A 5-year-old girl presents with recurrent UTIs. Voiding cystourethrogram shows grade IV reflux. The next step is:

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Question 1 of 5

A 5-year-old girl presents with recurrent UTIs. Voiding cystourethrogram shows grade IV reflux. The next step is:

Correct Answer: B

Rationale: Antibiotic prophylaxis manages grade IV VUR, per AAP. A, C-E depend on response.

Question 2 of 5

A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and strawberry tongue. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes conjunctivitis and strawberry tongue, per AHA. A, C-E differ.

Question 3 of 5

A 6-year-old boy presents with abdominal pain and bloody stools. Stool shows leukocytes. Most likely diagnosis is:

Correct Answer: B

Rationale: IBD features bloody stools and leukocytes, per AGA. A, C-E differ.

Question 4 of 5

A 6-year-old boy presents with chest pain and dyspnea. Echocardiogram shows pericardial effusion. Most likely diagnosis is:

Correct Answer: B

Rationale: Pericarditis features pain and effusion, per AHA. A, C-E differ.

Question 5 of 5

A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of this data?

Correct Answer: B

Rationale: The lungs of a baby delivered by cesarean section may sound moist for 24 hours after birth B due to retained fetal lung fluid, common in C-section deliveries, per document .

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