP (doc p150, Q588).

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