A 6-month-old infant presents with poor feeding and a murmur. Echocardiogram shows a patent foramen ovale. The next step is:

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Question 1 of 5

A 6-month-old infant presents with poor feeding and a murmur. Echocardiogram shows a patent foramen ovale. The next step is:

Correct Answer: C

Rationale: Observation is standard for asymptomatic PFO, per AHA. A, B, D, E are for complications.

Question 2 of 5

A 10-year-old girl appears with precocious puberty and café-au-lait spots. Physical examination reveals fibrous dysplasia of bone. Most likely diagnosis is:

Correct Answer: B

Rationale: McCune-Albright syndrome fits precocious puberty, café-au-lait spots, and fibrous dysplasia, per AAP (doc p149, Q576).

Question 3 of 5

Best diagnostic test for Cushing syndrome is:

Correct Answer: C

Rationale: 24-hour urinary free cortisol screens for Cushing syndrome, per AAP (doc p150, Q592).

Question 4 of 5

A 3-month-old infant presents with poor feeding and tachypnea. Chest x-ray shows cardiomegaly. Most likely diagnosis is:

Correct Answer: B

Rationale: CHF features poor feeding, tachypnea, and cardiomegaly, per AHA. A, C-E differ.

Question 5 of 5

A 2-year-old boy presents with a limp and hip pain. X-ray shows a lytic lesion. Most likely diagnosis is:

Correct Answer: B

Rationale: Ewing sarcoma presents with lytic lesions, per NCI. A, C-E differ.

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