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

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Question 1 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 2 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 3 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).

Question 4 of 5

Best diagnostic test for growth hormone deficiency is:

Correct Answer: B

Rationale: GH stimulation test confirms GHD, per AAP (doc p151, Q604).

Question 5 of 5

A 2-year-old girl presents with fever and a seizure. Exam shows a bulging fontanelle. Most likely diagnosis is:

Correct Answer: B

Rationale: Meningitis features fever, seizure, and bulging fontanelle, per AAP. A, C-E differ.

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